scholarly journals The development of an outcome measure for liaison mental health services

2018 ◽  
Vol 42 (3) ◽  
pp. 109-114
Author(s):  
Else Guthrie ◽  
Mathew Harrison ◽  
Richard Brown ◽  
Rajdeep Sandhu ◽  
Peter Trigwell ◽  
...  
Keyword(s):  
Mental Health ◽  
Interrater Reliability ◽  
Substance Misuse ◽  
Outcome Measure ◽  
Sensitivity To Change ◽  
Mental Health Setting ◽  
Point Scale ◽  
Behavioural Disturbance ◽  
Liaison Psychiatry ◽  
The Mind

Aims and methodTo develop and pilot a clinician-rated outcome scale to evaluate symptomatic outcomes in liaison psychiatry services. Three hundred and sixty patient contacts with 207 separate individuals were rated using six subscales (mood, psychosis, cognition, substance misuse, mind–body problems and behavioural disturbance) plus two additional items (side-effects of medication and capacity to consent for medical treatment). Each item was rated on a five-point scale from 0 to 5 (nil, mild, moderate, severe and very severe).ResultsThe liaison outcome measure was acceptable and easy to use. All subscales showed acceptable interrater reliability, with the exception of the mind–body subscale. Overall, the measure appears to show stability and sensitivity to change.Clinical implicationsThe measure provides a useful and robust way to determine symptomatic change in a liaison mental health setting, although the mind–body subscale requires modification.Declaration of interestNone.

A Validation and Replication Study of the Patient-Generated Measure PSYCHLOPS on an Icelandic Clinical Population

2013 ◽  
Vol 29 (2) ◽  
pp. 89-95 ◽  
Author(s):  
Helgi Héðinsson ◽  
Hafrún Kristjánsdóttir ◽  
Daníel Þór Ólason ◽  
Jón Friðrik Sigurðsson
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Concurrent Validity ◽  
Outcome Measure ◽  
Clinical Population ◽  
Cognitive Behavior ◽  
Mental Health Setting ◽  
Psychological Outcome ◽  
Valuable Complement ◽  
High Completion Rate

PSYCHLOPS (Psychological Outcome Profiles; Ashworth et al., 2004 ) is a patient-generated outcome measure developed to be a sensitive indicator of change after therapy. It requires the patient to choose which symptoms or problems are most important to measure over the course of therapy. The present study replicates previous findings for the original version and validates the Icelandic version. The psychometric properties of PSYCHLOPS were investigated by comparing it to an established nomothetic outcome measure, CORE-OM. Icelandic versions of both questionnaires were administered to patients attending cognitive behavior group therapy in a mental-health setting in Iceland. PSYCHLOPS was found to be considerably more sensitive to change over therapy than CORE-OM; convergent and concurrent validity was supported, and internal reliabilities were satisfactory. The acceptability of the instrument was demonstrated by the high completion rate. Overall, these findings suggest that the Icelandic version of PSYCHLOPS has good psychometric properties, and the findings compared very favorably to previous findings. It is concluded that PSYCHLOPS should be considered a desirable instrument for evaluating mental-health outcome and a valuable complement to conventional nomothetic outcome measures.

Interrater Reliability of Using Brief Standardized Outcome Measures in a Community Mental Health Setting

2011 ◽  
Vol 62 (5) ◽  
pp. 558-560 ◽  
Author(s):  
Dawn I. Velligan ◽  
Linda Lopez ◽  
Desirée A. Castillo ◽  
Bren Manaugh ◽  
A. Camis Milam ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Outcome Measures ◽  
Interrater Reliability ◽  
Mental Health Setting

A qualitative evaluation of an ACT-based substance misuse treatment programme for service users within a secure mental health setting

2019 ◽  
Vol 12 (3) ◽  
pp. 117-131
Author(s):  
Lacey M. Johnson ◽  
Kelly J. Elsegood ◽  
Charlotte Lennox
Keyword(s):  
Mental Health ◽  
Substance Misuse ◽  
Qualitative Evaluation ◽  
Structured Interview ◽  
Service Users ◽  
Treatment Programme ◽  
Mental Health Setting ◽  
Structured Interviews ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to understand service users’ experience of a new acceptance and commitment therapy (ACT)-based substance misuse programme. The programme is designed for people in secure mental health services, presenting with complex mental health difficulties and co-occurring substance misuse problems. Design/methodology/approach A qualitative approach informed an exploratory pilot of this novel intervention. Service users completing a 16-week ACT programme were invited to participate in the current study. Out of the nine individuals enroled on the programme, six opted to take part in the exploratory pilot and completed semi-structured interviews following part 1 of the programme (eight weeks). Four of these participants proceeded into part 2 of the programme (eight weeks) and completed a further semi-structured interview. Findings The thematic analysis identified five main themes: “Increased awareness of personal values and the impact of substance use on values”, “Taking committed action towards values”, “Coping skills and the application of skills to manage difficult thoughts and feelings”, “Personal development” and “Use of metaphors/analogies”. Research limitations/implications A quantitative evaluation of clinical outcomes is recommended to gauge further programme effectiveness. Practical implications The findings provide preliminary support for the use of an ACT-based substance misuse programme in a secure mental health setting. Originality/value This study evaluates the use of a novel ACT-based substance misuse intervention with people in secure mental health care with co-occurring mental health and substance misuse difficulties. This paper provides an in-depth understanding of service users’ experience of participating in this new treatment programme.

scholarly journals Psychometric Properties of the General Organizational Index (GOI): A Measure of Individualization and Quality Improvement to Complement Program Fidelity

2020 ◽  
Vol 47 (6) ◽  
pp. 920-926 ◽  
Author(s):  
Kristin Sverdvik Heiervang ◽  
Karina Myhren Egeland ◽  
Matthew Landers ◽  
Torleif Ruud ◽  
Inge Joa ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Interrater Reliability ◽  
Health Programs ◽  
Evidence Based ◽  
Sensitivity To Change ◽  
Standardized Measures ◽  
Program Fidelity ◽  
Mental Health Practices ◽  
Mental Health Programs

Abstract To assess the implementation of effective practices, mental health programs need standardized measures. The General Organizational Index (GOI), although widely used for this purpose, has received minimal psychometric research. For this study, we assessed psychometric properties of the GOI scale administered four times over 18 months during the implementation of a new program in 11 sites. The GOI scale demonstrated high levels of interrater reliability (.97), agreement between assessors on item ratings (86% overall), internal consistency (.77–.80 at three time points), sensitivity to change, and feasibility. We conclude that the GOI scale has acceptable psychometric properties, and its use may enhance implementation and research on evidence-based mental health practices. Trial registration: REK2015/2169. ClinicalTrials.gov Identifier: NCT03271242

scholarly journals ELPS helps!

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S355-S355
Author(s):  
Rajalakshmi Valaiyapathi ◽  
Ksenia Marjanovic-Deverill ◽  
Kezia Smith
Keyword(s):  
Mental Health ◽  
Gold Standard ◽  
Outcome Measure ◽  
Health Condition ◽  
Good Care ◽  
Liaison Psychiatry ◽  
Face To Face ◽  
Quantitative Results ◽  
Mental Health Unit

AimsThis study aimed to identify whether contact with the Ealing Liaison Psychiatry Service (ELPS) improved patients’ mental health using the Clinical Global Impressions (CGI) scale, and to understand the utility of this tool.BackgroundCGI is a frequently used outcome measure in psychiatry and also forms part of the RCPsych Framework for Outcome Measures in Liaison Psychiatry (FROM-LP) across the NHS's LP Services. However, there is minimal literature discussing the meaning of the quantitative results of the questionnaire. What would be a cut-off point associated with the provision of good care? It is not possible to draw conclusions about the quality of service and care based on the proportion of the patients who report an improvement on CGI in the absence of a gold standard.MethodPatients and their ELPS clinicians filled out a CGI questionnaire, rating the patient's mental health condition after contact with the clinician. The 1-7 rated CGI scale indicated the following: 1-3 signified varying degrees of improvement, 4 signified no change and 5-7 signified varying degrees of feeling worse. This study looked at all 205 patients with completed CGI questionnaires who had more than one face-to-face contact with a clinician in 2018 and 2019.Patient and clinician ratings were compared for concordance and patient notes were reviewed to identify potential reasons for patients with low CGI scores.Randomised sampling of patients who scored 1 ‘Very much improved’, 2 ‘Much improved’ and 3 ‘Minimally improved’ was conducted to identify differences in number of face-to-face contacts between the groups.Result59% of patients reported an improvement, 40% felt that there was no change and 1% (3 patients) indicated feeling worse. Of the latter, 2 patients had been admitted to a mental health unit.91% of cases showed concordance between patient and clinician ratings.Randomised sampling identified 9 patients scoring ‘1’, 22 patients scoring ‘2’ and 16 patients scoring ‘3’. The vast majority of patients had only two contacts with ELPS (77%).ConclusionELPS intervention improves patients’ self-reported wellbeing in 59% of patients according to CGI.There was no correlation between number of face-to-face contacts and the degree to which patients felt better. However, in the absence of a nationally-recognised gold standard, it is not possible to draw conclusions about whether care provided by ELPS is good compared to other services. Data from other centres are required to elucidate what constitutes a gold standard to aspire towards.

scholarly journals The interrater reliability of a routine outcome measure for infants and pre-schoolers aged under 48 months: Health of the Nation Outcome Scales for Infants

BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Peter Brann ◽  
Gordana Culjak ◽  
Nick Kowalenko ◽  
Rosemary Dickson ◽  
Tim Coombs ◽  
...  
Keyword(s):  
Mental Health ◽  
Concurrent Validity ◽  
Interrater Reliability ◽  
Outcome Measure ◽  
Weighted Kappa ◽  
Face Validity ◽  
Advisory Panel ◽  
Measurement Instruments ◽  
Health Measurement ◽  
Routine Outcome Measure

Background A review of Australian mental health services identified a gap in routine outcome measures addressing social, emotional and behavioural domains for pre-schoolers and infants. The Child and Adolescent Mental Health Information Development Expert Advisory Panel Working Group developed the Health of the Nation Outcome Scales for Infants (HoNOSI), a clinician-reported routine outcome measure for use with those aged under 4 years. Prior psychometric testing showed that the HoNOSI was considered to show face validity, and that it met the standards for concurrent validity and internal consistency. Aims We aimed to investigate the interrater reliability of the HoNOSI. Method Forty-five infant mental health clinicians completed HoNOSI ratings on a set of five case vignettes. Results Quadratic weighted kappa interrater reliability estimates showed the HoNOSI to have Almost Perfect interrater reliability for the HoNOSI total score. Of the 15 scales, one had Moderate, seven had Substantial and seven had Almost Perfect interrater reliability. Ten of the fifteen scales and the total score exceeded the COnsensus-based Standards for the Selection of Health Measurement INstruments criteria for interrater reliability (κw ≥ 0.7). Conclusions There has been a clear need for a routine outcome measure for use with infants and pre-schoolers. This study provides evidence of interrater reliability. The current findings, combined with the face and concurrent validity studies, support further examination of HoNOSI in real-world settings.

The Feasibility of Using Body Worn Cameras in an Inpatient Mental Health Setting

2017 ◽  
Vol 13 (01) ◽  
Author(s):  
Hardy S ◽  
Bennett L ◽  
Rosen P ◽  
Carroll S ◽  
White P ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Setting ◽  
Inpatient Mental Health
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