Permanent falen

Permanent failure: how quality systems in mental health care remain unused In this article we present the results of research into quality control systems in Dutch mental health care (GGZ). So far, little is known about the efficacy of quality control systems in this sector. A mix of qualitative and quantitative research methods has been applied (interviews, focus groups, questionnaires and document analysis) to find out how these systems were applied in mental health care and how their use could be explained.The findings show that the implementation of quality control systems was limited and highly selective. The system appears to be permanently failing, a fact recognized by most parties, yet mistrust prevents change. This confirms the assumption from institutional theory that some parts of organizations can have a symbolic rather than a real effect. In this case, it seems that the presence of quality control systems is valued over the actual improvement of quality.