This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.or

Alberto Parabiaghi

Beecham

Caslyn

Elizabeth Kuipers

Gilbody

Graham Thornicroft

Iles

Mike Slade

Morven Leese

Netten

Nutley

Overall

Paul McCrone

Sharon Cahill

Slade

Stefan Priebe

The British Journal of Psychiatry

English

Background Routine use of standardised outcome measures is not universal. Aims To evaluate the effectiveness of standardised outcome assessment. Method A randomised controlled trial, involving 160 representative adult mental health patients and paired staff (ISRCTNI6971059). The intervention group (n=101) (a) completed monthly postal questionnaires assessing needs, quality of life, mental health problem severity and therapeutic alliance, and (b) received 3-monthly feedback. The control group (n=59) received treatment as usual. Results The intervention did not improve primary outcomes of patient-rated unmet need and of quality of life. Other subjective secondary outcome measures were also not improved. The intervention reduced psychiatric inpatient days (3.5 v. 16.4 mean days, bootstrapped 95% CI 1.6-25.7), and hence service use costs were 2586 pound (95% CI 102-5391) less for intervention-group patients. Net benefit analysis indicated that the intervention was cost-effective. Conclusions Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admission

Slade, M

McCrone, P

Kuipers, E

Leese, M

Cahill, S

Parabiaghi, A

Priebe, S

Thornicroft, G

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Use of standardised outcome measures in adult mental health services - Randomised controlled trial

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Use of standardised outcome measures in adult mental health services

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