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Assessing Outcomes in Clinical Practice

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Abstract

We are witnessing a remarkable explosion in interest and activity in quantifying outcomes and using these measures to enhance the value of clinical care. Outcomes assessment has become an imperative for clinical practice. This paper first will offer criteria for an ideal system of outcomes assessment. The paper will then review the principal domains of assessment for psychiatric practice and provide examples of instruments available in each domain. We will then describe the use of two instruments, one for clinical outcome and one for interpersonal aspects of patient satisfaction, developed and used at McLean Hospital. The relation between outcomes assessment and outcomes management will then be discussed. Finally, we will discuss the fundamental questions a clinical group or facility might consider in choosing outcomes measurement instruments.

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REFERENCES

  1. Donabedian, A: Explorations in quality assessment and monitoring: the definition of quality and approaches to its assessment. Ann Arbor, MI, Health Administration Press, 1980, Vol. 1.

    Google Scholar 

  2. Donabedian, A.: Explorations in quality assessment and monitoring: the criteria and standards of quality. Ann Arbor, MI, Health Administration Press, 1982, Vol. 2.

    Google Scholar 

  3. Sederer, LI, Dickey, B: Outcomes Assessment in Clinical Practice, Baltimore, MD, Williams & Wilkins, 1996.

    Google Scholar 

  4. Ware, JE, Sherbourne, CD: The MOS 36-item short-form health status survey (SF-36), I. Conceptual framework and item selection, Med Care, 1992; 30:253–265.

    Google Scholar 

  5. Lehman, AF: A quality of life interview for the chronically mentally ill, Eval Prog Planning, 1988; 11:51–62.

    Google Scholar 

  6. American Psychiatric Association, Diagnostic and Statistical Manual, 4th edition, Washington, DC, American Psychiatric Association Press, 1994.

    Google Scholar 

  7. McLellan, AT, Cacciola, J, Kushner, H, Peters, R, Smith, I, Pettinati, H: The fifth edition of the addiction severity index: cautions, additions and normative data, J Substance Abuse Treatment, 1992; 9:461–480.

    Google Scholar 

  8. Smith, GR, Burman, MA, Burns, BJ: The depression outcomes module, University of Arkansas for Medical Sciences, Little Rock, Centers for Mental Healthcare Research, 1995.

    Google Scholar 

  9. Achenbach, TM: Integrative guide for the 1991 CBCL/4–18, YSR and TRF profiles, Burlington, University of Vermont, Dept. of Psychiatry, 1991.

    Google Scholar 

  10. Beck, AT, Steer, RA: Manual for the Beck Depression Inventory, San Antonio, Psychological Corporation, 1993.

    Google Scholar 

  11. Overall, JE, Gorham, DR: The brief psychiatric rating scale, Psychol Rep, 1962; 10: 799–812.

    Google Scholar 

  12. Rosen, A, Hadzi-Pavlovic, D, Parker, G: The life skills profile: a measure assessing function and disability in schizophrenia, Schizophrenia Bull, 1989; 15:325–337.

    Google Scholar 

  13. Attkisson, CC, Greenfield, TK: The client satisfaction questionnaire-8 and the service satisfaction questionnaire-30, In Marush, ME (ed); The use of psychological testing for treatment planning and outcome assessment, Hillsdale, NJ, Lawrence Erlbaum Associates, 1994.

    Google Scholar 

  14. Eisen, SV, Dill, DL, Grob, MC: Reliability and validity of a brief patient-report instrument for psychiatric outcome evaluation, Hosp Community Psych, 1994; 45:242–247.

    Google Scholar 

  15. McLean Reports: Clinical Quality Initiatives for Improving Patient Care, Vol 1, November 1995, McLean Hospital.

  16. McLean Reports: Clinical Quality Initiatives for Improving Patient Care, Vol 3, July 1996, McLean Hospital.

  17. Dickey, B, Sederer, LI: Assessing quality of care in clinical practice, In: Sederer, LI, Rothschild, AJ, Acute Care Psychiatry: Diagnosis and Treatment, 1997, Baltimore, MD, Williams & Wilkins, pp. 503–541.

    Google Scholar 

  18. Edgman-Levitan, S, Cleary, P: What information do consumers want and need? Health Affairs, 1996; 15(4): 42–56.

    Google Scholar 

  19. McLean Reports: Clinical Quality Initiatives for Improving Patient Care, Vol 2, February 1996, McLean Hospital.

  20. Ellwood, P: Outcomes management: a technology of patient experience, New Engl J Med, 1988; 318:1549–1556.

    Google Scholar 

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Authors and Affiliations

  1. McLean Hospital, USA

    Lloyd I. Sederer (Medical Director)

  2. Harvard Medical School, USA

    Lloyd I. Sederer (Medical Director) & Susan V. Eisen (Assistant Director, Department of Mental Health Services Research, McLean Hospital)

  3. Department of Mental Health Services Research, McLean Hospital, Associate Professor of Psychology, Harvard Medical School, USA

    Barbara Dickey (Director) & Susan V. Eisen (Assistant Director, Department of Mental Health Services Research, McLean Hospital)

Authors
  1. Lloyd I. Sederer
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  2. Barbara Dickey
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  3. Susan V. Eisen
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Sederer, L.I., Dickey, B. & Eisen, S.V. Assessing Outcomes in Clinical Practice. Psychiatr Q 68, 311–325 (1997). https://doi.org/10.1023/A:1025490930088

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  • DOI: https://doi.org/10.1023/A:1025490930088

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