A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | |
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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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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1817545591543037952 |