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Effect of feedback of treatment outcome in specialist mental healthcare: meta-analysis

  • Carina Knaup (a1), Markus Koesters (a1), Dorothea Schoefer (a1), Thomas Becker (a1) and Bernd Puschner (a1)...
Abstract
Background

Feedback of treatment outcome during the course of therapy (outcome management) is increasingly considered to be beneficial for improving the quality of mental healthcare.

Aims

To review the impact of feedback of outcome to practitioners and/or patients in specialist mental health services.

Method

A systematic search and meta-analysis of controlled trials using outcome management in mental health services published in English or German language.

Results

Twelve studies met inclusion criteria. Feeding back outcome showed a small, but significant (d = 0.10; 95% CI 0.01–0.19) positive short-term effect on the mental health of individuals that did not prevail in the long run. Subgroup analysis revealed no significant differences regarding feedback modalities. Outcome management did not contribute to a reduction of treatment duration.

Conclusions

Evidence on the effects of outcome management in mental healthcare is promising. More targeted research is needed in order to identify the effective ingredients of outcome feedback and to assess its cost-effectiveness.

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Copyright
Corresponding author
Bernd Puschner, Ulm University, Department of Psychiatry II, Ludwig-Heilmeyer-Str. 2, 89312 Günzburg, Germany. Email: bernd.puschner@bkh-guenzburg.de
Footnotes
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This review was carried out during the course of the study ‘Outcome monitoring and outcome management in inpatient psychiatric care’ (EMM), which received funding from the German Federal Ministry of Education and Research (grant number 01GL0504).

Declaration of interest

None.

Footnotes
References
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Effect of feedback of treatment outcome in specialist mental healthcare: meta-analysis

  • Carina Knaup (a1), Markus Koesters (a1), Dorothea Schoefer (a1), Thomas Becker (a1) and Bernd Puschner (a1)...
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