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Patient-reported outcome measures v. clinician-measured outcomes in community psychiatric practice

  • Anil Kodagalli (a1), Laurence Mynors-Wallis (a1), Denise Cope (a1), Reuben Ogollah (a2) and Tikki Immins (a2)...
Abstract
Aims and method

We examine the feasibility of the routine use of three patient-reported and one clinician-rated outcome measures (patient-identified problem, EuroQol-5D questionnaire, EuroQol Visual Analogue Scale and Health of the Nation Outcome Scales (HoNOS)) in an out-patient community psychiatric service, and discuss the associations between these variables.

Results

The routine collection of outcome measures was feasible in the out-patient setting. There was a general improvement in the health status from the initial assessment to the first follow-up. Subsequent scores remained stable.

Clinical implications

The study encourages the practical use of scales in routine community psychiatric practice. As there was correlation between HoNOS and EQ-5D index, both need not be used in routine practice.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Laurence Mynors-Wallis (laurence.mynorswallis@dhuft.nhs.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 National Institute for Mental Health in England. Mental Health Outcomes Compendium. NIMHE, 2008.
2 Gilbody, SM, House, AO, Sheldon, TA. Psychiatrists in the UK do not use outcome measures. National survey. Br J Psychiatry 2002; 180: 101–3.
3 Royal College of Psychiatrists. Health of the Nation Outcome Scales (HoNOS). Royal College of Psychiatrists, 1996 (http://www.rcpsych.ac.uk/training/honos.aspx).
4 Department of Health. Transparency in Outcomes: A Framework for the NHS. Department of Health, 2010.
5 The EuroQol Group. EuroQol – a new facility for the measurement of health-related quality of life. Health Policy 1990; 16: 199208.
6 Chalkley, AJ, Mulhall, DJ. The PQRSTUV: the Personal Questionnaire Rapid Scaling Technique – ‘Ultimate Version’. Br J Clin Psychol 1991; 30: 181–3.
7 Care Services Improvement Partnership, Royal College of Psychiatrists & Social Care Institute for Excellence. A Common Purpose: Recovery in Future Mental Health Services. CSIP, 2007.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Patient-reported outcome measures v. clinician-measured outcomes in community psychiatric practice

  • Anil Kodagalli (a1), Laurence Mynors-Wallis (a1), Denise Cope (a1), Reuben Ogollah (a2) and Tikki Immins (a2)...
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