Cargando…
Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services
We propose that excellence in forensic and other mental health services can be recognized by the abilities necessary to conduct randomized controlled trials (RCTs) and equivalent forms of rigorous quantitative research to continuously improve the outcomes of treatment as usual (TAU). Forensic mental...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813277/ https://www.ncbi.nlm.nih.gov/pubmed/31681042 http://dx.doi.org/10.3389/fpsyt.2019.00733 |
_version_ | 1783462803870318592 |
---|---|
author | Kennedy, Harry G. Simpson, Alexander Haque, Quazi |
author_facet | Kennedy, Harry G. Simpson, Alexander Haque, Quazi |
author_sort | Kennedy, Harry G. |
collection | PubMed |
description | We propose that excellence in forensic and other mental health services can be recognized by the abilities necessary to conduct randomized controlled trials (RCTs) and equivalent forms of rigorous quantitative research to continuously improve the outcomes of treatment as usual (TAU). Forensic mental health services (FMHSs) are growing, are high cost, and increasingly provide the main access route to more intensive, organized, and sustained pathways through care and treatment. A patient newly diagnosed with a cancer can expect to be enrolled in RCTs comparing innovations with the current best TAU. The same should be provided for patients newly diagnosed with severe mental illnesses and particularly those detained and at risk of prolonged periods in a secure hospital. We describe FMHSs in four levels 1 to 4, basic to excellent, according to seven domains: values or qualities, clinical organization, consistency, timescale, specialization, routine outcome measures, and research. Excellence is not elitism. Not all centers need to achieve excellence, though all should be of high quality. Services can provide each population with a network of centers with access to one center of excellence. Excellence is the standard needed to drive the virtuous circle of research and development that is necessary for teaching, training, and the pursuit of new knowledge and better outcomes. Substantial advances in treatment of severe mental disorders require a drive at a national and international level to create services that meet these standards of excellence and are focused, active, and productive to drive better functional outcomes for service users. |
format | Online Article Text |
id | pubmed-6813277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68132772019-11-01 Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services Kennedy, Harry G. Simpson, Alexander Haque, Quazi Front Psychiatry Psychiatry We propose that excellence in forensic and other mental health services can be recognized by the abilities necessary to conduct randomized controlled trials (RCTs) and equivalent forms of rigorous quantitative research to continuously improve the outcomes of treatment as usual (TAU). Forensic mental health services (FMHSs) are growing, are high cost, and increasingly provide the main access route to more intensive, organized, and sustained pathways through care and treatment. A patient newly diagnosed with a cancer can expect to be enrolled in RCTs comparing innovations with the current best TAU. The same should be provided for patients newly diagnosed with severe mental illnesses and particularly those detained and at risk of prolonged periods in a secure hospital. We describe FMHSs in four levels 1 to 4, basic to excellent, according to seven domains: values or qualities, clinical organization, consistency, timescale, specialization, routine outcome measures, and research. Excellence is not elitism. Not all centers need to achieve excellence, though all should be of high quality. Services can provide each population with a network of centers with access to one center of excellence. Excellence is the standard needed to drive the virtuous circle of research and development that is necessary for teaching, training, and the pursuit of new knowledge and better outcomes. Substantial advances in treatment of severe mental disorders require a drive at a national and international level to create services that meet these standards of excellence and are focused, active, and productive to drive better functional outcomes for service users. Frontiers Media S.A. 2019-10-18 /pmc/articles/PMC6813277/ /pubmed/31681042 http://dx.doi.org/10.3389/fpsyt.2019.00733 Text en Copyright © 2019 Kennedy, Simpson and Haque http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Kennedy, Harry G. Simpson, Alexander Haque, Quazi Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services |
title | Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services |
title_full | Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services |
title_fullStr | Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services |
title_full_unstemmed | Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services |
title_short | Perspective On Excellence in Forensic Mental Health Services: What We Can Learn From Oncology and Other Medical Services |
title_sort | perspective on excellence in forensic mental health services: what we can learn from oncology and other medical services |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813277/ https://www.ncbi.nlm.nih.gov/pubmed/31681042 http://dx.doi.org/10.3389/fpsyt.2019.00733 |
work_keys_str_mv | AT kennedyharryg perspectiveonexcellenceinforensicmentalhealthserviceswhatwecanlearnfromoncologyandothermedicalservices AT simpsonalexander perspectiveonexcellenceinforensicmentalhealthserviceswhatwecanlearnfromoncologyandothermedicalservices AT haquequazi perspectiveonexcellenceinforensicmentalhealthserviceswhatwecanlearnfromoncologyandothermedicalservices |