What staffing structures of mental health services are associated with improved patient outcomes? A rapid review

NHS Improvement
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This rapid review is a summary of the best available evidence on safe staffing structures of mental health teams to inform the development of specific sustainable safe staffing guidance for the National Safe Sustainable Staffing Guidance Programme Board. The starting point for the review was evidence from mental health settings. It included studies from inpatient and community mental health settings in the following domains: adult mental health; child and adolescent; mental health; forensic mental health; learning disabilities and neurodevelopmental disorders; and older people’s mental health and dementia. The findings cover these four broad areas: staff numbers and skills; staff productivity; staff wellbeing and support; unit culture/organisation and leadership. The review found there were considerable limitations in the available data. The reviews identified were sparse and predominantly of low quality. There was limited evidence for child and adolescent mental health services (CAMHS), forensic services and community mental health teams. (Edited publisher abstract)

Subject terms:
literature reviews, mental health services, staffing levels, staff management, mental health care, mental health problems;
Content type:
research review
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