Title |
Treatment results for severe psychiatric illness: which method is best suited to denote the outcome of mental health care?
|
---|---|
Published in |
BMC Psychiatry, July 2018
|
DOI | 10.1186/s12888-018-1798-4 |
Pubmed ID | |
Authors |
Edwin de Beurs, Matthijs Blankers, Philippe Delespaul, Erik van Duijn, Niels Mulder, Annet Nugter, Wilma Swildens, Bea G. Tiemens, Jan Theunissen, Arno F. A. van Voorst, Jaap van Weeghel |
Abstract |
The present study investigates the suitability of various treatment outcome indicators to evaluate performance of mental health institutions that provide care to patients with severe mental illness. Several categorical approaches are compared to a reference indicator (continuous outcome) using pretest-posttest data of the Health of Nation Outcome Scales (HoNOS). Data from 10 institutions and 3189 patients were used, comprising outcomes of the first year of treatment by teams providing long-term care. Findings revealed differences between continuous indicators (standardized pre-post difference score ES and ΔT) and categorical indicators (SEM, JTRCI, JTCS, JTRCI&CS, JTrevised) on their ranking of institutions, as well as substantial differences among categorical indicators; the outcome according to the traditional JT approach was most concordant with the continuous outcome indicators. For research comparing group averages, a continuous outcome indicator such as ES or ΔT is preferred, as this best preserves information from the original variable. Categorical outcomes can be used to illustrate what is accomplished in clinical terms. For categorical outcome, the classical Jacobson-Truax approach is preferred over the more complex method of Parabiaghi et al. with eight outcome categories. The latter may be valuable in clinical practice as it allows for a more detailed characterization of individual patients. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 35 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 9 | 26% |
Student > Master | 6 | 17% |
Researcher | 3 | 9% |
Student > Bachelor | 3 | 9% |
Other | 2 | 6% |
Other | 1 | 3% |
Unknown | 11 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 9 | 26% |
Medicine and Dentistry | 4 | 11% |
Nursing and Health Professions | 2 | 6% |
Social Sciences | 2 | 6% |
Earth and Planetary Sciences | 1 | 3% |
Other | 2 | 6% |
Unknown | 15 | 43% |