Bulletin of the World Health Organization

Evaluating the WHO Assessment Instrument for Mental Health Systems by comparing mental health policies in four countries

Hamada Hamid, Karen Abanilla, Besa Bauta, Keng-Yen Huang

Volume 86, Number 6, June 2008, 467-473

Table 2. Sample items WHO-AIMS

Item Detail
Item 1.4.4 Training staff in mental hospitals on human rights protection of patients
Definition Proportion of mental hospitals with at least one-day training, meeting or other type of working session on human rights protection of patients in the last two years
Measure Proportion; UN = unknown; NA = non applicable
Numerator Number of mental hospitals with at least one-day training, meeting or other type of working session on human rights protection of patients in the last two years
Denominator Total number of mental hospitals (#)

Item 1.4.5 Training staff in community-based inpatient psychiatric units and community residential facilities on human rights protection of patients
Definition Proportion of community-based inpatient psychiatric units and community residential facilities with at least one-day training, meeting or other type of working session on human rights protection of patients in the last two years
Measure Proportion; UN = unknown; NA = non applicable
Numerator Number of community-based inpatient psychiatric units and community residential facilities with at least one-day training, meeting or other type of working session on human rights protection of patients in the last two years
Denominator Total number of community-based inpatient psychiatric units and community residential facilities (#)

Item 1.5.4 Free access to essential psychotropic medications
Definition Proportion of population with free access (at least 80% covered) to essential psychotropic medicines
Measure Proportion; UN = unknown; NA = non applicable
Numerator Number of people with free access (at least 80% covered) to essential psychotropic medicines
Denominator Number of people in general population
Notes This item is specific for psychotropic drugs (in many countries psychotropic drugs are not covered by government or insurance schemes)Free access to essential psychotropic medicines means that essential psychotropics – once prescribed – are provided to people with mental disorders free of cost or with reimbursement equal or more than 80% of the retail price. The funding sources for free access/reimbursement may be the government or insurance schemes (employment, social or private)

Item 2.10.3 Availability of medicines in mental health outpatient facilities
Definition Proportion of mental health outpatient facilities in which at least one psychotropic medicine of each therapeutic category (antipsychotic, antidepressant, mood stabilizer, anxiolytic and antiepileptic medicines) is available in the facility or in a nearby pharmacy all year long
Measure Proportion; UN = unknown; NA = non applicable
Numerator Number of mental health outpatient facilities in which at least one psychotropic medicine of each therapeutic category is available in the facility or in a nearby pharmacy
Denominator Total number of mental health outpatient facilities (#)

WHO-AIMS, WHO Assessment Instrument for Mental Health Systems.