SEQUenCE: a service user-centred quality of care instrument for mental health services.

Objective: To develop a quality of care instrument that is grounded in the service user perspective and validate it in a mental health service.

Design: The instrument (SEQUenCE (SErvice user QUality of CarE)) was developed through analysis of focus group data and clinical practice guidelines, and refined through field-testing and psychometric analyses.

Setting: All participants were attending an independent mental health service in Ireland.

Quality of care in psychosis and bipolar disorder from the service user perspective.

According to the recovery model of mental health care, service development should incorporate the expert knowledge of service users. To date, there has been limited research into conceptualizations of mental health care quality among services users diagnosed with bipolar disorder or psychosis. To investigate service user perspectives on quality of care, we conducted six focus groups (N = 29) with inpatients and outpatients of an independent Irish mental health service.