Very few useful measures of service functioning are as yet available for the evaluation of mental health services.
Continuity of care has been identified as « the strategic first choice » for the development of such process measures.
The term « continuity » has been used to refer to a variety of important aspects of service functioning, including whether services maintain contact with patients, whether patients consistently see the same staff, success of transfer between services, degree to which plans for services are followed through, integration between service providers, and comprehensiveness in meeting patient's individual needs.
In this paper, we reviewed the main theoretical definitions of continuity of care for the severely mentally ill, and discussed the work that has attempted to operationalise these definitions and to apply them in the study of mental health services.
We concluded that whilst continuity of care has had a central place in theoretical discussions of community service planning, progress in developing and applying practical measures has so far been sporadic and limited.
Obstacles to such research have included great diversity in definitions of continuity and the confounding influence of individual patient characteristics on the relationship between service process and outcome. (...)
Mots-clés Pascal : Trouble psychiatrique, Grave, Article synthèse, Définition, Evaluation, Homme, Continuité soins
Mots-clés Pascal anglais : Mental disorder, Severe, Review, Definition, Evaluation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0261187
Code Inist : 002B18H05B. Création : 11/06/1997.