Systematic monitoring of needs for care and global outcomes in patients with severe mental illness

BMC Psychiatry

Research Article

Marjan Drukker¹  Jim van Os²  Maarten Bak³  Philippe Delespaul³  Joost à Campo⁴ 

[1] Department of Psychiatry and Psychology, School for Mental Health and NeuroScience MHeNS, Maastricht University, The Netherlands;Department of Psychiatry and Psychology, School for Mental Health and NeuroScience MHeNS, Maastricht University, The Netherlands;Division of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London, UK;Department of Psychiatry and Psychology, School for Mental Health and NeuroScience MHeNS, Maastricht University, The Netherlands;Integrated Care Division, Mondriaan, South-Limburg, John F Kennedylaan 301, Heerlen, The Netherlands;Integrated Care Division, Mondriaan, South-Limburg, John F Kennedylaan 301, Heerlen, The Netherlands;

关键词: Severe Mental Illness;    Assertive Community Treatment;    Brief Psychiatric Rate Scale;    Sheltered Housing;    Routine Outcome Monitoring;   

DOI  :  10.1186/1471-244X-10-36

 received in 2009-08-14, accepted in 2010-05-25,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundIt was hypothesised that the introduction of tools that allow clinicians to assess patients' needs and to negotiate treatment (Cumulative Needs for Care Monitor; CNCM), would be associated with global outcome improvements in patients diagnosed with severe mental illness.MethodsThe CNCM was introduced in one region in South Limburg (the Netherlands) in 1998 (REGION-1998) and in the rest of South Limburg in 2004 (REGION-2004). By comparing these two regions, changes after the introduction of the CNCM could be assessed (between-region comparison). In addition, a pre-post within-patient comparison was conducted in both regions.ResultsThe within-patient comparison revealed that global outcomes of psychopathology and impairment improved in the first 3-5 years after the introduction of the CNCM. The between-region comparison revealed an improvement in global psychopathology but not in global impairment in REGION-2004 after 2004, while there was no such improvement in REGION-1998.ConclusionSystematic clinical monitoring of individual severe mental illness patients, in combination with provision of feedback, is associated with global improvement in psychopathology. More research is needed to determine the degree to which this association reflects a causal effect.

【 授权许可】

CC BY   
© Drukker et al; licensee BioMed Central Ltd. 2010