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Clinical pathways in psychiatry

  • Sara E. Evans-Lacko (a1), Manuela Jarrett (a1), Paul McCrone (a1) and Graham Thornicroft (a1)

Summary

This editorial summarises the literature on the use of care pathways in psychiatry. Further, it considers the case-mix clusters used in care pathways in relation to health service financial tariff and currency systems, and also reviews the evidence for the effectiveness of clinical pathways

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Copyright

Corresponding author

Graham Thornicroft, Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK. Email: g.thornicroft@iop.kcl.ac.uk

Footnotes

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Declaration of interest

S.E-L., M.J. and P.M. received financial support from the National Health Service London in the writing of this editorial.

Footnotes

References

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1 Whittle, C. Introduction to ICPs. National Health Service, 2007 (http://www.library.nhs.uk/pathways/ViewResource.aspx?resID=259106&tabID=290&catID=12584).
2 Vanhaecht, K, Bollmann, M, Bower, K, Gallagher, C, Gardini, A, Guezo, J, Jansen, U, Massoud, R, Moody, K, Sermeus, W, Van Zelm, R, Whittle, C, Yazbeck, AM, Zander, K, Panella, M. Prevalence and use of clinical pathways in 23 countries – an international survey by the European Pathway Association (www.E-P-A.org). J Integr Care Pathways 2007; 10: 2834.
3 Campbell, H, Hotchkiss, R, Bradshaw, N, Porteous, M. Integrated care pathways. BMJ 1998; 316: 133–7.
4 Emmerson, B, Frost, A, Fawcett, L, Ballantyne, E, Ward, W, Catts, S. Do clinical pathways really improve clinical performance in mental health settings? Australas Psychiatry 2006; 14: 395–8.
5 Lock, J. How clinical pathways can be useful. An example of a clinical pathway for the treatment of anorexia nervosa in adolescents. Child Adolesc Psychiatr Clin N Am 1999; 4: 331–40.
6 Dy, SM, Garg, P, Nyberg, D, Dawson, PB, Pronovost, PJ, Morlock, L, Rubin, H, Wu, AW. Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis. Health Serv Res 2005; 40: 499516.
7 El Baz, N, Middel, B, Van Dijk, JP, Oosterh of, A, Boonstra, PW, Reijneveld, SA. Are the outcomes of clinical pathways evidence-based? A critical appraisal of clinical pathway evaluation research. J Eval Clin Pract 2007; 6: 920–9.
8 Emmerson, B, Fawcett, L, Frost, A, Lacey, M, Todd, C, Powell, J. A tale of three pathways: the experience of RBWH Mental Health. Australas Psychiatry 2004; 12: 256–60.
9 Jones, A. Implementation of hospital care pathways for patients with schizophrenia. J Nurs Manag 2000; 8: 215–25.
10 Panella, M, Demarchi, ML, Carnevale, L, Castignoli, G, Valsesia, R, Vanetti, M. The management of schizophrenia through clinical pathways. Value Health 2006; 9: A318.
11 Rayner, L. Language, therapeutic relationships and individualized care: addressing these issues in mental health care pathways. J Psychiatr Ment Health Nurs 2005; 12: 481–7.
12 Wilson, A, Tobin, M, Ponzio, V, Moffit, C, Hudson-Jessop, P, Chen, L. Developing a clinical pathway in depression: sharing our experience. Australas Psychiatry 1997; 7: 17–9.
13 Reilly, J, Newton, R, Dowling, R. Implementation of a first presentation psychosis clinical pathway in an area mental health service: the trials of a continuing quality improvement process. Australas Psychiatry 2007; 15: 14–8.
14 Department of Health. Care pathways and packages project: report on stage 1. Department of Health, 2007 (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074519).
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Clinical pathways in psychiatry

  • Sara E. Evans-Lacko (a1), Manuela Jarrett (a1), Paul McCrone (a1) and Graham Thornicroft (a1)

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