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System-level change in mental health services in North Wales

An observational study using systems thinking

Bibliographic Data

ID19275375
AuthorsStephen Evans (0000-0001-5626-7079, Swansea University), PJ Huxley (Mental Health Research Team, Swansea University, UK), Nina Maxwell (0000-0003-3931-7729, Swansea University), KLS Huxley (Cardiff University Business School, Cardiff University, UK)
Year2014
Volume60
Issue4
Pages337-351
Publication date2014-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0020764013489672
PMID23788435
OpenAlexW1969063788
LanguageEN
Citations received1
References cited8

PURPOSE: To describe changes to mental health services using systems thinking. METHOD: Structured standardized quality of life assessment (Manchester Short Quality of Life Assessment: MANSA) was used to establish service user priorities for changes to service provision (part of a process known as check in systems thinking). Current service performance in these priority areas was identified, and changes to service arrangements were planned, implemented and monitored by task and finish (T&F) groups (making use of a process known as flow in systems thinking). RESULTS: 81 MANSA assessments were completed at the check stage (by NM). Work finances and leisure activities emerged as service user priority areas for change, and T&F groups were established with representation of all sectors and service users. Ways to make improvements were observed, planned and implemented by T&F groups (the flow stage). CONCLUSION: The systems approach reveals how services and quality of life have been changed for patients in Wrexham. Further generalizable research is needed into the potential benefits of using systems thinking in mental health service evaluation

Business · Mental health · Observational study · Operations management · Process (computing) · Process management · Psychiatry · Service (business) · Service system · Systems thinking · Task (project management) · Work (physics) · Applied Psychology · Community Health and Development · Computer Science · Engineering · Health Policy Implementation Science · Interprofessional Education and Collaboration · Marketing · Medicine · Nursing · Psychology · Gerontology

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  • Why we need observational studies to evaluate the effectiveness of health care

    Open Access•Nick Black•BMJ•1996

  • Qualitative data analysis for applied policy research

    Jane Ritchie, Liz Spencer•Analyzing Qualitative Data•2010

  • Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)

    Open Access•Stefan Priebe, P Huxley et al.•International Journal of Social…•1999

Unique citing works1
Citations per year0.1
Citation span2016 - 2016 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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