The impact of routine outcome measurement on treatment processes in community mental health care: approach and methods of the MECCA study
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SUMMARY: Three issues characterise the background to the MECCA study: A) Throughout Europe, most patients with severe forms of psychotic disorders are cared for in the community. The challenge now is to make processes in community mental health care more effective. B) There are widespread calls to implement regular outcome measurement in routine settings. This, however, is more likely to happen, if it provides a direct benefit to clinicians and patients. C) Whilst user involvement is relatively ?" easy to achieve on a political level, new mechanisms may have to be established to make the views of patients feed into individual treatment decisions. The MECCA study is a cluster randomised controlled trial following the same protocol in community mental health teams in six European countries. In the experimental group, patients' subjective quality of life, treatment satisfaction and wishes for different or additional help are assessed in key worker-patient meetings every two months and intended to inform the therapeutic dialogue and treatment decisions. The trial tests the hypothesis that the intervention – as compared to current best standard practice – will lead to a better outcome in terms of quality of life and other criteria in patients with psychotic disorders over a one year period. This more favourable outcome is assumed to be mediated through different treatment input based on more appropriate joint decisions or a more positive therapeutic relationship in line with a partnership model of care or both. Moreover, the study will hopefully reveal new insights into how therapeutic processes in community mental health care work and how they can be optimised.
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Routine outcome measurement that clinicians received and used with patients to decide treatment jointly improved quality of life.
“routine outcome measurement that was fed back to the clinician and used to make joint treatment decisions with the patient did lead to better quality of life 105”
From Measuring and improving the quality of mental health care: a global perspective (2018) · cites this paper as [105]
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Measuring and improving the quality of mental health care: a global perspective
Kilbourne, A. M., Beck, K., Spaeth‐Rublee, B., Ramanuj, P., O'Brien, R. W., Tomoyasu, N., & Pincus, H. A. (2018) · World Psychiatry · doi:10.1002/wps.20482 · Cited by 457 · see citing works
- Authors
- Priebe, S., McCabe, R., Bullenkamp, J., Hansson, L., Rössler, W., Torres-Gonzales, F., & Wiersma, D.
- Affiliations
- University of London (GB)
- Queen Mary University of London (GB)
- Venue
- Epidemiologia e Psichiatria Sociale
- Publisher
- Cambridge University Press (CUP)
- Published
- 2002-09
- Volume
- 11
- Issue
- 3
- Pages
- 198-205
- ISSN
- 1121-189X (ISSN-L)
- 2038-1816
- OpenAlex
- W1997884239
- Cited by
- 45
- References
- 53
- Citations by year
- 2025: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 1 · 2013: 1 · 2012: 1
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiologia e Psichiatria Sociale (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- reroDoc Digital Library (submittedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- routine outcome measurement, community mental health services, psychosis, patient involvement in treatment decisions, quality of life, treatment satisfaction, therapeutic relationship
- MeSH terms
- Community Mental Health Services, Europe, Humans, Psychotic Disorders, Quality of Life, Multicenter Studies as Topic, Randomized Controlled Trials as Topic, Patient Satisfaction, Outcome Assessment, Health Care
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