IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v60y2014i4p337-351.html
   My bibliography  Save this article

System-level change in mental health services in North Wales: An observational study using systems thinking

Author

Listed:
  • S Evans
  • PJ Huxley
  • N Maxwell
  • KLS Huxley

Abstract

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.

Suggested Citation

  • S Evans & PJ Huxley & N Maxwell & KLS Huxley, 2014. "System-level change in mental health services in North Wales: An observational study using systems thinking," International Journal of Social Psychiatry, , vol. 60(4), pages 337-351, June.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:4:p:337-351
    DOI: 10.1177/0020764013489672
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764013489672
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764013489672?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. S. Priebe & P. Huxley & S. Knight & S. Evans, 1999. "Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)," International Journal of Social Psychiatry, , vol. 45(1), pages 7-12, March.
    2. John Seddon & Carlton Brand, 2008. "Debate: Systems Thinking and Public Sector Performance," Public Money & Management, Taylor & Francis Journals, vol. 28(1), pages 7-9, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Helen Killaspy & Sarah White & Nabeela Lalvani & Rachel Berg & Ajoy Thachil & Sen Kallumpuram & Omar Nasiruddin & Christine Wright & Gill Mezey, 2014. "The impact of psychosis on social inclusion and associated factors," International Journal of Social Psychiatry, , vol. 60(2), pages 148-154, March.
    2. Ayham A. M. Jaaron & Chris J. Backhouse, 2017. "Operationalising “Double-Loop” Learning in Service Organisations: A Systems Approach for Creating Knowledge," Systemic Practice and Action Research, Springer, vol. 30(4), pages 317-337, August.
    3. Mariana Pinto da Costa & Agnes Chevalier & Aida Farreny & Megan Cassidy & Monica Leverton & Sarah Toner & Stefan Priebe, 2019. "How would patients with psychosis like to be in contact with a volunteer: Face-to-face or digitally?," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    4. Gillian Mezey & Sarah White & Isobel Harrison & Jennifer Bousfield & Helen Killaspy & Brynmor Lloyd-Evans & Sarah Payne, 2022. "‘Modelling social exclusion in a diagnostically-mixed sample of people with severe mental illness’," International Journal of Social Psychiatry, , vol. 68(2), pages 420-428, March.
    5. Domenico Giacco & Aleksandra Matanov & Stefan Priebe, 2013. "Symptoms and Subjective Quality of Life in Post-Traumatic Stress Disorder: A Longitudinal Study," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-7, April.
    6. M C Jackson, 2009. "Fifty years of systems thinking for management," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(1), pages 24-32, May.
    7. Ray Ison & Andrea Grant & Richard Bawden, 2014. "Scenario Praxis for Systemic Governance: A Critical Framework," Environment and Planning C, , vol. 32(4), pages 623-640, August.
    8. Stefania Scuri & Marina Tesauro & Fabio Petrelli & Ninfa Argento & Genny Damasco & Giovanni Cangelosi & Cuc Thi Thu Nguyen & Demetris Savva & Iolanda Grappasonni, 2022. "Use of an Online Platform to Evaluate the Impact of Social Distancing Measures on Psycho-Physical Well-Being in the COVID-19 Era," IJERPH, MDPI, vol. 19(11), pages 1-10, June.
    9. Michaela Kotkova Striteska & David Zapletal, 2020. "The Role of Corporate Culture in Performance Measurement and Management Systems," IJFS, MDPI, vol. 8(4), pages 1-12, November.
    10. Biondi, Yuri, 2008. "De Charybde de la comptabilité de caisse en Scylla de la comptabilité patrimoniale," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 3.
    11. Michael Walker, 2017. "The Search for Viability: A practitioner's view of how the Viable Systems Model is helping transform English local government (and why it has passed unrecognised)," Systems Research and Behavioral Science, Wiley Blackwell, vol. 34(3), pages 313-334, May.
    12. Eilish M Burke & Melissa Pyle & Karen Machin & Anthony P Morrison, 2018. "Providing mental health peer support 2: Relationships with empowerment, hope, recovery, quality of life and internalised stigma," International Journal of Social Psychiatry, , vol. 64(8), pages 745-755, December.
    13. Höglund Mats, 2016. "The importance of staff to the efficiency of the tax agency," Nordic Tax Journal, Sciendo, vol. 2016(2), pages 113-127, November.
    14. Dirk Vriens & Jan Achterbergh & Liesbeth Gulpers, 2018. "Virtuous Structures," Journal of Business Ethics, Springer, vol. 150(3), pages 671-690, July.
    15. Parvin Pooremamali & Mona Eklund, 2017. "Well-being and perceptions of everyday activities among those who attend community-based day centres for people with mental illness in Sweden – Does an immigrant background make a difference?," International Journal of Social Psychiatry, , vol. 63(6), pages 539-549, September.
    16. Mona Eklund & Lars Hansson, 2007. "Social Network Among People With Persistent Mental Illness: Associations With Sociodemographic, Clinical and Health-Related Factors," International Journal of Social Psychiatry, , vol. 53(4), pages 293-305, July.
    17. Jitske F Koenders & Liselotte D de Mooij & Jack M Dekker & Martijn Kikkert, 2017. "Social inclusion and relationship satisfaction of patients with a severe mental illness," International Journal of Social Psychiatry, , vol. 63(8), pages 773-781, December.
    18. Gelkopf, Marc & Pagorek-Eshel, Shira & Trauer, Tom & Roe, David, 2015. "Routine outcome measurement in mental health service consumers: Who should provide support for the self-assessments?," Evaluation and Program Planning, Elsevier, vol. 50(C), pages 43-46.
    19. Hood, Rick & Grant, Robert & Jones, Ray & Goldacre, Allie, 2016. "A study of performance indicators and Ofsted ratings in English child protection services," Children and Youth Services Review, Elsevier, vol. 67(C), pages 50-56.
    20. A. Awad & Lakshmi Voruganti, 2012. "Measuring Quality of Life in Patients with Schizophrenia," PharmacoEconomics, Springer, vol. 30(3), pages 183-195, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:60:y:2014:i:4:p:337-351. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.