A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems

Detalhes bibliográficos
Autor(a) principal: Caldas-de-Almeida, José M.
Data de Publicação: 2009
Outros Autores: Cardoso, Graça
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/21604
Resumo: BMC Psychiatry Taylor, Tatiana L. Killaspy, Helen Wright, Christine Turton, Penny White, Sarah Kallert, Thomas W. Schuster, Mirjam Cervilla, Jorge A. Brangier, Paulette Raboch, Jiri Kalisova, Lucie Onchev, Georgi Dimitrov, Hristo Mezzina, Roberto Wolf, Kinou Wiersma, Durk Visser, Ellen Kiejna, Andrzej Piotrowski, Patryk Ploumpidis, Dimitri Gonidakis, Fragiskos Caldas-de-Almeida, Jose Cardoso, Graca King, Michael B.European Commission The authors would like to acknowledge all members of the international DEMoBinc Research Group and the project's funder, the European Commission. 138 BIOMED CENTRAL LTD LONDON 505SH
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spelling A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problemsPSYCHOSOCIAL TREATMENTNEUROCOGNITIVE DEFICITSCOMMUNITY CARECHRONIC PSYCHIATRIC GROUPRESIDENTIAL CARERANDOMIZED CONTROLLED-TRIALPSYCHOLOGICAL TREATMENTSTHERAPEUTIC ALLIANCESUPPORTEDEMPLOYMENTOF-LIFESDG 3 - Good Health and Well-beingBMC Psychiatry Taylor, Tatiana L. Killaspy, Helen Wright, Christine Turton, Penny White, Sarah Kallert, Thomas W. Schuster, Mirjam Cervilla, Jorge A. Brangier, Paulette Raboch, Jiri Kalisova, Lucie Onchev, Georgi Dimitrov, Hristo Mezzina, Roberto Wolf, Kinou Wiersma, Durk Visser, Ellen Kiejna, Andrzej Piotrowski, Patryk Ploumpidis, Dimitri Gonidakis, Fragiskos Caldas-de-Almeida, Jose Cardoso, Graca King, Michael B.European Commission The authors would like to acknowledge all members of the international DEMoBinc Research Group and the project's funder, the European Commission. 138 BIOMED CENTRAL LTD LONDON 505SHBackground: A proportion of people with mental health problems require longer term care in a psychiatric or social care institution. However, there are no internationally agreed quality standards for institutional care and no method to assess common care standards across countries. We aimed to identify the key components of institutional care for people with longer term mental health problems and the effectiveness of these components. Methods: We undertook a systematic review of the literature using comprehensive search terms in 11 electronic databases and identified 12,182 titles. We viewed 550 abstracts, reviewed 223 papers and included 110 of these. A "critical interpretative synthesis" of the evidence was used to identify domains of institutional care that are key to service users' recovery. Results: We identified eight domains of institutional care that were key to service users' recovery: living conditions; interventions for schizophrenia; physical health; restraint and seclusion; staff training and support; therapeutic relationship; autonomy and service user involvement; and clinical governance. Evidence was strongest for specific interventions for the treatment of schizophrenia (family psychoeducation, cognitive behavioural therapy (CBT) and vocational rehabilitation). Conclusion: Institutions should, ideally, be community based, operate a flexible regime, maintain a low density of residents and maximise residents' privacy. For service users with a diagnosis of schizophrenia, specific interventions (CBT, family interventions involving psychoeducation, and supported employment) should be provided through integrated programmes. Restraint and seclusion should be avoided wherever possible and staff should have adequate training in de-escalation techniques. Regular staff supervision should be provided and this should support service user involvement in decision making and positive therapeutic relationships between staff and service users. There should be clear lines of clinical governance that ensure adherence to evidence-based guidelines and attention should be paid to service users' physical health through regular screening.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCaldas-de-Almeida, José M.Cardoso, Graça2017-06-20T22:00:48Z2009-01-012009-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/21604eng1471-244XPURE: 287119https://doi.org/10.1186/1471-244x-9-55info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T17:26:17Zoai:run.unl.pt:10362/21604Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T17:26:17Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
title A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
spellingShingle A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
Caldas-de-Almeida, José M.
PSYCHOSOCIAL TREATMENT
NEUROCOGNITIVE DEFICITS
COMMUNITY CARE
CHRONIC PSYCHIATRIC GROUP
RESIDENTIAL CARE
RANDOMIZED CONTROLLED-TRIAL
PSYCHOLOGICAL TREATMENTS
THERAPEUTIC ALLIANCE
SUPPORTEDEMPLOYMENT
OF-LIFE
SDG 3 - Good Health and Well-being
title_short A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
title_full A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
title_fullStr A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
title_full_unstemmed A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
title_sort A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
author Caldas-de-Almeida, José M.
author_facet Caldas-de-Almeida, José M.
Cardoso, Graça
author_role author
author2 Cardoso, Graça
author2_role author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Caldas-de-Almeida, José M.
Cardoso, Graça
dc.subject.por.fl_str_mv PSYCHOSOCIAL TREATMENT
NEUROCOGNITIVE DEFICITS
COMMUNITY CARE
CHRONIC PSYCHIATRIC GROUP
RESIDENTIAL CARE
RANDOMIZED CONTROLLED-TRIAL
PSYCHOLOGICAL TREATMENTS
THERAPEUTIC ALLIANCE
SUPPORTEDEMPLOYMENT
OF-LIFE
SDG 3 - Good Health and Well-being
topic PSYCHOSOCIAL TREATMENT
NEUROCOGNITIVE DEFICITS
COMMUNITY CARE
CHRONIC PSYCHIATRIC GROUP
RESIDENTIAL CARE
RANDOMIZED CONTROLLED-TRIAL
PSYCHOLOGICAL TREATMENTS
THERAPEUTIC ALLIANCE
SUPPORTEDEMPLOYMENT
OF-LIFE
SDG 3 - Good Health and Well-being
description BMC Psychiatry Taylor, Tatiana L. Killaspy, Helen Wright, Christine Turton, Penny White, Sarah Kallert, Thomas W. Schuster, Mirjam Cervilla, Jorge A. Brangier, Paulette Raboch, Jiri Kalisova, Lucie Onchev, Georgi Dimitrov, Hristo Mezzina, Roberto Wolf, Kinou Wiersma, Durk Visser, Ellen Kiejna, Andrzej Piotrowski, Patryk Ploumpidis, Dimitri Gonidakis, Fragiskos Caldas-de-Almeida, Jose Cardoso, Graca King, Michael B.European Commission The authors would like to acknowledge all members of the international DEMoBinc Research Group and the project's funder, the European Commission. 138 BIOMED CENTRAL LTD LONDON 505SH
publishDate 2009
dc.date.none.fl_str_mv 2009-01-01
2009-01-01T00:00:00Z
2017-06-20T22:00:48Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/21604
url http://hdl.handle.net/10362/21604
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1471-244X
PURE: 287119
https://doi.org/10.1186/1471-244x-9-55
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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