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Table 1 Items excluded during measure development

From: An international comparison of the deinstitutionalisation of mental health care: Development and findings of the Mental Health Services Deinstitutionalisation Measure (MENDit)

Item

Reason for exclusion

Do primary care staff generally receive formal training in mental health (before or after certification)?

Narrow response range

Do general hospital staff generally receive formal training in mental health (before or after certification)?

Missing data

Is psychotropic medication available in general practices?

Narrow response range

Are mental health services provided using clearly defined catchment areas?

Missing data

Availability of day centres

Missing data

Availability of community mental health centres

Poor test-retest reliability

Availability of ambulatory/outpatient care

Missing data

Availability of home care

Missing data

Availability of rehabilitation (vocational, occupational)

Poor test-retest reliability

Availability of crisis teams

Missing data

Availability of specialized mental health services

Narrow response range

Is mental health legislation (laws) in place?

Narrow response range

Is a mental health policy (plan) in place?

Narrow response range

Does mental health policy include a commitment to continuity of care across primary, secondary and tertiary care settings?

Missing data

Do mental health documents include a commitment to the provision of care close to a service user’s place of current/last residence?

Missing data

Have accreditation and service monitoring/auditing systems of mental health facilities been established?

Missing data

Is mental health policy/legislation integrated into other related policy/legislation (e.g. social services, education and employments, justice)?

Narrow response range

Does the government organization responsible for mental health services collaborate (work together) with other relevant government organizations (e.g. social services, education and employments, justice)?

Narrow response range