eprintid: 10147042
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/14/70/42
datestamp: 2022-04-20 15:03:41
lastmod: 2022-04-20 15:03:41
status_changed: 2022-04-20 15:03:41
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Almeda, N
creators_name: García-Alonso, CR
creators_name: Killaspy, H
creators_name: Gutiérrez-Colosía, M
creators_name: Salvador-Carulla, L
title: The critical factor: The role of quality in the performance of supported accommodation services for complex mental illness in England
ispublished: pub
divisions: C07
divisions: D79
divisions: B02
divisions: UCL
keywords: Monte Carlo method, Ecosystems, Housing, Statistical distributions, Quality of care, England, Psychological attitudes, Statistical data
note: Copyright © 2022 Almeda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
abstract: Rehabilitation services have a key role in ensuring integrated and comprehensive mental health (MH) care in the community for people suffering from long-term and severe mental disorders. MH-supported accommodation services aim to promote service users’ autonomy and independence. Given the complexity associated with MH-supported accommodation services in England, a comparative evaluation of critical performance indicators, including service provision and quality of care, seems to be necessary in designing evidence-informed policies. This study aims to explore the influence of service quality indicators on the performance of MH-supported accommodation services in England. The analysed sample includes supported accommodation services from 14 nationally representative local authorities in England from the QuEST study grouped by three main types of care: residential care homes (divided into two subgroups: move-on and non-move-on oriented), supported housing and floating outreach. EDeS-MH (efficient decision support-mental health) was used to assess the performance indicators for the selected services by combining a Monte Carlo simulation engine, data envelopment analysis and a fuzzy inference engine for integrating expert knowledge. Depending on the type of care, six/seven quality domains were sequentially included after a baseline scenario (only technical) was analysed. Relative technical efficiency scores for the baseline scenarios revealed high performance in all the selected supported accommodation services, but the statistical variability was high. Quality domains significantly improved performance in every type of care. The inclusion of quality indicators has a positive impact on the global performance of each type of care. Remaining at the corresponding services more than expected for two years has a negative impact on performance. These findings can be considered from a planning perspective to facilitate the design of pathways of care with more realistic expectations about gaining autonomy in two years.
date: 2022-03-17
date_type: published
publisher: Public Library of Science (PLoS)
official_url: https://doi.org/10.1371/journal.pone.0265319
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1948861
doi: 10.1371/journal.pone.0265319
medium: Electronic-eCollection
pii: PONE-D-21-17723
lyricists_name: Killaspy, Helen
lyricists_id: HTKIL41
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
funding_acknowledgements: PY18-RE-0022 [Junta de Andalucía]; PI18/01521 [Instituto de Salud Carlos III]; [Bupa Health Foundation – Australia]
full_text_status: public
publication: PLOS ONE
volume: 17
number: 3
article_number: e0265319
event_location: United States
citation:        Almeda, N;    García-Alonso, CR;    Killaspy, H;    Gutiérrez-Colosía, M;    Salvador-Carulla, L;      (2022)    The critical factor: The role of quality in the performance of supported accommodation services for complex mental illness in England.                   PLOS ONE , 17  (3)    , Article e0265319.  10.1371/journal.pone.0265319 <https://doi.org/10.1371/journal.pone.0265319>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10147042/1/journal.pone.0265319.pdf