Protocol for assessing services for people with severe mental illness.
Background The Clinical Standards Advisory Group was asked by UK health ministers to advise on the standards of clinical care being achieved for people with schizophrenia.
A subcommittee commissioned a review of standards, followed by research into how far these were reflected in contracts and met by providers.
Method No comprehensive but practical set of standards was found.
A protocol of 143 items ofgood service practice was constructed, and applied by teams visiting services in II UK districts.
The team appraisals were summarised in 20 key points, each scored 0 (absent) to 4 (excellent performance).
Seven points were used to assess standards of commissioning and 13 for standards of service provision.
Results When placed into rank order, the mean key point scores for commissioners and providers in the same district tended to be very similar.
Total district scores were then used to assign districts to one ofthree groups.
Four performed reasonably well, five were moderate and two were poor.
Conclusions One ofthe key elements associated with these differences was the local level of morale.
After wide consultation, a revised protocol of 26 key points for direct rating was drawn up and has since been further tested.
Mots-clés Pascal : Service santé, Traitement, Evaluation, Schizophrénie, Royaume Uni, Europe, Homme, Psychose
Mots-clés Pascal anglais : Health service, Treatment, Evaluation, Schizophrenia, United Kingdom, Europe, Human, Psychosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0110605
Code Inist : 002B18H05B. Création : 22/06/1998.