Format

Send to

Choose Destination
See comment in PubMed Commons below
Br J Psychiatry. 2006 Oct;189:330-6.

Use of standardised outcome measures in adult mental health services: randomised controlled trial.

Author information

1
Health Services Research Department (Box P029), Institute of Psychiatry, King's College London, London SE5 8AF, UK. m.slade@iop.kcl.ac.uk

Abstract

BACKGROUND:

Routine use of standardised outcome measures is not universal.

AIMS:

To evaluate the effectiveness of standardised outcome assessment.

METHOD:

A randomised controlled trial, involving 160 representative adult mental health patients and paired staff (ISRCTN16971059). The intervention group (n=101) (a) completed monthly postal questionnaires assessing needs, quality of life, mental health problem severity and therapeutic alliance, and (b) received 3-monthly feedback. The control group (n=59) received treatment as usual.

RESULTS:

The intervention did not improve primary outcomes of patient-rated unmet need and of quality of life. Other subjective secondary outcome measures were also not improved. The intervention reduced psychiatric inpatient days (3.5 v.16.4 mean days, bootstrapped 95% CI1.6-25.7), and hence service use costs were 2586 UK pounds (95% CI 102-5391) less for intervention-group patients. Net benefit analysis indicated that the intervention was cost-effective.

CONCLUSIONS:

Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admissions.

PMID:
17012656
DOI:
10.1192/bjp.bp.105.015412
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Support Center