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Our health and social services often focus on things that are easy to measure (and these are are often around processes rather than outcomes). So we measure and report waiting times, for example – but report a lot less on what outcomes were achieved when we were seen (I may have been seen within X weeks, but did it actually make a difference?)
In the UK, there was once an improvement project that was thinking about judging its success on whether or not it could increase the number of people who had a signed copy of their care plan. This really matters to some people, and it’s probably a measure that is meant to be indicative of something harder to get at about the extent to which we feel in control of what happens to us. If I had a choice between having a signed copy and not having a signed copy, I’d probably choose to have one – but it ought to 100% in any case (and indeed should have been 100% since the policy was first introduced in 1991!!) – so I’m not sure increasing from 30% to 35%, say, would actually make much difference…
When I speak to people, they say they want more friends, they want to live somewhere they like and they want a job. What would happen if we measured what impact services have, not via how many people have a signed copy of their care plan, but on how many people say they have enough friends, live somewhere they choose/like and have a job they like and find meaningful? For me this is a question about gets to decide what success looks like – and which voices get heard/don’t get heard in these debates
The ALIVE National Centre is funded by the NHMRC Special Initiative in Mental Health.
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The ALIVE National Centre for Mental Health Research Translation is funded by the National Health and Medical Research Council (NHMRC) Special Initiative in Mental Health GNT2002047.
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ALIVE Next Generation Researcher Network Application Form Click here
For University based research higher degree students, early/mid-career mental health researchers
ALIVE Lived Experience Research Collective Application Form Click here
For University and community based lived-experience or carer-focused mental health researchers at all career stages
ALIVE Collective Application Form Click here
For any individuals or organisations with a general interest in supporting the special initiative in mental health
ALIVE Implementation and Translation Network (ITN) Application Form Click here
For sector, service delivery organisations in mental health serving people across the life course and priority populations
If you have a general enquiry about The Alive National Centre for Mental Health Research Translation, please submit an enquiry below