Brooker Charles G, Curran Joseph M, James Alison, Readhead Elaine
School of Health and Related Research, University of Sheffield, Sheffield, UK.
J Interprof Care. 2005 Jun;19(3):280-93. doi: 10.1080/13561820500053439.
It is clear from the international literature that education and training can play a crucial role in improving the quality of mental health service delivery. In the UK, post-qualification mental health education and training is not generally allied to the national policy agenda and there is a lack of service user and carer involvement in the design, development and delivery of educational curricula. The Department of Health in England has funded the development of a continuous quality improvement tool to address these important concerns and help commissioners of mental health education and training evaluate key aspects of courses. The design of the tool was informed by the literature and a series of semi-structured interviews and focus groups with key stakeholders. Subsequent drafts were refined through steering group consultation and the instrument was then piloted within a selected region in England. This has resulted in a brief, user-friendly tool that takes into account the views of all stakeholders in mental health education programmes, promotes dialogue and facilitates continuous quality improvement. The tool promotes self-assessment of: partnership arrangements; the relevance of the programme to the policy context; the extent to which service users and carers are involved in the design, delivery and evaluation of programmes; and the assessment of the impact of the programme. Results from the initial implementation project (to be reported separately) suggest that the tool is welcomed and can complement existing quality mechanisms.
从国际文献中可以明显看出,教育与培训在提高心理健康服务质量方面可发挥关键作用。在英国,资格后心理健康教育与培训总体上与国家政策议程并无关联,而且在教育课程的设计、开发与提供过程中,缺乏服务使用者和护理者的参与。英格兰卫生部已资助开发一种持续质量改进工具,以解决这些重要问题,并帮助心理健康教育与培训的专员评估课程的关键方面。该工具的设计参考了文献以及与关键利益相关者进行的一系列半结构化访谈和焦点小组讨论的结果。随后的草案通过指导小组咨询得到完善,然后在英格兰的一个选定地区进行了试点。这产生了一个简短、用户友好的工具,该工具考虑了心理健康教育计划中所有利益相关者的意见,促进对话并推动持续质量改进。该工具促进对以下方面的自我评估:伙伴关系安排;计划与政策背景的相关性;服务使用者和护理者参与计划设计、提供和评估的程度;以及对计划影响的评估。初步实施项目的结果(将另行报告)表明,该工具受到欢迎,并且可以补充现有的质量机制。