Background

Psychiatric rehabilitation “basket of services” -

According to the Rehabilitation of the Mentally Disabled in the Community Law(2000), any Israeli adult recognized as mentally disabled

is entitled to receive rehabilitation services in the community, also known as the “basket of services”.

The rehabilitation services aim to assist in community integration and the improvement of quality of life of those who consume them.

The services focus on support and building skills in different domains, such as work, recreation and social life, education, and housing. 

Since the implementation of the Rehabilitation Law, the number of "basket of services" consumers have been steadily increasing.

In 2012, approximately 17,000 have utilized these services.

For more information (in Hebrew): http://www.gov.il/FirstGov/TopNav/Situations/SPopulationsGuides/SMentalHealth/SMHBenefit/

Project background

Psychiatric rehabilitation and mental health systems around the world are currently increasing their efforts to investigate the effectiveness

of the services they provide.  In 2011, The Ministry of Health, The University of Haifa and The Lazlo N. Tauber Family Foundation agreed to

lead together a nation-wide project, in order to examine the outcomesof the psychiatric rehabilitation "basket of services".

This, due to the belief that such assessment of the services, as an integral part of their ongoing routine, is essential to keep a high professional

level and to continue their development as recovery-oriented services. The project includes collecting data, annually, from “basket of services”

consumers (people with mental illness) and their families, as well as from the staff in those rehabilitation services.

Project Goals

a.       Assessment of key domains in consumers’ lives, such as quality of life, functioning, recovery and empowerment,

          goals, changes, physical health, and mental health.

b.       Assessment of consumers’ level of satisfaction with the rehabilitation services they consume.

c.       Identifying trends and needs that should be addressed within this population and within the services.

d.      Assessing the effectiveness of the services.

e.      Integrating the collected data with data from other assessments and information gathered by the Ministry of Health   

         (e.g. service fidelity assessments, administrative procedures and the rehabilitation registry).

f.       Creating a standardized database.

g.      Creating a standardized outcome assessment battery.

h.      Promoting the routine use of this battery for outcome assessment in all services included in the “basket of services.”

i.       Analysis of administrative processes, decision making processes, and their implementation (e.g., waiting time between the application for a 

         "basket of services" and the meeting with the “basket of services” committee etc.). 

j.       Data analysis and provision of feedback to major stakeholders (service consumers, rehabilitation services, Ministry of Health, policy makers).

k.      Providing  cost-benefit analyses.

 

Project Vision

The outcome project will continue for 5 years, during which data will gradually be collected in the various regions in Israel.

We see this as a period of adjustment and learning outcome measurement processes, their uses and advantages, and

a period in which routine use of outcome assessment tools will gradually be implemented within the services. At the end

of this period  we aspire for a reality in which data routinely collected in the services, using standard tools, will be used by

decision makers as well as by consumers and staff  to improve the services and make them more recovery-oriented.