Quality of Care in Psychosis and Bipolar Disorder From the Service User Perspective

Niamh Skelly; Rebecca I. Schnittger; Lisa Butterly; Charlotte Frorath; Craig Morgan; Declan M. McLoughlin; Paul Fearon

doi:10.1177/1049732313509896

Quality of Care in Psychosis and Bipolar Disorder From the Service User Perspective

Niamh Skelly^*, Rebecca I. Schnittger, Lisa Butterly, Charlotte Frorath, Craig Morgan, Declan M. McLoughlin, Paul Fearon

^*Corresponding author for this work

Health Service & Population Research

St Patricks Univ Hosp

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

According to the recovery model of mental health care, service development should incorporate the expert knowledge of service users. To date, there has been limited research into conceptualizations of mental health care quality among services users diagnosed with bipolar disorder or psychosis. To investigate service user perspectives on quality of care, we conducted six focus groups (N = 29) with inpatients and outpatients of an independent Irish mental health service. We undertook an inductive thematic analysis of the data. Participants identified proactive staff, meaningful and warm staff-patient interactions, and safety and sociability in the inpatient environment as components of good quality mental health care. Participants also discussed how the implementation of best practice guidelines does not necessarily improve quality of care from the service user perspective. This and similar qualitative research should be used to inform service development and the creation of evaluation instruments compatible with the recovery model.

Original language	English
Article number	N/A
Pages (from-to)	1672-1685
Number of pages	14
Journal	Qualitative Health Research
Volume	23
Issue number	12
DOIs	https://doi.org/10.1177/1049732313509896
Publication status	Published - Dec 2013

Keywords

bipolar disorder
focus groups
health care
users' experiences
qualitative analysis
quality of care
schizophrenia
PATIENT SATISFACTION
MENTAL-HEALTH
CLINICAL-PRACTICE
PSYCHIATRIC-CARE
FOCUS GROUPS
SCHIZOPHRENIA
GUIDELINES
SCALE

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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title = "Quality of Care in Psychosis and Bipolar Disorder From the Service User Perspective",

abstract = "According to the recovery model of mental health care, service development should incorporate the expert knowledge of service users. To date, there has been limited research into conceptualizations of mental health care quality among services users diagnosed with bipolar disorder or psychosis. To investigate service user perspectives on quality of care, we conducted six focus groups (N = 29) with inpatients and outpatients of an independent Irish mental health service. We undertook an inductive thematic analysis of the data. Participants identified proactive staff, meaningful and warm staff-patient interactions, and safety and sociability in the inpatient environment as components of good quality mental health care. Participants also discussed how the implementation of best practice guidelines does not necessarily improve quality of care from the service user perspective. This and similar qualitative research should be used to inform service development and the creation of evaluation instruments compatible with the recovery model.",

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author = "Niamh Skelly and Schnittger, {Rebecca I.} and Lisa Butterly and Charlotte Frorath and Craig Morgan and McLoughlin, {Declan M.} and Paul Fearon",

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AU - Skelly, Niamh

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AU - Frorath, Charlotte

AU - Morgan, Craig

AU - McLoughlin, Declan M.

AU - Fearon, Paul

PY - 2013/12

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AB - According to the recovery model of mental health care, service development should incorporate the expert knowledge of service users. To date, there has been limited research into conceptualizations of mental health care quality among services users diagnosed with bipolar disorder or psychosis. To investigate service user perspectives on quality of care, we conducted six focus groups (N = 29) with inpatients and outpatients of an independent Irish mental health service. We undertook an inductive thematic analysis of the data. Participants identified proactive staff, meaningful and warm staff-patient interactions, and safety and sociability in the inpatient environment as components of good quality mental health care. Participants also discussed how the implementation of best practice guidelines does not necessarily improve quality of care from the service user perspective. This and similar qualitative research should be used to inform service development and the creation of evaluation instruments compatible with the recovery model.

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KW - health care

KW - users' experiences

KW - qualitative analysis

KW - quality of care

KW - schizophrenia

KW - PATIENT SATISFACTION

KW - MENTAL-HEALTH

KW - CLINICAL-PRACTICE

KW - PSYCHIATRIC-CARE

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KW - SCHIZOPHRENIA

KW - GUIDELINES

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Quality of Care in Psychosis and Bipolar Disorder From the Service User Perspective

Abstract

Keywords

UN SDGs

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