Routine outcome measures in Canada

Kisely, Steve; Adair, Carol E.; Lin, Elizabeth; Marriott, Brian

doi:10.3109/09540261.2014.994594

Cited by 12 publications

(7 citation statements)

References 18 publications

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“…These studies demonstrate the challenge of implementing services in public mental health services especially in rural and remote areas. At a national level fidelity scales were not identified as a source of health system quality or performance (Kisely, Adair, Lin, & Marriott, 2015).…”

Section: Canadamentioning

confidence: 99%

Fidelity scales and performance measures to support implementation and quality assurance for first episode psychosis services

Addington

Birchwood

Jones

et al. 2018

Early Intervention Psych

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Section: Canadamentioning

confidence: 99%

Fidelity scales and performance measures to support implementation and quality assurance for first episode psychosis services

Addington

Birchwood

Jones

et al. 2018

Early Intervention Psych

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“…This is surprising given that administrative data are collected Canada-wide for the purpose of managing health care services and, in particular, for providing payment for services. 20 There was one study that used Nova Scotian databases but this was before CTOs were introduced to the province, and the Canadian patients were control subjects for a study of the effectiveness of CTOs in Western Australia. 21 …”

Section: Epidemiological Studiesmentioning

confidence: 99%

Canadian Studies on the Effectiveness of Community Treatment Orders

Kisely

2016

Can J Psychiatry

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Objectives: Community treatment orders (CTOs) for people with severe mental illnesses are used across most of Canada. It is unclear if they can reduce health service use, or improve clinical and social outcomes. This review summarizes the evidence from studies conducted in Canada. Method: A systematic literature search of PubMed and MEDLINE to March 2015 was conducted. Inclusion criteria were quantitative and qualitative studies undertaken in Canada that presented data on the effect of CTOs on outcomes.Results: Nine papers from 8 studies were included in the review. Four studies compared health service use before and after compulsory treatment as well as engagement with psychosocial supports. Three were qualitative evaluations of patients, family, or staff and the last was a postal survey of psychiatrists. Hospital readmission rates and days spent in hospital were all reduced following CTO placement, while outpatient attendance and participation in psychiatric services and housing all improved. Family members and clinicians were generally positive about the effect of CTOs but patients were ambivalent. However, the strength of the evidence was limited as many of the studies were small, only one included control subjects, and there was no adjustment for potential confounders using either matching or multivariate analyses. Only 2 qualitative studies included the views of patients and their families. Conclusions: The evidence base for the use of CTOs in Canada is limited and this lack of Canadian research is in marked contrast to other countries where there have been large studies that have used randomized or matched control subjects. Their use should be kept under review. Abré géObjectifs : Les ordonnances de traitement en milieu communautaire (OTMC) pour les personnes souffrant de maladie mentale grave sont utilisées presque partout au Canada. Il n'est pas déterminé si elles peuvent réduire l'utilisation des services de santé, ou améliorer les résultats cliniques et sociaux. Cette revue résume les données probantes des études menées au Canada. Mé thode : Une recherche systématique de la littérature a été menée dans PubMed et MEDLINE jusqu'en mars 2015. Les critères d'inclusion étaient des études quantitatives et qualitatives menées au Canada qui présentaient des données sur l'effet des OTMC sur les résultats.Ré sultats : Neuf articles sur huit études ont été inclus dans la revue. Quatre comparaient l'utilisation des services de santé avant et après le traitement obligatoire ainsi que le recours aux soutiens psychologiques. Trois étaient des évaluations qualitatives des patients, des familles ou du personnel, et le dernier consistait en un sondage postal des psychiatres. Les taux de

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“…[1,2] The use of indicators that take into account health determinants, the severity of diseases and the use of healthcare services would permit a better evaluation, implementing more standardized psychometric outcome measures. [2] A review of mental health indicator development policies and practices was performed in Korea. [3] Among the indicators, 10 were found to belong to the mental health system.…”

Section: Introductionmentioning

confidence: 99%

“…The need to evaluate treatment outcomes in mental health services from the perspective of users and their family members has been highlighted in the literature, with it being necessary to develop further studies on this theme. [1][2][3][4][5][6][7][8][9] In recent decades, studies on patient satisfaction regarding the treatment outcomes in mental health services have provided good feedback, since the changes perceived by the patients themselves can be considered to be one of the possible indicators of good outcomes due to the treatment received. [9] Studies focusing on the evaluation of services [10] have gained increasing relevance, given their importance in the patient care process.…”

Section: Introductionmentioning

confidence: 99%

Treatment outcome indicators of schizophrenia according to Brazilian family caregivers and outpatients

Soares

Farinasso

Machado

et al. 2019

JNEP

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Background and objective: The need to measure treatment outcomes in mental health services from the perspective of users and family members has been highlighted in the literature as a fundamental aspect to improve the care provided. The objective of this study was to measure the treatment outcome provided by a Brazilian Psychosocial Care Center from the perspective of outpatients and their family members.Methods: A correlational study was performed with 84 outpatients and 40 family members, between 2015 and 2016, interviewing them using the Satisfaction (SATIS-BR), Perception of Change (PCS), Independent Living Skills (ILSS) and Family Burden (FBIS-BR) scales.Results: There was a high index of satisfaction with the mental health service, with a mean of 4.23 for the users interviewed and 4.36 for the family members. The perception of change presented a mean of 2.58 for the patients and 2.19 for the family members. The independent living ability presented a mean of 2.52.Conclusions: The high indices of satisfaction suggest successes, as well as points to be improved in the mental health policy implemented in the municipality. However, reintegration into the labor market was presented as an aspect with a need for investments through health and labor policies, since it was related to the subjective burden.

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Routine outcome measures in Canada

Cited by 12 publications

References 18 publications

Fidelity scales and performance measures to support implementation and quality assurance for first episode psychosis services

Fidelity scales and performance measures to support implementation and quality assurance for first episode psychosis services

Canadian Studies on the Effectiveness of Community Treatment Orders

Treatment outcome indicators of schizophrenia according to Brazilian family caregivers and outpatients

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