{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T12:24:01Z","timestamp":1771331041987,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is little research into appropriate measures of value for money in prison mental health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To develop and evaluate an accountability framework for an enhanced Prison Model of Care for people with serious mental illness in five New Zealand prisons. A key objective was to identify people with such illnesses who were missing from existing caseloads.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A generic public sector accountability framework was modified to provide measures of value for money around efficiency in its three component criteria of effectiveness and economy using a pre\/post design, allowing measurement of flows between successive stages of this prison healthcare model. Measures were arranged into common dimensions around outcomes, outputs, inputs and costs, varied across the stages. The framework was populated with data collected from five prisons for the pre\u2010 and post\u2010implementation periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Improvements in the three criteria were generally obtained across all five areas of service delivery but especially in the screening, assessment, intervention and reintegration stages. Since these three criteria are major components of value for money, they provide evidence for improvement in value for money of the mental health services in these prisons. Other desired operational changes achieved were a threefold increase in the nurse to doctor ratio at the triage stage and slight increase in doctor to nurse ratio at the treatment stage. Overall, the implementation of this model of care achieved an increase in the size of caseload from 6.1% to 7.3% of the prison muster, equivalent to an increase in caseload of 21%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This accountability framework confirmed the value for money of the Prison Model of Care for severe mental illness, highlighting areas of good performance as well as areas requiring further development. The framework also provides measures that can be used as key performance indicators in ongoing monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cbm.70005","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T04:37:05Z","timestamp":1755146225000},"page":"228-239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Does the Implementation of a Model of Care Improve the Value for Money of Mental Health Services in Prisons?"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5223-3143","authenticated-orcid":false,"given":"P.","family":"Rouse","sequence":"first","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Pillai","sequence":"additional","affiliation":[{"name":"Auckland Regional Forensic Psychiatry Service Waitemata District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"McKenna","sequence":"additional","affiliation":[{"name":"Auckland Regional Forensic Psychiatry Service Waitemata District Health Board  Auckland New Zealand"},{"name":"Auckland University of Technology  Auckland New Zealand"},{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health University of Toronto  Ontario Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Cavney","sequence":"additional","affiliation":[{"name":"Auckland Regional Forensic Psychiatry Service Waitemata District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Skipworth","sequence":"additional","affiliation":[{"name":"Auckland Regional Forensic Psychiatry Service Waitemata District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Tapsell","sequence":"additional","affiliation":[{"name":"Midland Regional Forensic Psychiatric Service Waikato District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Madell","sequence":"additional","affiliation":[{"name":"The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102017\u2010000310"},{"key":"e_1_2_11_3_1","volume-title":"Care Dohas","author":"Department of Health and Social Care","year":"2008"},{"key":"e_1_2_11_4_1","unstructured":"Department of Health and Social Care.2012.Prison Health Performance and Quality Indicator Report and Guidance."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.9.923"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldy027"},{"key":"e_1_2_11_7_1","unstructured":"Health and Social Care Act.2012: c.7.https:\/\/www.legislation.gov.uk\/ukpga\/2012\/7\/contents\/enacted."},{"issue":"1","key":"e_1_2_11_8_1","first-page":"71","article-title":"The Balanced Scorecard \u2010 Measures That Drive Performance","volume":"70","author":"Kaplan R. 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