Accountability in acute in-patient mental healthcare: advancing structural and cultural change.

Authors

Corrado Barbui, Charlene Sunkel, Graham Thornicroft

Published in

The British journal of psychiatry : the journal of mental science. Pages 1-4. Sep 01, 2026. Epub Sep 01, 2026.

Abstract

Following safety failures and gaps in oversight, acute in-patient mental health services face increasing scrutiny. This article examines accountability, conceptualised as answerability, responsibility and responsiveness, and reviews key strategies. Evidence varies in strength, with strongest support for reducing coercion and measurement systems. Structural and cultural alignment is essential for sustained improvement.

PMID:
42676154
Bibliographic data and abstract were imported from PubMed on 01 Sep 2026.

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