Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-24T11:41:12.107Z Has data issue: false hasContentIssue false

Quality of mental health services: a self audit in the South Verona mental health service

Published online by Cambridge University Press:  18 May 2011

Summary

Aims – To start a process of Continuous Quality Improvement (CQI) in an Italian Community Mental Health Service by using a quality assurance questionnaire in a self audit exercise. Methods – The questionnaire was administered to 14 key workers and clinical managers with different roles and seniority. One senior manager's evaluation was used as a benchmark for all the others. Changes were introduced in the service practice according to what emerged from the evaluation. Meetings were scheduled to monitor those changes and renew the CQI process. Results – There was a wide difference in the key workers' answers. Overall, the senior manager's evaluation was on the 60th percentile of the distribution of the other evaluations. Those areas that required prompt intervention were risk management, personnel development, and CQI. The CQI process was followed up for one year: some interventions were carried out to change the practice of the service. Conclusions – A self audit exercise in Community Mental Health Services was both feasible and useful. The CQI process was easier to start than to carry on over the long term.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

BIBLIOGRAFIA

American Medical Association Council on Medical Service (1986). Quality of care. Journal of American Medical Association 256(8), 10321034.CrossRefGoogle Scholar
Appleby, L. (2000). A new mental health service: high quality and user-led. British Journal of Psychiatry 177, 290291.CrossRefGoogle ScholarPubMed
Beaudin, CL. & Beaty, J. (2004). Strategies and innovations for successful quality improvement in behavioral health. Journal of Nursing Care Quality 19(3), 197206.CrossRefGoogle ScholarPubMed
Bell, L. (2004). Developing service quality in mental health services. International Journal of Health Care Quality Assurance 17(7), 401406.CrossRefGoogle Scholar
Biffi, G., Cuttitta, G., Bezzi, R., Magnani, G., Piacentini, D., Ramonda, M., Ferrigno, L. & Morosini, P. (1997). [Variability of managerial and clinical decisions in mental health services of the Lombardy Region: the vignette method]. Epidemiologia e Psichiatria Sociale 6(1), 4858.CrossRefGoogle ScholarPubMed
Burti, L., Garzotto, N., Siciliani, O., Zimmermann-Tansella, C. & Tansella, M. (1986). South Verona's psychiatric service: an integrated system of community care. Hospital and Community Psychiatry 37(8), 809813.Google Scholar
Department of Health (1999). National Service Frameworks for Mental Health. Department of Health: London.Google Scholar
Donabedian, A. (1966). Evaluating the quality of medical care. Milbank Memorial Fund Quarterly 44(3), Suppl. 206.CrossRefGoogle ScholarPubMed
Gallo, E. & Targa, G. (1998). [Quality evaluation in psychiatric services: a regional system of indicators]. Epidemiologia e Psichiatria Sociale 7(2), 110119.CrossRefGoogle ScholarPubMed
Lesage, A.D. & Tansella, M. (1993). Comprehensive community care without long stay beds in mental hospitals: trends from an Italian good practice area. Canadian Journal of Psychiatry 38(3), 187194.CrossRefGoogle ScholarPubMed
Morosini, P.L., Veltro, F. & Pettinelli, M. (1991). Indicatori di qualità e verifica e revisione di qualità nei servizi di salute mentale. Rivista Sperimentale di Freniatria 115(6), 857874.Google Scholar
Morosini, P.L., De Masi, E., Palumbo, G. & La Sala, E. (1999). Stato dell'organizzazione del miglioramento continuo di qualità nei Servizi Sanitari. QA 10(2), 6991.Google Scholar
Morosini, P.L., Casacchia, M. & Roncone, R. (2000). Qualità dei Servizi di Salute Mentale: Manuale-Questionario per la Formazione Organizzativa, l'Autovalutazione e l'Accreditamento Professionale tra Pari. Il Pensiero Scientifico Editore: Roma.Google Scholar
Progetto obiettivo per gli anni 1998–2000 - piano per la tutela della salute mentale (1999). Gazzetta Ufficiale n.274 del 22 novembre 1999Google Scholar
Ruggeri, M. & Tansella, M. (2002). To which extent do mental health services meet patients' needs and provide satisfactory care? Current Opinion in Psychiatry 15, 193199.CrossRefGoogle Scholar
Skidmore, D., Warne, T. & Stark, S. (2004). Mental health practice and the rhetoric-reality gap. Journal of Psychiatric and Mental Health Nursing 11(3), 348356.CrossRefGoogle ScholarPubMed
Sluyter, G.V. (1998). Total quality management in behavioral health care. New Directions for Mental Health Services (79), 3543.CrossRefGoogle ScholarPubMed
Tansella, M. (1991). Community-based Psychiatry: Long-term Patterns of Care in South-Verona. Cambridge University Press: Cambridge.Google Scholar