Involving users in the delivery and evaluation of mental health services: systematic review

Abstract Objectives: To identify evidence from comparative studies on the effects of involving users in the delivery and evaluation of mental health services. Data sources: English language articles published between January 1966 and October 2001 found by searching electronic databases. Study select...

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Veröffentlicht in:BMJ 2002-11, Vol.325 (7375), p.1265-1268
Hauptverfasser: Simpson, Emma L, House, Allan O
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creator Simpson, Emma L
House, Allan O
description Abstract Objectives: To identify evidence from comparative studies on the effects of involving users in the delivery and evaluation of mental health services. Data sources: English language articles published between January 1966 and October 2001 found by searching electronic databases. Study selection: Systematic review of randomised controlled trials and other comparative studies of involving users in the delivery or evaluation of mental health services. Data extraction:Patterns of delivery of services by employees who use or who used to use the service and professional employees and the effects on trainees, research, or clients of mental health services. Results: Five randomised controlled trials and seven other comparative studies were identified. Half of the studies considered involving users in managing cases. Involving users as employees of mental health services led to clients having greater satisfaction with personal circumstances and less hospitalisation. Providers of services who had been trained by users had more positive attitudes toward users. Clients reported being less satisfied with services when interviewed by users. Conclusions: Users can be involved as employees, trainers, or researchers without detrimental effect. Involving users with severe mental disorders in the delivery and evaluation of services is feasible.
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Data sources: English language articles published between January 1966 and October 2001 found by searching electronic databases. Study selection: Systematic review of randomised controlled trials and other comparative studies of involving users in the delivery or evaluation of mental health services. Data extraction:Patterns of delivery of services by employees who use or who used to use the service and professional employees and the effects on trainees, research, or clients of mental health services. Results: Five randomised controlled trials and seven other comparative studies were identified. Half of the studies considered involving users in managing cases. Involving users as employees of mental health services led to clients having greater satisfaction with personal circumstances and less hospitalisation. Providers of services who had been trained by users had more positive attitudes toward users. Clients reported being less satisfied with services when interviewed by users. Conclusions: Users can be involved as employees, trainers, or researchers without detrimental effect. Involving users with severe mental disorders in the delivery and evaluation of services is feasible.</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.325.7375.1265</identifier><identifier>PMID: 12458241</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Bioethics ; Biological and medical sciences ; Clinical outcomes ; Cross cultural studies ; Delivery of Health Care - organization &amp; administration ; Delivery of Health Care - standards ; Emergency management ; Experimentation ; Health care delivery ; Health services ; Humans ; Management training ; Medical case management ; Medical sciences ; Mental Disorders - therapy ; Mental health ; Mental health care ; Mental health services ; Mental Health Services - organization &amp; administration ; Mental Health Services - standards ; Mental illness ; Patient Participation ; Patients ; Prevention and actions ; Program Evaluation ; Public health. 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Data sources: English language articles published between January 1966 and October 2001 found by searching electronic databases. Study selection: Systematic review of randomised controlled trials and other comparative studies of involving users in the delivery or evaluation of mental health services. Data extraction:Patterns of delivery of services by employees who use or who used to use the service and professional employees and the effects on trainees, research, or clients of mental health services. Results: Five randomised controlled trials and seven other comparative studies were identified. Half of the studies considered involving users in managing cases. Involving users as employees of mental health services led to clients having greater satisfaction with personal circumstances and less hospitalisation. Providers of services who had been trained by users had more positive attitudes toward users. Clients reported being less satisfied with services when interviewed by users. 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Data sources: English language articles published between January 1966 and October 2001 found by searching electronic databases. Study selection: Systematic review of randomised controlled trials and other comparative studies of involving users in the delivery or evaluation of mental health services. Data extraction:Patterns of delivery of services by employees who use or who used to use the service and professional employees and the effects on trainees, research, or clients of mental health services. Results: Five randomised controlled trials and seven other comparative studies were identified. Half of the studies considered involving users in managing cases. Involving users as employees of mental health services led to clients having greater satisfaction with personal circumstances and less hospitalisation. Providers of services who had been trained by users had more positive attitudes toward users. Clients reported being less satisfied with services when interviewed by users. Conclusions: Users can be involved as employees, trainers, or researchers without detrimental effect. Involving users with severe mental disorders in the delivery and evaluation of services is feasible.</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>12458241</pmid><doi>10.1136/bmj.325.7375.1265</doi><tpages>4</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; MEDLINE; Alma/SFX Local Collection
subjects Bioethics
Biological and medical sciences
Clinical outcomes
Cross cultural studies
Delivery of Health Care - organization & administration
Delivery of Health Care - standards
Emergency management
Experimentation
Health care delivery
Health services
Humans
Management training
Medical case management
Medical sciences
Mental Disorders - therapy
Mental health
Mental health care
Mental health services
Mental Health Services - organization & administration
Mental Health Services - standards
Mental illness
Patient Participation
Patients
Prevention and actions
Program Evaluation
Public health. Hygiene
Public health. Hygiene-occupational medicine
Specific populations (family, woman, child, elderly...)
Training devices
title Involving users in the delivery and evaluation of mental health services: systematic review
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