Routine Outcome Measurement in Mental Health: Feasibility for Examining Effectiveness of an NGO

Kightley, Michelle; Einfeld, Stewart; Hancock, Nicola

doi:10.3109/10398560903473660

Cited by 8 publications

(4 citation statements)

References 11 publications

(10 reference statements)

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“…There was a hope amongst three members in particular for more mental health information to be available in the clubhouse and for mental health conditions to be discussed and explained more often. This bore some similarity to Kightley and colleague's research, where access to psychiatric care within American clubhouses was cited as an issue (28). This could reflect a capacity issue within clinical services, and the difficulty which people can experience in trying to access them, rather than a gap which clubhouses should be obliged to fill.…”

Section: Findings [A] How I Experience the Clubhouse Compared With Homentioning

confidence: 57%

How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis

Pardi

Willis

2018

J. Psychosoc. Rehabil. Ment. Health

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Clubhouses are recovery orientated, participatory communities in which people with mental health diagnoses can take part in the running of the clubhouse. The objective of this research was to produce the first qualitative study of its kind, examining how the clubhouse model of mental health recovery is perceived and experienced by young adults aged 16-25. Five participants provided lengthy and detailed semi-structured interviews regarding their experiences as members of a clubhouse in London. Analysis produced themes including mixed age services as a distinct benefit, the benefits of getting involved in the work of the clubhouse, the mostly positive perception of the clubhouse compared with other mental health services, and the sense of personal change and social improvement experienced on becoming members of the clubhouse. While further research is needed, it was concluded that the clubhouse model was beneficial to all its young members, for reasons including its entirely collaborative and consultative process between staff and members, its humanitarian approach, its lack of rigid or inflexible time limits, and its reciprocal relationships, where members are expected to both provide and receive support.

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Section: Findings [A] How I Experience the Clubhouse Compared With Homentioning

confidence: 57%

How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis

Pardi

Willis

2018

J. Psychosoc. Rehabil. Ment. Health

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“…A second, but related, major challenge with outcome measurement in Australian mental health services is variable completion rates, which severely restrict the capacity to measure service-level outcomes. Whilst Australia has been at the forefront of international efforts to embed routine assessment into practice ( Burgess et al, 2012 ), completion rates even of mandated outcome measures, remain variable ( Kightley et al, 2010 ; Pirkis and Callaly, 2010 ). Slade et al (1999) have suggested that feasibility of an instrument is critical to its uptake and use in routine outcome measurement.…”

Section: Introductionmentioning

confidence: 99%

Recovery Assessment Scale – Domains and Stages (RAS-DS): Its feasibility and outcome measurement capacity

Hancock

Scanlan

Honey

et al. 2014

Aust N Z J Psychiatry

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Objective:A self-report instrument of mental health recovery is needed both to facilitate collaborative, recovery-oriented practice and measure recovery-focused outcomes. The Recovery Assessment Scale – Domains and Stages (RAS-DS) has been developed to simultaneously fulfill these goals. The aim of this study was to test the feasibility and measurement properties of the RAS-DS.Method:Feasibility was examined by 58 consumer-staff pairs volunteering from 3 non-government organisations. Consumers completed the RAS-DS, discussed it with staff, and then both completed Usefulness Questionnaires. The psychometric properties were examined using Rasch analysis with the data from these consumer participants and from additional participants recruited from two Partners in Recovery programs (N=324).Results:Over 70% of consumers reported taking 15 minutes or less to complete the RAS-DS and rated the instrument as easy or very easy to use. Qualitative data from both consumers and staff indicated that, for most, the RAS-DS was an easy to use, meaningful resource that facilitated shared understandings and collaborative goal setting. However, for a very small number of consumers, the instrument was too confronting and hard to use. Rasch analysis demonstrated evidence for excellent internal reliability and validity. Raw scores were highly correlated with Rasch-generated overall scores and thus no transformation is required, easing use for clinicians. Preliminary evidence for sensitivity to change was demonstrated.Conclusions:The results provide evidence of the feasibility and psychometric strengths of the RAS-DS. Although further research is required, the RAS-DS shows promise as a potential addition to the national suite of routine outcome measures.

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“…With a few notable exceptions in North America, [8,18] this generally leaves members to organise their own access to psychiatric care. [19] Relevant is research demonstrating that improved access to psychiatry leads to improved life satisfaction and higher rates of paid employment. [20] There appears to have been an attempt to remedy this situation in recent times with proponents such as Aquila and colleagues writing enthusiastically about the importance of providing improved access to psychiatry for clubhouse members.…”

Section: Overviewmentioning

confidence: 99%

An overview of the clubhouse model of psychiatric rehabilitation

Raeburn

Halcomb

Walter

et al. 2013

Australas Psychiatry

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Objective: The aim of this article is to provide an overview of the clubhouse model and its capacity to assist people with severe mental illness. Method: The paper uses a sample vignette (with all identifying information removed) and survey of literature describing clubhouses over the last 15 years. Results: Strengths of the clubhouse model include its ability to provide a safe environment, supportive relationships and supported employment activities. Criticisms include its failure to provide onsite psychiatry clinics and a risk of promoting service dependence. Conclusions: Modern clubhouses continue to provide useful models of psychiatric rehabilitation which are popular worldwide. Studying and describing the model is challenging due to its complexity. Mixed methodological approaches and recovery-orientated measurement tools may assist future research and development. AbstractObjective: The aim of this paper is to provide an overview of the clubhouse model and its capacity to assist

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Routine Outcome Measurement in Mental Health: Feasibility for Examining Effectiveness of an NGO

Abstract: Despite the National Mental Health Plan emphasis, and extensive and expensive support for routine data collection in public mental health services, such data collection has been unsuccessful. We discuss possible reasons for this.

Cited by 8 publications

References 11 publications

How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis

How Young Adults in London Experience the Clubhouse Model of Mental Health Recovery: A Thematic Analysis

Recovery Assessment Scale – Domains and Stages (RAS-DS): Its feasibility and outcome measurement capacity

An overview of the clubhouse model of psychiatric rehabilitation

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