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Post‐disaster psychosocial support and quality improvement: A conceptual framework for understanding and improving the quality of psychosocial support programs

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  • Michel L. A. Dückers
  • Sigridur B. Thormar

Abstract

This article is original in that it addresses post‐disaster psychosocial support programs from a quality‐improvement perspective, not from the traditional viewpoint of mental health services. Based on a combination of renowned quality models, a framework is sketched that offers chances to better understand and optimize the quality of post‐disaster psychosocial service delivery. The quality is reflected in the program's structure, process, and outcome. Moreover, quality can be expressed in scores per criterion (i.e. need centeredness, effectiveness, safety, timeliness, efficiency, and equity) that are proposed to be related to the “attitude” (more passive or active) toward affected people. When quality and attitude are combined in a 2‐D parabolic model, psychosocial support is preferably found in the middle of the attitude‐axis (high quality); extremely passive or active positions are to be avoided (low quality). Well‐timed assessments of structure, process, and outcome aspects, and associations between them, will help planners, providers, and evaluators understand if the optimum is reached, as well as provide guidance for quality improvement.

Suggested Citation

  • Michel L. A. Dückers & Sigridur B. Thormar, 2015. "Post‐disaster psychosocial support and quality improvement: A conceptual framework for understanding and improving the quality of psychosocial support programs," Nursing & Health Sciences, John Wiley & Sons, vol. 17(2), pages 159-165, June.
    • Handle: RePEc:wly:nuhsci:v:17:y:2015:i:2:p:159-165
    DOI: 10.1111/nhs.12162
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    References listed on IDEAS

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    1. Witteveen, Anke B. & Bisson, Jonathan I. & Ajdukovic, Dean & Arnberg, Filip K. & Bergh Johannesson, Kerstin & Bolding, Hendrieke B. & Elklit, Ask & Jehel, Louis & Johansen, Venke A. & Lis-Turlejska, M, 2012. "Post-disaster psychosocial services across Europe: The TENTS project," Social Science & Medicine, Elsevier, vol. 75(9), pages 1708-1714.
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    Cited by:

    1. Eric Badu & Anthony Paul O’Brien & Rebecca Mitchell & Akwasi Osei, 2020. "Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-19, May.
    2. Michel Dückers & Wera van Hoof & Andrea Willems & Hans te Brake, 2022. "Appraising Evidence-Based Mental Health and Psychosocial Support (MHPSS) Guidelines—PART II: A Content Analysis with Implications for Disaster Risk Reduction," IJERPH, MDPI, vol. 19(13), pages 1-22, June.

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