{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T22:09:46Z","timestamp":1780697386400,"version":"3.54.1"},"reference-count":13,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T00:00:00Z","timestamp":1596067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["clinical-practice-and-epidemiology-in-mental-health.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["CPEMH"],"published-print":{"date-parts":[[2020,7,30]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p>The aims were: 1) to measure the attitudes of learners (and future trainers) before and after a course on WHO-Quality Rights (QR); 2) to evaluate a psychiatric ward, by previously trained staff on QR, comparing it with a previous evaluation and discussing an improvement plan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>1) Training sample: 19 subjects (8 males), 41.4\u00b110.6 years, including jurists\/lawyers, health professionals, and experts.<\/jats:p><jats:p>The QR team developed the 26-item tool to assess the knowledge and attitudes of participants.<\/jats:p><jats:p>2) Evaluation of quality of care and respect for human rights in the ward was carried out on 20 staff representatives, 20 family members and 20 users with QRToolkit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>1) Learning in QR has partially changed the knowledge and attitudes of trained people.<\/jats:p><jats:p>2) The evaluation shows significant delays in the implementation of the rights advocated by the United Nations Convention on the Human Rights of Persons with Disabilities (CRPD). In Themes 1, 3, 4 and 5, the evaluation shows no differences compared to 2014, but in Theme 2, the level was lower than four years before.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>The scarcity of resources due to the economic crisis that Tunisia is going through, cannot be considered the only cause of the delays highlighted. However, it is likely that in a context of uncertainty for the future, scarcity of resources and a decrease in staff (<jats:italic>i.e<\/jats:italic>., professionals dedicated to psychosocial intervention) may have demotivated the team towards recovery. The improvement in knowledge and attitudes of many staff members after the training may open future positive scenarios.<\/jats:p><\/jats:sec>","DOI":"10.2174\/1745017902016010125","type":"journal-article","created":{"date-parts":[[2020,8,2]],"date-time":"2020-08-02T05:41:30Z","timestamp":1596346890000},"page":"125-133","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Implementing WHO-Quality Rights Project in Tunisia: Results of an Intervention at Razi Hospital"],"prefix":"10.2174","volume":"16","author":[{"given":"Mauro Giovanni","family":"Carta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rym","family":"Ghacem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Milka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olfa","family":"Moula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhal","family":"Staali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uta","family":"Uali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghassene","family":"Bouakhari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Mannu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rym","family":"Refrafi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Souha","family":"Yaakoubi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Francesca","family":"Moro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Baudel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Vasseur-Bacle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Drew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Funk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref1","unstructured":"WHO WHO QualityRights initiative \u2013 improving quality, promoting human rights. https:\/\/www.who.int\/mental_health\/policy\/quality_rights\/en\/ 2019."},{"key":"ref2","unstructured":"United Nations. The Convention on the Rights of Persons with Disabilities\u202f: Training Guide 2014."},{"key":"ref3","unstructured":"United Nations . https:\/\/www.un.org\/development\/desa\/disabilities\/convention-on-the-rights-of-persons-with-disabilities.html 2019."},{"key":"ref4","unstructured":"WHO, WHO-AIMS REPORT ON MENTAL HEALTH SYSTEM IN TUNISIA, WHO Geneva . 2009."},{"key":"ref5","unstructured":"World Health Organization. WHO QualityRights tool kit: assessing and improving quality and human rights in mental health and social care facilities 2012."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1177\/0020764017712301","volume":"63","author":"Rekhis M.","year":"2017","unstructured":"Rekhis M, Ben Hamouda A, Ouanes S, Rafrafi R. Rights of people with mental disorders: Realities in healthcare facilities in Tunisia. Int J Soc Psychiatry 2017; 63 (5) : 439-47.","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1177\/0020764014535754","volume":"61","author":"Carta M.G.","year":"2015","unstructured":"Carta MG, Moro MF, Bass J. War traumas in the Mediterranean area. Int J Soc Psychiatry 2015; 61 (1) : 33-8.","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Zgueb Yosra, Preti Antonio, Perra Alessandra, et al. Staff perception of respect for human rights of users and organizational well-being: A study in four different countries of the Mediterranean area. Clinical practice and epidemiology in mental health Thematic Issue \"Mental Health in the Mediterranean Area 2020; (16):","DOI":"10.2174\/1745017902016010109"},{"key":"ref9","author":"Husky Mathilde","year":"2020","unstructured":"Husky Mathilde, Zgueb Yosra, Ouali Uta, et al. Principal component analysis of the Well-Being at Work and Respect for Human Rights Questionnaire (WWR) in the Mediterranean region. 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Prevention Actions of Burnout Syndrome in Nurses: An Integrating Literature Review Clinical Practice & Epidemiology in Mental Health 2019; 15 : 64-73.","journal-title":"Prevention Actions of Burnout Syndrome in Nurses: An Integrating Literature Review Clinical Practice & Epidemiology in Mental Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"132","DOI":"10.2174\/1745017901814010132","volume":"14","author":"Sillero A.","year":"2018","unstructured":"Sillero A, Zabalegui A. Organizational Factors and Burnout of Perioperative Nurses. Clin Pract Epidemiol Ment Health 2018; 14 : 132-42.","journal-title":"Clin. Pract. Epidemiol. Ment. Health"},{"key":"ref13","author":"Pathare Soumitra","year":"2019","unstructured":"Pathare Soumitra, Funk Michelle, Bold Natalie Drew, Chauhan Ajay, Kalha Jasmine, Krishnamoorthy Sadhvi. 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