OBJECTIVE: The study attempted to develop a brief and integrated set of reliable and valid outcome measures that could be used by both consumers and providers to assess the quality of public mental health care. METHODS: A model of outcomes in four domains-consumer satisfaction, functioning, quality of life, and clinical status-was developed from the literature and from the priorities expressed by members of an advisory group of stakeholders. Based largely on extant measures, a consumer survey and a case manager survey were then created to assess these domains. A total of 236 adult consumers of mental health services from six community mental health centers in Washington State were surveyed. The four-item case manager survey to rate consumers' clinical status was completed by 163 of the participants' case managers. Scores and ratings on the survey were analyzed using correlational analysis and principal components analysis to determine whether the data provided empirical support for the four-domain model. RESULTS: Principal components analysis demonstrated support for the four-domain model. Internal consistency of the outcome indicators was adequate, and their concurrent validity was partly supported. CONCLUSIONS: The described outcome measures provide a practical, empirically supported structure for monitoring and improving public mental health services.
OBJECTIVE: The study attempted to develop a brief and integrated set of reliable and valid outcome measures that could be used by both consumers and providers to assess the quality of public mental health care. METHODS: A model of outcomes in four domains-consumer satisfaction, functioning, quality of life, and clinical status-was developed from the literature and from the priorities expressed by members of an advisory group of stakeholders. Based largely on extant measures, a consumer survey and a case manager survey were then created to assess these domains. A total of 236 adult consumers of mental health services from six community mental health centers in Washington State were surveyed. The four-item case manager survey to rate consumers' clinical status was completed by 163 of the participants' case managers. Scores and ratings on the survey were analyzed using correlational analysis and principal components analysis to determine whether the data provided empirical support for the four-domain model. RESULTS: Principal components analysis demonstrated support for the four-domain model. Internal consistency of the outcome indicators was adequate, and their concurrent validity was partly supported. CONCLUSIONS: The described outcome measures provide a practical, empirically supported structure for monitoring and improving public mental health services.
Authors: Susan V Eisen; Pradipta Seal; Mark E Glickman; Dharma E Cortés; Mariana Gerena-Melia; Sergio Aguilar-Gaxiola; Vivian E Febo San Miguel; Jesús Soto-Espinosa; Cristina Magaña; Glorisa Canino Journal: J Behav Health Serv Res Date: 2009-03-28 Impact factor: 1.505
Authors: Marjolein Veerbeek; Richard Oude Voshaar; Marja Depla; Anne Margriet Pot Journal: Int J Methods Psychiatr Res Date: 2013-05-16 Impact factor: 4.035
Authors: Christopher M Perlman; John P Hirdes; Howard Barbaree; Brant E Fries; Ian McKillop; John N Morris; Terry Rabinowitz Journal: BMC Health Serv Res Date: 2013-01-10 Impact factor: 2.655