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Published on: February 16, 2011
Accountability in acute in-patient mental healthcare: advancing structural and cultural change
Corrado Barbui1, Charlene Sunkel2, Graham Thornicroft3
1WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neurosciences, Biomedicine, and Movement Sciences, Section of Psychiatry, University of Verona, Italy.
Abstract:
Following safety failures and gaps in oversight, acute in-patient mental health services face increasing scrutiny. This article examines accountability, conceptualised as answerability, responsibility and responsiveness, and reviews key strategies. Evidence varies in strength, with strongest support for reducing coercion and measurement systems. Structural and cultural alignment is essential for sustained improvement.
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