eprintid: 1302410
rev_number: 54
eprint_status: archive
userid: 608
dir: disk0/01/30/24/10
datestamp: 2011-04-08 20:16:42
lastmod: 2021-10-18 00:00:55
status_changed: 2012-07-24 10:05:28
type: article
metadata_visibility: show
item_issues_count: 0
creators_name: Killaspy, H
creators_name: White, S
creators_name: Wright, C
creators_name: Taylor, TL
creators_name: Turton, P
creators_name: Schutzwohl, M
creators_name: Schuster, M
creators_name: Cervilla, JA
creators_name: Brangier, P
creators_name: Raboch, J
creators_name: Kalisova, L
creators_name: Onchev, G
creators_name: Alexiev, S
creators_name: Mezzina, R
creators_name: Ridente, P
creators_name: Wiersma, D
creators_name: Visser, E
creators_name: Kiejna, A
creators_name: Adamowski, T
creators_name: Ploumpidis, D
creators_name: Gonidakis, F
creators_name: Caldas-de-Almeida, J
creators_name: Cardoso, G
creators_name: King, MB
title: The development of the Quality Indicator for Rehabilitative Care (QuIRC): a measure of best practice for facilities for people with longer term mental health problems
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D79
keywords: SCHIZOPHRENIA, SERVICES
note: © 2011 Killaspy et al; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
abstract: Background: Despite the progress over recent decades in developing community mental health services internationally, many people still receive treatment and care in institutional settings. Those most likely to reside longest in these facilities have the most complex mental health problems and are at most risk of potential abuses of care and exploitation. This study aimed to develop an international, standardised toolkit to assess the quality of care in longer term hospital and community based mental health units, including the degree to which human rights, social inclusion and autonomy are promoted.Method: The domains of care included in the toolkit were identified from a systematic literature review, international expert Delphi exercise, and review of care standards in ten European countries. The draft toolkit comprised 154 questions for unit managers. Inter-rater reliability was tested in 202 units across ten countries at different stages of deinstitutionalisation and development of community mental health services. Exploratory factor analysis was used to corroborate the allocation of items to domains. Feedback from those using the toolkit was collected about its usefulness and ease of completion.Results: The toolkit had excellent inter-rater reliability and few items with narrow spread of response. Unit managers found the content highly relevant and were able to complete it in around 90 minutes. Minimal refinement was required and the final version comprised 145 questions assessing seven domains of care.Conclusions: Triangulation of qualitative and quantitative evidence directed the development of a robust and comprehensive international quality assessment toolkit for units in highly variable socioeconomic and political contexts.
date: 2011-03-01
publisher: BIOMED CENTRAL LTD
official_url: http://dx.doi.org/10.1186/1471-244X-11-35
vfaculties: VFBRS
oa_status: green
pmcid: PMC3056767
language: eng
primo: open
primo_central: open_green
article_type_text: Article
verified: verified_manual
elements_source: Web of Science
elements_id: 303664
doi: 10.1186/1471-244X-11-35
language_elements: EN
lyricists_name: Killaspy, Helen
lyricists_name: King, Michael
lyricists_name: Salisbury, Tatiana
lyricists_id: HTKIL41
lyricists_id: MBKIN92
lyricists_id: TTAYL30
full_text_status: public
publication: BMC Psychiatry
volume: 11
article_number: 35
issn: 1471-244X
citation:        Killaspy, H;    White, S;    Wright, C;    Taylor, TL;    Turton, P;    Schutzwohl, M;    Schuster, M;                                                                     ... King, MB; + view all <#>        Killaspy, H;  White, S;  Wright, C;  Taylor, TL;  Turton, P;  Schutzwohl, M;  Schuster, M;  Cervilla, JA;  Brangier, P;  Raboch, J;  Kalisova, L;  Onchev, G;  Alexiev, S;  Mezzina, R;  Ridente, P;  Wiersma, D;  Visser, E;  Kiejna, A;  Adamowski, T;  Ploumpidis, D;  Gonidakis, F;  Caldas-de-Almeida, J;  Cardoso, G;  King, MB;   - view fewer <#>    (2011)    The development of the Quality Indicator for Rehabilitative Care (QuIRC): a measure of best practice for facilities for people with longer term mental health problems.                   BMC Psychiatry , 11     , Article 35.  10.1186/1471-244X-11-35 <https://doi.org/10.1186/1471-244X-11-35>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1302410/1/1471-244X-11-35.pdf