for mental … · Web viewStandards for Health Promotion in . Mental Health Settings: Manual and...

Standards for Health Promotion in Mental Health Settings:

Manual and Self-Assessment Forms

Hartmut Berger, Rainer Paul, Eva Heimsath, Adrian Ahern,

Marie Carroll-Browne, Thomas Edward Harrison, Hanne Kjaer, Lene Schwartz, Margit Reimer Knudsen, Espen Andreas Enoksen.

Standard 1: Management Policy

Aim: The organization has a written policy for mental health promotion. The policy is implemented as part of the overall organization’s general quality improvement system.

Substandards:

1.1 The organization provides operational procedures for the implementation of health promotion.

1.1.1 The organization’s stated aim and principles includecommitment to health promotion.

Yes No

☐ ☐

1.1.2 The Management of the organization has confirmedthe participation in the HPH-Network/Task Force within the last year.

Yes No

☐ ☐

1.1.3 The organization appoints personnel and functions for thecoordination of health management as stated in the quality manual.

Yes No

☐ ☐

According to your opinion, is the formu-lation of the ME* understood?

Fullyunderstood

Partlyunderstood

Neither-nor

Partly not understood

Notunderstood

ME 1.1.1 ☐ ☐ ☐ ☐ ☐ME 1.1.2 ☐ ☐ ☐ ☐ ☐ME 1.1.3 ☐ ☐ ☐ ☐ ☐

* Measurable element

According to your opinion, is the ME ap-plicable to the context of psychiatric services?

Fullyapplicable

Partlyapplicable

Neither-nor

Partly not applicable

Notapplicable

ME 1.1.1 ☐ ☐ ☐ ☐ ☐ME 1.1.2 ☐ ☐ ☐ ☐ ☐ME 1.1.3 ☐ ☐ ☐ ☐ ☐

According to your opinion, how import-ant is the ME for the guidelines for health promotion in psychiatric services?

Veryimportant

Partlyimportant

Neither-nor

Partly not important

Notimportant

ME 1.1.1 ☐ ☐ ☐ ☐ ☐ME 1.1.2 ☐ ☐ ☐ ☐ ☐ME 1.1.3 ☐ ☐ ☐ ☐ ☐

1.2 The organization allocates resources for the implementation of health promotion.

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1.2.1 There is an appointed financial budget for HP services. Yes No

☐ ☐

1.2.2 The operational procedures include health promotion (i.e. in stated aims, procedure instructions and in the description of specific processes).

Yes No

☐ ☐

1.2.2 Staff members are released in order to develop healthpromotion projects.

Yes No

☐ ☐

According to your opinion, is the formu-lation of the ME understood?

Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 1.2.1 ☐ ☐ ☐ ☐ ☐ME 1.2.2 ☐ ☐ ☐ ☐ ☐ME 1.2.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 1.2.1 ☐ ☐ ☐ ☐ ☐ME 1.2.2 ☐ ☐ ☐ ☐ ☐ME 1.2.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 1.2.1 ☐ ☐ ☐ ☐ ☐ME 1.2.2 ☐ ☐ ☐ ☐ ☐ME 1.2.3 ☐ ☐ ☐ ☐ ☐

1.3 The organization ensures that the patient’s free will is respected as far as possible.

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1.3.1 The admission procedures include strategies for avoidingconfinement and for patient education (i.e. as noted inprocedure instructions).

Yes No

☐ ☐

1.3.2 Personnel are regularly instructed in the prevention of violence. Yes No

☐ ☐

1.3.3 The organization ensures easy access to its service. Yes No

☐ ☐

1.3.4 The organization offers contracts for health services to all. Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 1.3.1 ☐ ☐ ☐ ☐ ☐ME 1.3.2 ☐ ☐ ☐ ☐ ☐ME 1.3.3 ☐ ☐ ☐ ☐ ☐ME 1.3.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 1.3.1 ☐ ☐ ☐ ☐ ☐ME 1.3.2 ☐ ☐ ☐ ☐ ☐ME 1.3.3 ☐ ☐ ☐ ☐ ☐ME 1.3.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 1.3.1 ☐ ☐ ☐ ☐ ☐ME 1.3.2 ☐ ☐ ☐ ☐ ☐ME 1.3.3 ☐ ☐ ☐ ☐ ☐ME 1.3.4 ☐ ☐ ☐ ☐ ☐

1.4. The organization provides resource-orientated services.

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1.4.1 The organization ensures a standardized survey of resources provided in the admission procedures.

Yes No

☐ ☐

1.4.2 Next of kin and loved ones are included in the treatmentprocess.

Yes No

☐ ☐

1.4.3 The users estimation and decision-making process isimplemented as a shared decision process in the treatment plan.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 1.4.1 ☐ ☐ ☐ ☐ ☐ME 1.4.2 ☐ ☐ ☐ ☐ ☐ME 1.4.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 1.4.1 ☐ ☐ ☐ ☐ ☐ME 1.4.2 ☐ ☐ ☐ ☐ ☐ME 1.4.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 1.4.1 ☐ ☐ ☐ ☐ ☐ME 1.4.2 ☐ ☐ ☐ ☐ ☐ME 1.4.3 ☐ ☐ ☐ ☐ ☐

1.5 The organization is committed to the principles of salutogenesis.

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1.5.1 Salutogenesis is a part of the organization’s treatment concept. Yes No

☐ ☐

1.5.2 Personnel are instructed in the principles of salutogenesis and empowerment.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 1.5.1 ☐ ☐ ☐ ☐ ☐ME 1.5.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 1.5.1 ☐ ☐ ☐ ☐ ☐ME 1.5.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 1.5.1 ☐ ☐ ☐ ☐ ☐ME 1.5.2 ☐ ☐ ☐ ☐ ☐

1.6.The organization provides community based services with easy access and high responsiveness.

1.6.1. The organization’s services are easily available and secure Yes No

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good cooperation to community services. ☐ ☐

1.6.2 The organization collaborates with other services and public health authorities.

Yes No

☐ ☐

1.6.3 The organization secures easy available crisis intervention in due time, over 24 hours.

Yes No

☐ ☐

1.6.4 The organization is responsible for the entire treatmentprocess, on an in- and out-patient basis, in form of casemanagement or regular case conferences with other services.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 1.6.1 ☐ ☐ ☐ ☐ ☐ME 1.6.2 ☐ ☐ ☐ ☐ ☐ME 1.6.3 ☐ ☐ ☐ ☐ ☐ME 1.6.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 1.6.1 ☐ ☐ ☐ ☐ ☐ME 1.6.2 ☐ ☐ ☐ ☐ ☐ME 1.6.3 ☐ ☐ ☐ ☐ ☐ME 1.6.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 1.6.1 ☐ ☐ ☐ ☐ ☐ME 1.6.2 ☐ ☐ ☐ ☐ ☐ME 1.6.3 ☐ ☐ ☐ ☐ ☐ME 1.6.4 ☐ ☐ ☐ ☐ ☐

1.7 The organization provides objective information.

1.7.1 The organization ensures information of the general public. Yes No

☐ ☐

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1.7.2 The organization regularly sends out invitations for presentation in the facility.

Yes No

☐ ☐

1.7.3 The organization takes part in campaigns of other services on health promotion and mental health.

Yes No

☐ ☐

1.7.4 The organization takes part in public activities as deemednecessary.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 1.7.1 ☐ ☐ ☐ ☐ ☐ME 1.7.2 ☐ ☐ ☐ ☐ ☐ME 1.7.3 ☐ ☐ ☐ ☐ ☐ME 1.7.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 1.7.1 ☐ ☐ ☐ ☐ ☐ME 1.7.2 ☐ ☐ ☐ ☐ ☐ME 1.7.3 ☐ ☐ ☐ ☐ ☐ME 1.7.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 1.7.1 ☐ ☐ ☐ ☐ ☐ME 1.7.2 ☐ ☐ ☐ ☐ ☐ME 1.7.3 ☐ ☐ ☐ ☐ ☐ME 1.7.4 ☐ ☐ ☐ ☐ ☐

Standard 2: Patient AssessmentAim: The organization ensures the availability of procedures for all patients to assess their need for health promotion.

Substandards:

2.1 The organization ensures the availability of procedures for all patients, regard-less of diagnosis, to assess their need for health promotion.

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2.1.1 The organization ensures that the need for health promotion is assessed for all users.

Yes No

☐ ☐

2.1.2 The need of health promotion is assessed on admission. Yes No

☐ ☐

2.1.3 Health promotion is described in operational procedures. Yes No

☐ ☐

2.1.4 In the assessment of health promotion need, information of family members and others are included.

Yes No

☐ ☐

2.1.5 The organization offers information on specific diagnosis and risk factors.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 2.1.1 ☐ ☐ ☐ ☐ ☐ME 2.1.2 ☐ ☐ ☐ ☐ ☐ME 2.1.3 ☐ ☐ ☐ ☐ ☐ME 2.1.4 ☐ ☐ ☐ ☐ ☐ME 2.1.5 ☐ ☐ ☐ ☐ ☐

According to your opinion, is the ME ap-plicable to the context of psychiatric

Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

9

services?ME 2.1.1 ☐ ☐ ☐ ☐ ☐ME 2.1.2 ☐ ☐ ☐ ☐ ☐ME 2.1.3 ☐ ☐ ☐ ☐ ☐ME 2.1.4 ☐ ☐ ☐ ☐ ☐ME 2.1.5 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 2.1.1 ☐ ☐ ☐ ☐ ☐ME 2.1.2 ☐ ☐ ☐ ☐ ☐ME 2.1.3 ☐ ☐ ☐ ☐ ☐ME 2.1.4 ☐ ☐ ☐ ☐ ☐ME 2.1.5 ☐ ☐ ☐ ☐ ☐

2.2 The organization ensures that for specified user groups there are procedures to assess needs for health promotion.

2.2.1 Specific health risk factors are described in guidelines. Yes No

☐ ☐

2.2.2 Specific health risk factors are documented. Yes No

☐ ☐

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2.2.3 Health promotion strategies are part of treatment plans. Yes No

☐ ☐

2.2.4 Specific health promotion strategies (i.e. education, self-awareness groups) are available for all patients and aredocumented.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 2.2.1 ☐ ☐ ☐ ☐ ☐ME 2.2.2 ☐ ☐ ☐ ☐ ☐ME 2.2.3 ☐ ☐ ☐ ☐ ☐ME 2.2.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 2.2.1 ☐ ☐ ☐ ☐ ☐ME 2.2.2 ☐ ☐ ☐ ☐ ☐ME 2.2.3 ☐ ☐ ☐ ☐ ☐ME 2.2.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 2.2.1 ☐ ☐ ☐ ☐ ☐ME 2.2.2 ☐ ☐ ☐ ☐ ☐ME 2.2.3 ☐ ☐ ☐ ☐ ☐ME 2.2.4 ☐ ☐ ☐ ☐ ☐

2.3 The assessment for user’s needs for health promotion is done at the first contact with the organization. This is kept under review and amended as necessary according to changes in the user’s clinical condition or on request.

2.3.1 The need for health promotion is part of the admissionprocedure.

Yes No

☐ ☐

2.3.2 The need for health promotion is part of treatment documenta-tion.

Yes No

☐ ☐

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2.3.3 The need for health promotion is part of the teams’ regular meetings.

Yes No

☐ ☐

2.3.4 Progress and recommendations are discussed with the patient and documented on dismissal.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 2.3.1 ☐ ☐ ☐ ☐ ☐ME 2.3.2 ☐ ☐ ☐ ☐ ☐ME 2.3.3 ☐ ☐ ☐ ☐ ☐ME 2.3.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 2.3.1 ☐ ☐ ☐ ☐ ☐ME 2.3.2 ☐ ☐ ☐ ☐ ☐ME 2.3.3 ☐ ☐ ☐ ☐ ☐ME 2.3.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 2.3.1 ☐ ☐ ☐ ☐ ☐ME 2.3.2 ☐ ☐ ☐ ☐ ☐ME 2.3.3 ☐ ☐ ☐ ☐ ☐ME 2.3.4 ☐ ☐ ☐ ☐ ☐

2.4 Needs assessment ensures awareness of sensitivity to social, cultural and religious background.

2.4.1 The assessment of social, cultural and religious background is part of the admission procedure.

Yes No

☐ ☐

2.4.2 The specific needs are part of treatment plan. Yes No

☐ ☐

2.4.3 Translators or other authorities are available on admission. Yes No

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☐ ☐

2.4.4 The patients’ specific cultural or religious needs are facilitated as long as these needs do not interfere with the treatment.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 2.4.1 ☐ ☐ ☐ ☐ ☐ME 2.4.2 ☐ ☐ ☐ ☐ ☐ME 2.4.3 ☐ ☐ ☐ ☐ ☐ME 2.4.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 2.4.1 ☐ ☐ ☐ ☐ ☐ME 2.4.2 ☐ ☐ ☐ ☐ ☐ME 2.4.3 ☐ ☐ ☐ ☐ ☐ME 2.4.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 2.4.1 ☐ ☐ ☐ ☐ ☐ME 2.4.2 ☐ ☐ ☐ ☐ ☐ME 2.4.3 ☐ ☐ ☐ ☐ ☐ME 2.4.4 ☐ ☐ ☐ ☐ ☐

2.5 Information provided by other health service partners is used in identification of users needs.

2.5.1 The patients are asked upon admission, for written consent of obtaining other information.

Yes No

☐ ☐

2.5.2 Discussions with relatives, other persons and members of other services, if possible, take place with the patient and aredocumented.

Yes No

☐ ☐

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Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 2.5.1 ☐ ☐ ☐ ☐ ☐ME 2.5.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 2.5.1 ☐ ☐ ☐ ☐ ☐ME 2.5.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 2.5.1 ☐ ☐ ☐ ☐ ☐ME 2.5.2 ☐ ☐ ☐ ☐ ☐

2.6 The organization ensures that interventions are systematically offered to all users and discussed with them based on assessed needs.

2.6.1 Patients are instructed before any intervention. Difference in opinion is taken into consideration and documented.

Yes No

☐ ☐

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Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 2.6.1 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 2.6.1 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 2.6.1 ☐ ☐ ☐ ☐ ☐

15

Standard 3: Patient Information and Intervention

Aim: The organization provides users with information of significant factors concerning their disease or health condition and health promotion interventions are established in all users’ pathways.

Substandards:

3.1 The organization ensures information about diagnosis and prognosis.

3.1.1 The patient is well informed on diagnosis and prognosis. The discussion is documented.

Yes No

☐ ☐

3.1.2 The patient is informed of relevant factors that may influence his health and health promotion need. The result of discussion is documented.

Yes No

☐ ☐

3.1.3 The organization enables all patients, their relatives and others access to information on treatment themes.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 3.1.1 ☐ ☐ ☐ ☐ ☐ME 3.1.2 ☐ ☐ ☐ ☐ ☐ME 3.1.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 3.1.1 ☐ ☐ ☐ ☐ ☐ME 3.1.2 ☐ ☐ ☐ ☐ ☐ME 3.1.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 3.1.1 ☐ ☐ ☐ ☐ ☐ME 3.1.2 ☐ ☐ ☐ ☐ ☐ME 3.1.3 ☐ ☐ ☐ ☐ ☐

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3.2 The organization ensures information about individual plans for clinical path-ways, treatment possibilities and informed consent.

3.2.1 The patient is informed of the plan of treatment andalternatives, differences in opinion are discussed anddocumented.

Yes No

☐ ☐

3.2.2 On dismissal, progress and remaining questions as well as recommendations are discussed and documented.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 3.2.1 ☐ ☐ ☐ ☐ ☐ME 3.2.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 3.2.1 ☐ ☐ ☐ ☐ ☐ME 3.2.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 3.2.1 ☐ ☐ ☐ ☐ ☐ME 3.2.2 ☐ ☐ ☐ ☐ ☐

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3.3 The organization ensures that the user is informed about the cooperation with families and relatives with special focus on their children, offering psychoeducation to all relatives.

3.3.1 The organization provides regular groups in psychoeducation for patients and their relatives.

Yes No

☐ ☐

3.3.2 The organization provides documentation of psychoeducative groups and evaluation.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 3.3.1 ☐ ☐ ☐ ☐ ☐ME 3.3.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 3.3.1 ☐ ☐ ☐ ☐ ☐ME 3.3.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 3.3.1 ☐ ☐ ☐ ☐ ☐ME 3.3.2 ☐ ☐ ☐ ☐ ☐

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3.4 The organization ensures that the users are offered information about individual health promotion, diet, smoking secession, special treatment of double-diagnosis, coping strategies, sexual behaviour and dental hygiene.

3.4.1 Regular informative meetings on nicotine withdrawal arearranged.

Yes No

☐ ☐

3.4.2 Smoking cessation programmes and general assistance for nicotine withdrawal are offered.

Yes No

☐ ☐

3.4.3 Regular informative meetings on weight reduction are arranged Yes No

☐ ☐

3.4.4 The patients are offered assistance in dieting. Principles of healthy nutrition are taught in cooking courses.

Yes No

☐ ☐

3.4.5 Regular informative meetings on sports and fitness classes are arranged.

Yes No

☐ ☐

3.4.6 The organization informs the public over specific treatment and training in double-diagnosis and personality disorders.

Yes No

☐ ☐

3.4.7 The need for consultation for sexual disturbances is surveyed and arranged.

Yes No

☐ ☐

3.4.8 The organization offers assistance in body hygiene and holds courses.

Yes No

☐ ☐

According to your opinion, is the formu- Fully Partly Neither- Partly not Not

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lation of the ME understood? understood understood nor understood understood

ME 3.4.1 ☐ ☐ ☐ ☐ ☐ME 3.4.2 ☐ ☐ ☐ ☐ ☐ME 3.4.3 ☐ ☐ ☐ ☐ ☐ME 3.4.4 ☐ ☐ ☐ ☐ ☐ME 3.4.5 ☐ ☐ ☐ ☐ ☐ME 3.4.6 ☐ ☐ ☐ ☐ ☐ME 3.4.7 ☐ ☐ ☐ ☐ ☐ME 3.4.8 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable



Veryimportant

Partlyimportant

Neither-nor


Notimportant


3.5 The organization ensures that users are offered information about mental illness and knowledge about health promotion and recovery.

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3.5.1 Regular informative meetings on mental illness, healthpromotion and recovery are provided.

Yes No

☐ ☐

3.5.2 The organization ensures patient’s access to information on mental illness, health promotion and recovery.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 3.5.1 ☐ ☐ ☐ ☐ ☐ME 3.5.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 3.5.1 ☐ ☐ ☐ ☐ ☐ME 3.5.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 3.5.1 ☐ ☐ ☐ ☐ ☐ME 3.5.2 ☐ ☐ ☐ ☐ ☐

Standard 4: Promoting a Healthy WorkplaceAim: The management establishes conditions for the development of the hospital as a healthy workplace.

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Substandards:

4.1 The organization ensures the establishment and implementation of a compre-hensive human resource strategy that includes the development and training of staff in health promotion skills.

4.1.1 New staff members are introduced to the basics of healthpromotion. This information is documented.

Yes No

☐ ☐

4.1.2 Staff members are informed of the organization’s principles of health promotion.

Yes No

☐ ☐

4.1.3 Health promotion is part of the human resource development and the target agreements.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 4.1.1 ☐ ☐ ☐ ☐ ☐ME 4.1.2 ☐ ☐ ☐ ☐ ☐ME 4.1.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 4.1.1 ☐ ☐ ☐ ☐ ☐ME 4.1.2 ☐ ☐ ☐ ☐ ☐ME 4.1.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 4.1.1 ☐ ☐ ☐ ☐ ☐ME 4.1.2 ☐ ☐ ☐ ☐ ☐ME 4.1.3 ☐ ☐ ☐ ☐ ☐

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4.2 The organization ensures the implementation of health promoting interventions for staff.

4.2.1 Working conditions comply with national directives and are regularly inspected.

Yes No

☐ ☐

4.2.2 Health and safety officers are appointed and trained in health promotion strategies.

Yes No

☐ ☐

4.2.3 Staff complies with health and safety requirements. Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 4.2.1 ☐ ☐ ☐ ☐ ☐ME 4.2.2 ☐ ☐ ☐ ☐ ☐ME 4.2.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 4.2.1 ☐ ☐ ☐ ☐ ☐ME 4.2.2 ☐ ☐ ☐ ☐ ☐ME 4.2.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 4.2.1 ☐ ☐ ☐ ☐ ☐ME 4.2.2 ☐ ☐ ☐ ☐ ☐ME 4.2.3 ☐ ☐ ☐ ☐ ☐

4.3. The organisation ensures the involvement of staff members in decision

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making, especially in regard to health promotion.

4.3.1 The workflow is developed by multidisciplinary teams andincludes the immediate staff.

Yes No

☐ ☐

4.3.2 Staff is involved in corporate policy, especially in Qualitymanagement.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 4.3.1 ☐ ☐ ☐ ☐ ☐ME 4.3.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 4.3.1 ☐ ☐ ☐ ☐ ☐ME 4.3.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 4.3.1 ☐ ☐ ☐ ☐ ☐ME 4.3.2 ☐ ☐ ☐ ☐ ☐

4.4 The organization ensures the availability of procedures to develop and maintain staff awareness on health issues.

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4.4.1 Procedures and guidelines for health promotion are available to each staff member

Yes No

☐ ☐

4.4.2 Programmes for nicotine abstinence are offered. Yes No

☐ ☐

4.4.3 Health programmes for physical exercises as in lower back pain and weight reduction classes are offered.

Yes No

☐ ☐

4.4.4 Physical exercise and sports classes are encouraged. Yes No

☐ ☐

4.4.5 The internal supervision sessions are offered. Yes No

☐ ☐

4.4.6 The coping skills training programmes are offered. Yes No

☐ ☐

4.4.7 Yearly surveys take place. The results and specificrecommendations are communicated to the staff.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

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ME 4.4.1 ☐ ☐ ☐ ☐ ☐ME 4.4.2 ☐ ☐ ☐ ☐ ☐ME 4.4.3 ☐ ☐ ☐ ☐ ☐ME 4.4.4 ☐ ☐ ☐ ☐ ☐ME 4.4.5 ☐ ☐ ☐ ☐ ☐ME 4.4.6 ☐ ☐ ☐ ☐ ☐ME 4.4.7 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 4.4.1 ☐ ☐ ☐ ☐ ☐ME 4.4.2 ☐ ☐ ☐ ☐ ☐ME 4.4.3 ☐ ☐ ☐ ☐ ☐ME 4.4.4 ☐ ☐ ☐ ☐ ☐ME 4.4.5 ☐ ☐ ☐ ☐ ☐ME 4.4.6 ☐ ☐ ☐ ☐ ☐ME 4.4.7 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 4.4.1 ☐ ☐ ☐ ☐ ☐ME 4.4.2 ☐ ☐ ☐ ☐ ☐ME 4.4.3 ☐ ☐ ☐ ☐ ☐ME 4.4.4 ☐ ☐ ☐ ☐ ☐ME 4.4.5 ☐ ☐ ☐ ☐ ☐ME 4.4.6 ☐ ☐ ☐ ☐ ☐ME 4.4.7 ☐ ☐ ☐ ☐ ☐

Standard 5: Continuity and Cooperation

Aim:

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The organization has a planned approach to collaboration with other health service providers and other institutions on an ongoing basis.

Substandards:

5.1 The organization ensures that mental health promotion services are coherent with current provisions and regional mental health service plans.

5.1.1 The management considers the regional health policy plan. Yes No

☐ ☐

5.1.2 The organization provides a list of health and social careservices that cooperate with the hospital.

Yes No

☐ ☐

5.1.3 The organization develops plans for health care and closes deals with regional services.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 5.1.1 ☐ ☐ ☐ ☐ ☐ME 5.1.2 ☐ ☐ ☐ ☐ ☐ME 5.1.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 5.1.1 ☐ ☐ ☐ ☐ ☐ME 5.1.2 ☐ ☐ ☐ ☐ ☐ME 5.1.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 5.1.1 ☐ ☐ ☐ ☐ ☐ME 5.1.2 ☐ ☐ ☐ ☐ ☐ME 5.1.3 ☐ ☐ ☐ ☐ ☐

27

5.2 The organization ensures the availability and implementation on mental health promoting activities and procedures during out-patients visits and after discharge.

5.2.1 Patients and family members are furnished with detailed inform-ation on regional health promotion services.

Yes No

☐ ☐

5.2.2 The organization ensures that ambulatory services promptly receive all relevant information.

Yes No

☐ ☐

5.2.3 Information with all involved institutions is exchanged as noted in specific procedures.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 5.2.1 ☐ ☐ ☐ ☐ ☐ME 5.2.2 ☐ ☐ ☐ ☐ ☐ME 5.2.3 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 5.2.1 ☐ ☐ ☐ ☐ ☐ME 5.2.2 ☐ ☐ ☐ ☐ ☐ME 5.2.3 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 5.2.1 ☐ ☐ ☐ ☐ ☐ME 5.2.2 ☐ ☐ ☐ ☐ ☐ME 5.2.3 ☐ ☐ ☐ ☐ ☐

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5.3. The organization is working actively in the community with antistigma work regarding persons living with a mental illness.

5.3.1 The organization furthers self help groups and offices forcomplaints.

Yes No

☐ ☐

5.3.2 The organization offers informative meetings on mental illness. Yes No

☐ ☐

5.3.3 The organization cooperates with schools, church communities and other public services for education on mental illness.

Yes No

☐ ☐

5.3.4 The organization takes part in initiatives for the prevention of mental illness (i.e. “The Alliance against Depression”, networks for dementia patients).

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 5.3.1 ☐ ☐ ☐ ☐ ☐ME 5.3.2 ☐ ☐ ☐ ☐ ☐ME 5.3.3 ☐ ☐ ☐ ☐ ☐ME 5.3.4 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 5.3.1 ☐ ☐ ☐ ☐ ☐ME 5.3.2 ☐ ☐ ☐ ☐ ☐ME 5.3.3 ☐ ☐ ☐ ☐ ☐ME 5.3.4 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 5.3.1 ☐ ☐ ☐ ☐ ☐ME 5.3.2 ☐ ☐ ☐ ☐ ☐ME 5.3.3 ☐ ☐ ☐ ☐ ☐ME 5.3.4 ☐ ☐ ☐ ☐ ☐

5.4 The organization has a plan for early intervention work in cooperation with part-ners in the community.

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5.4.1 The organization cooperates with schools and guidanceservices for early intervention of mental illness.

Yes No

☐ ☐

5.4.2 The organization offers informative meetings on early diagnosis and intervention of mental illness, i.e. training in coping with stress.

Yes No

☐ ☐


Fullyunderstood

Partlyunderstood

Neither-nor


Notunderstood

ME 5.4.1 ☐ ☐ ☐ ☐ ☐ME 5.4.2 ☐ ☐ ☐ ☐ ☐


Fullyapplicable

Partlyapplicable

Neither-nor


Notapplicable

ME 5.4.1 ☐ ☐ ☐ ☐ ☐ME 5.4.2 ☐ ☐ ☐ ☐ ☐


Veryimportant

Partlyimportant

Neither-nor


Notimportant

ME 5.4.1 ☐ ☐ ☐ ☐ ☐ME 5.4.2 ☐ ☐ ☐ ☐ ☐

A general evaluation of the self-assessment tool

30

1. According to your opinion, does the self-assessment questionnaire include all aspects that are significant for health promotion in psychiatric services?

☐ Yes

☐ No. The following aspects were not discussed:

Please state briefly:

2. Through the participation in the pilot-implementation I have gained new insights about the strengths and weaknesses of health promotion in my house.

I strongly agree I agree Neither agree nor disagree

I disagree I stronglydisagree

☐ ☐ ☐ ☐ ☐

3. I would recommend broad implementation of the self-assessment tool in mental health services.

I strongly agree I agree Neither agree nor disagree

I disagree I stronglydisagree

☐ ☐ ☐ ☐ ☐

4. In answering the questions of the self- assessment questionnaire I related my answers to the level of:

☐ the whole organization

☐ unit / department

5. I consulted with other staff members while I answered the questions.

☐ No

☐ Yes

If yes, please give his/her function/role in the hospital:

6. Please, give your function/role in the hospital:

General information about your hospital

31

Please give the name and postal address of your hospital/organization:

Please give the country:

1. What type of hospital is it?

☐ University hospital

☐ Department of psychiatry at general hospital

☐ Specialized hospital

☐ Psychosomatic clinic

☐ Other, which:

2. Is your hospital public or private?

☐ Public

☐ Private

☐ Other, which:

3. What type of community is your hospital located in?

☐ fewer than 5 000 people

☐ 5 000 to about 20 000 people

☐ 20 000 to about 100 000 people

☐ with over 100 000 people

4. What is the catchment area of your hospital?

☐ Rural area

☐ Urban area

32

☐ Mixed area

5. Please give the number of hospital beds in your institution.

☐ Fewer than 200

☐ 200 – 399

☐ 400 – 599

☐ Over 600

6. Is your hospital a member of the International HPH network?

☐ Yes

☐ No

7. Is health promotion a part of duties in your hospital?

Multiple answers possible

☐ No

☐ Yes, for patients

☐ Yes, for hospital staff

☐ Yes, for the community

8. Is there an official unit for health promotion in your hospital?

☐ Yes

☐ No

9. Is there an official team for health promotion in your hospital?

☐ Yes

☐ No

10. Does your hospital use a quality management system?

33

☐ No

☐ KTQ

☐ DIN ISO

☐ EFQM

☐ Other QM, which:

11. In case there is a need for follow-up questions, please provide your name, function and e-mail contact

Name:

Function/Role:

E-Mail:

Phone (optional)

Thank you very much for completing the questionnaire!

34

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