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dc.contributor.authorRaine, R
dc.contributor.authora' Bháird, CN
dc.contributor.authorXanthopoulou, P
dc.contributor.authorWallace, I
dc.contributor.authorArdron, D
dc.contributor.authorHarris, M
dc.contributor.authorBarber, J
dc.contributor.authorPrentice, A
dc.contributor.authorGibbs, S
dc.contributor.authorKing, M
dc.contributor.authorBlazeby, JM
dc.contributor.authorMichie, S
dc.contributor.authorLanceley, A
dc.contributor.authorClarke, A
dc.contributor.authorLivingston, G
dc.date.accessioned2016-05-04T15:10:08Z
dc.date.issued2015
dc.description.abstractBACKGROUND: Multidisciplinary team (MDT) meetings are the core mechanism for delivering mental health care but it is unclear which models improve care quality. The aim of the study was to agree recommendations for improving the effectiveness of adult mental health MDT meetings, based on national guidance, research evidence and experiential insights from mental health and other medical specialties. METHODS: We established an expert panel of 16 health care professionals, policy-makers and patient representatives. Five panellists had experience in a range of adult mental health services, five in heart failure services and six in cancer services. Panellists privately rated 68 potential recommendations on a scale of one to nine, and re-rated them after panel discussion using the RAND/UCLA Appropriateness Method to determine consensus. RESULTS: We obtained agreement (median ≥ 7) and low variation in extent of agreement (Mean Absolute Deviation from Median of ≤1.11) for 21 recommendations. These included the explicit agreement and auditing of MDT meeting objectives, and the documentation and monitoring of treatment plan implementation. CONCLUSIONS: Formal consensus development methods that involved learning across specialities led to feasible recommendations for improved MDT meeting effectiveness in a wide range of settings. Our findings may be used by adult mental health teams to reflect on their practice and facilitate improvement. In some other contexts, the recommendations will require modification. For example, in Child and Adolescent Mental Health Services, context-specific issues such as the role of carers should be taken into account. A limitation of the comparative approach adopted was that only five members of the panel of 16 experts were mental health specialists.en_GB
dc.description.sponsorshipThis report presents independent research commissioned by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, MRC, CCF, NETSCC, the Health Services and Delivery Research programme or the Department of Health.en_GB
dc.identifier.citation(2015) 15:143 DOI 10.1186/s12888-015-0534-6en_GB
dc.identifier.doi10.1186/s12888-015-0534-6
dc.identifier.urihttp://hdl.handle.net/10871/21379
dc.language.isoenen_GB
dc.publisherBioMed Centralen_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/26138754en_GB
dc.rights© 2015 Raine et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_GB
dc.subjectAdulten_GB
dc.subjectCongresses as Topicen_GB
dc.subjectConsensusen_GB
dc.subjectDelivery of Health Care, Integrateden_GB
dc.subjectHealth Planning Guidelinesen_GB
dc.subjectHumansen_GB
dc.subjectInterdisciplinary Communicationen_GB
dc.subjectMental Healthen_GB
dc.subjectMental Health Servicesen_GB
dc.subjectModels, Organizationalen_GB
dc.subjectProfessional Competenceen_GB
dc.subjectQuality Improvementen_GB
dc.titleUse of a formal consensus development technique to produce recommendations for improving the effectiveness of adult mental health multidisciplinary team meetingsen_GB
dc.typeArticleen_GB
dc.typeReporten_GB
dc.date.available2016-05-04T15:10:08Z
dc.identifier.issn1471-244X
dc.descriptionThis is the final version of the article. Available from the publisher via the DOI in this record.en_GB
dc.identifier.journalBMC Psychiatryen_GB
dc.identifier.pmid26138754


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