European Psychiatric Association (EPA) guidance on quality assurance in mental healthcare

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Authors

  • W. Gaebel
  • I. Großimlinghaus
  • Reinhard Heun
  • Birgit Janssen
  • B. Johnson
  • T. Kurimay
  • Pedro Montellano
  • M. Muijen
  • P. Munk-Jorgensen
  • W. Rössler
  • M. Ruggeri
  • G. Thornicroft
  • J. Zielasek

Purpose: To advance the quality of mental healthcare in Europe by developing guidance on implementing quality assurance. Methods: We performed a systematic literature search on quality assurance in mental healthcare and the 522 retrieved documents were evaluated by two independent reviewers (B.J. and J.Z.). Based on these evaluations, evidence tables were generated. As it was found that these did not cover all areas of mental healthcare, supplementary hand searches were performed for selected additional areas. Based on these findings, fifteen graded recommendations were developed and consented by the authors. Review by the EPA Guidance Committee and EPA Board led to two additional recommendations (on immigrant mental healthcare and parity of mental and physical healthcare funding). Results: Although quality assurance (measures to keep a certain degree of quality), quality control and monitoring (applying quality indicators to the current degree of quality), and quality management (coordinated measures and activities with regard to quality) are conceptually distinct, in practice they are frequently used as if identical and hardly separable. There is a dearth of controlled trials addressing ways to optimize quality assurance in mental healthcare. Altogether, seventeen recommendations were developed addressing a range of aspects of quality assurance in mental healthcare, which appear usable across Europe. These were divided into recommendations about structures, processes and outcomes. Each recommendation was assigned to a hierarchical level of analysis (macro-, meso- and micro-level). Discussion: There was a lack of evidence retrievable by a systematic literature search about quality assurance of mental healthcare. Therefore, only after further topics and search had been added it was possible to develop recommendations with mostly medium evidence levels. Conclusion: Evidence-based graded recommendations for quality assurance in mental healthcare were developed which should next be implemented and evaluated for feasibility and validity in some European countries. Due to the small evidence base identified corresponding to the practical obscurity of the concept and methods, a European research initiative is called for by the stakeholders represented in this Guidance to improve the educational, methodological and empirical basis for a future broad implementation of measures for quality assurance in European mental healthcare.

OriginalspracheEnglisch
ZeitschriftEuropean Psychiatry
Jahrgang30
Ausgabenummer3
Seiten (von - bis)360-387
Anzahl der Seiten28
ISSN0924-9338
DOIs
PublikationsstatusErschienen - 01.03.2015

DOI

Zuletzt angesehen

Publikationen

  1. Fixed-term Contracts and Wages Revisited Using Linked Employer-Employee Data from Germany
  2. Vertrag zur Gründung der Europäischen Gemeinschaft (EGV): Artikel 26 [Gemeinsamer Zolltarif]
  3. Vertrag über die Europäische Union (EUV) : Artikel 17 [Sicherheits- und Verteidigungspolitik]
  4. Die Kunst des Defensivspiels. Der Briefwechsel zwischen Hans Blumenberg und Jacob Taubes
  5. State-Building and the European Union's Fight against Corruption in the Southern Caucasus
  6. Targeted metabolomics of pellicle and saliva in children with different caries activity
  7. Naturwissenschaftliche Kompetenzen und Inklusion – Inklusion durch Kompetenzorientierung?
  8. Einleitung: Sozialpolitik als Geschlechterpolitik - Geschlechterpolitik als Sozialpolitik
  9. Exports, R&D and Productivity in German Business Services Firms: A test of the Bustos-model
  10. Electrical and Mechanical Characterization of Polymer Nanofibers for Sensor Application
  11. A cognitive mapping approach to understanding public objection to energy infrastructure
  12. Martin Saar, Die Immanenz der Macht. Politische Theorie nach Spinoza. Berlin: Suhrkamp 2013
  13. Plädoyer für eine kulturwissenschaftliche Ästhetik aus Perspektive der cultural studies
  14. A PHENOMENOGRAPHICAL STUDY OF CHILDRENS’ SPATIAL THOUGHT WHILE USING MAPS IN REAL SPACES
  15. Is there a diagrammatic impulse with Plato? ‘Quasi-diagrammatic-scenes’ in Plato’s philosophy
  16. Continous preventive diagnosis for cardiovascular diseases based on stochastic modeling
  17. Viertes Tourismus-Barcamp (22. - 23. Januar 2011) an der Kath. Universität Eichstätt-Ingolstadt
  18. Lebendiges Lernen als Wegweiser zu einer humanen Ökonomie und nachhaltigen Entwicklung
  19. The Struggle for EU Legitimacy: Public Contestation, 1950-2005, by Claudia Schrag Sternberg