(The consequences of avoiding the quality evaluation in mental health. A case study.
Quality gap in the public primary mental health services in Chile. Examples from a service data analysis.
(The Paper Outline)
MsC. Jorge Luis Crespo Suarez
Dr. Raudelio Machin Suarez
Theoretical Discussion of background:
The relevance of measurement of quality in mental health services.
o Problems of measurement. Advantages and promises of the measurement of the quality. o Measurement in primary health services. Measurement in public system services of mental health. o The consequences of avoiding the quality evaluation I mental health.
Case Study.
To illustrate different problems using a few cases or partial data.
o Early medicalisation: Quick diagnosis (misdiagnosis, multiple diagnosis). Users are diagnosed at the very first encounter. Patients tend to receive multiples diagnoses during the treatment time. Hasty pharmacotherapy. Most patients are prescribed medication. Most of them at the very first encounter. o Long-term treatments and pharmacotherapies. Insufficient frequency of medical interventions. Patients sticks to services for long periods. Fulfilling the treatment as a goal, instead of accomplishing a goal through a treatment: prescriptions never end. o Uncontrolled control A massive and authoritarian service: Automatic entry to the mental health program. Lack of negotiation, acceptance and agreement with patients on intervention modalities, characteristics and regimen. (Users participation). So, what’s going on: Lack of systematic data on the program population Lack of systematic data on the program interventions Lack of information on individual treatments Lack of follow-ups. The massive way out: to dropout.