Mental Health Outcome Measures

Evidence-based medicine demands that clinical outcomes are measurable and practicable. Yet mental health outcomes have always been notoriously difficult to quantify. This book guides the reader through the minefield of outcome measurement, providing the building blocks for evidence-based mental health service provision and evaluation. This new edition charts the increased range of outcome domains that are now measurable, while reflecting a new emphasis on positive outcomes and recovery, and the central role of the service user's experience. Fully revised and updated. New service-user focus and emphasis on recovery. Guide to a key aspect of evidence-based practice. With authors drawn from centres of excellence around the world, this volume will be essential for all those involved in research, commissioning and provision of mental health services.

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vi
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List of tables, boxes and figures
pp vii-viii
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List of contributors
pp ix-xi
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Foreword
pp xii-xiii
- By David Goldberg, Professor Emeritus, Institute of Psychiatry, King's College, London, UK
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Foreword
pp xiv-xiv
- By Robert E. Drake, Andrew Thomson Professor of Psychiatry Dartmouth Medical School, Lebanon, New Hampshire, USA
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Preface: an evolving perspective of mental health outcome measures
pp xv-xviii
- By Michele Tansella, Professor of Psychiatry, Department of Public Health and Community Medicine, Section of Psychiatry and Clinical Psychology, University of Verona, Italy, Graham Thornicroft, Professor of Community Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
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Part I - Methodological issues
pp 1-2
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1 - Measures of outcomes that are valued by service users
pp 3-14
- By Thomas Kabir, Department of Psychiatry, University Medical Center Groningen, University of Groningen, The Netherlands, Til Wykes, Professor of Clinical Psychology and Rehabilitation at the Institute of Psychiatry, King's College London, UK, Director of NIHR Mental Health Research Network, and Editor of the Journal of Mental Health
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2 - Statistical methods for measuring outcomes
pp 15-27
- By Graham Dunn, Professor of Community Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
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3 - Assessment instruments in mental health: description and metric properties
pp 28-62
- By Luis Salvador-Carulla, Professor of Psychiatry, Department of Neurosciences, University of Cadiz, and Head of the Reseacrh Unit, Fundacio Villablanca, Spain, Juan Luis González-Caballero, Professor of Statistics and Operational Research, University of Cadiz, Spain.
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4 - Using outcomes in routine clinical practice to support recovery
pp 63-80
- By Mike Slade, Reader in Health Services Research at the Institute of Psychiatry, King's College London, UK, Lindsay Oades, Director of the Australian Institute of Business Wellbeing at the Sydney Business School, University of Wollongong, New South Wales, Australia, Bernd Puschner, Senior Researcher at the Mental Health Services Research Unit, Department of Psychiatry II, University of Ulm, Germany
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Part II - Domains of outcome measurement
pp 81-82
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5 - Global functioning scales
pp 83-98
- By Emese Csipke, Research Associate at the Institute of Psychiatry, King's College London, UK, Til Wykes, Professor of Clinical Psychology and Rehabilitation at the Institute of Psychiatry, King's College London, UK, Director of NIHR Mental Health Research Network, and Editor of the Journal of Mental Health
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6 - Satisfaction with mental health services
pp 99-115
- By Mirella Ruggeri, Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona, Italy
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7 - Measuring family and carer burden in severe mental illness: the instruments
pp 116-134
- By Bob van Wijngaarden, Trimbos Institute (Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands, Aart H. Schene, Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
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8 - Measures of quality of life for persons with severe mental disorders
pp 135-168
- By Anthony F. Lehman, Professor and Chair, Department of Psychiatry, University of Maryland School of Medicine in Baltimore, Maryland, USA, Antonio Lasalvia, Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona, Italy
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9 - Measuring social disabilities in mental health and employment outcomes
pp 169-181
- By Durk Wiersma, Professor in Clinical Epidemiology of Psychiatric Disorders, Department of Psychiatry, University Medical Center Groningen (UMCG), University of Groningen, The Netherlands, Thomas Becker, Department of Psychiatry, University Medical Center Groningen, University of Groningen, The Netherlands
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10 - Measuring the costs of mental healthcare
pp 182-193
- By Paul McCrone, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, Scott Weich, Health Sciences Research Institute, Warwick Medical School, University of Warwick, UK
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11 - Assessing needs for mental healthcare
pp 194-203
- By Mike Slade, Reader in Health Services Research at the Institute of Psychiatry, King's College London, UK, Sonia Johnson, Professor of Social and Community Psychiatry, Department of Mental Health Sciences, University College London, and Camden and Islington NHS Foundation Trust, London, UK, Michael Phelan, Consultant Psychiatrist, West London Mental Health NHS Trust, London, UK, Graham Thornicroft, Professor of Community Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
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12 - Measuring stigma and discrimination related to mental illness
pp 204-220
- By Elaine Brohan, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, Mike Slade, Reader in Health Services Research at the Institute of Psychiatry, King's College London, UK, Sarah Clement, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, Graham Thornicroft, Professor of Biomedical Statistics, Health Methodology Research Group, School of Community Based Medicine, University of Manchester, UK
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Part III - Symptom severity outcome measures
pp 221-222
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13 - Top-down versus bottom-up measures of depression
pp 223-236
- By David Goldberg, Professor Emeritus, Institute of Psychiatry, King's College, London, UK
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14 - Symptom severity outcome measures for depression
pp 237-250
- By Tom Trauer, is Professorial Fellow in the Department of Psychiatry, The University of Melbourne and St Vincent's Hospital, Melbourne, and holds an adjunct professorial appointment in the School of Psychiatry and Psychology, Monash University, Melbourne, Australia, David J. Castle, holds the Chair of Psychiatry at St Vincent's Hospital and The University of Melbourne, Australia.
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15 - Outcome measures for people with personality disorders
pp 251-265
- By Paul Moran, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, Rohan Borschmann, clinical psychologist and research worker at the Institute of Psychiatry, King's College London, UK
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16 - The Schedules for Clinical Assessment in Neuropsychiatry and the tradition of the Present State Examination
pp 266-278
- By John K. Wing, Professor of Social and Community Psychiatry, Department of Mental Health Sciences, University College London, and Camden and Islington NHS Foundation Trust, London, UK, Traolach S. Brugha, Professor of Psychiatry, and Deputy Head, Department of Health Sciences, University of Leicester; Honorary Consultant Adult General Psychiatrist, Leicestershire Partnership NHS Trust, Leicester, UK
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Part IV - International approaches to outcome assessment
pp 279-280
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17 - Psychiatric assessment instruments developed by the World Health Organization
pp 281-312
- By Norman Sartorius, holds professorial appointments at a number of universities. Previously Director of the WHO Mental Health Programme, President of the World Psychiatric Association and of the European Psychiatric Association, currently President of the Association for the Improvement of Mental Health Programmes., Aleksandar Janca, Winthrop Professor and Head of School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia., Shekhar Saxena, Director of the Department of Mental Health and Substance Abuse at the World Health Organization, Geneva, Switzerland, T. Bedirhan Üstün, responsible for the World Health Organization's Family of International Classifications at the WHO in Geneva, Switzerland
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18 - Measuring outcomes in mental health: implications for policy
pp 313-318
- By Rachel Jenkins, Director, WHO Collaborating Centre and Head, Section of Mental Health Policy, Institute of Psychiatry, King's College London, and Visiting Professor, London School of Hygiene, UK, Graham Mellsop, Professor of Biomedical Statistics, Health Methodology Research Group, School of Community Based Medicine, University of Manchester, UK, Bruce Singh, Deputy Dean, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia
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19 - Outcome measures for the treatment of depression in primary care
pp 319-345
- By William E. Narrow, Associate Director of the Division of Research at the American Psychiatric Association and the American Psychiatric Institute for Research and Education, USA, Farifteh F. Duffy, Director of Quality of Care Research at the American Psychiatric Institute for Research and Education, Arlington, Virginia, USA.
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