Use of standardised outcome measures in adult mental health services: Randomised controlled trial
Open accessAbstract
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 (ISRCTN16971059). 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 (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 admissions.
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Regular outcome assessment is linked to better service delivery and fewer readmissions.
“Regular outcome assessments have been linked to improvements in service delivery and lower readmission rates 103”
From Measuring and improving the quality of mental health care: a global perspective (2018) · cites this paper as [103]
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Cites
Consort 2010 statement: extension to cluster randomised trials
Campbell, M. K., Piaggio, G., Elbourne, D. R., Altman, D. G., & for the CONSORT Group (2012) · BMJ · doi:10.1136/bmj.e5661 · Cited by 3,510 · see citing works
Framework for design and evaluation of complex interventions to improve health
Campbell, M. (2000) · BMJ · doi:10.1136/bmj.321.7262.694 · Cited by 3,474 · see citing works
CONSORT statement: extension to cluster randomised trials
Campbell, M. K., Elbourne, D. R., & Altman, D. G. (2004) · BMJ · doi:10.1136/bmj.328.7441.702 · Cited by 2,557 · see citing works
Health of the Nation Outcome Scales (HoNOS): Research and development
Wing, J. K., Beevor, A. S., Curtis, R. H., Park, S. G. B., Hadden, J., & Burns, A. (1998) · British Journal of Psychiatry · doi:10.1192/bjp.172.1.11 · Cited by 1,203 · see citing works
Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)
Priebe, S., Huxley, P., Knight, S., & Evans, S. (1999) · International Journal of Social Psychiatry · doi:10.1177/002076409904500102 · Cited by 1,071 · see citing works
Self-citationCosting psychiatric interventions.
Beecham, J. K., & Knapp, M. R. J. (1992) · Kent Academic Repository (University of Kent) · Cited by 710 · see citing works
Slade, M., & Thornicroft, G. (2025) · doi:10.1093/med/9780198898818.003.0007 · Cited by 679 · see citing works
Self-citationPatient-focused research: Using patient outcome data to enhance treatment effects.
Lambert, M. J., Hansen, N. B., & Finch, A. E. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.2.159 · Cited by 602 · see citing works
The Brief Psychiatric Rating Scale (BPRS): Recent developments in ascertainment and scaling.
Overall, J. E., & Gorham, D. R. (1988) · Cited by 586 · see citing works
Overall, J. (1988) · Medical Entomology and Zoology · Cited by 432 · see citing works
Routinely administered questionnaires for depression and anxiety: systematic review
Gilbody, S. M., House, A. O., & Sheldon, T. (2001) · BMJ · doi:10.1136/bmj.322.7283.406 · Cited by 328 · see citing works
Thornicroft, G., Strathdee, G., Phelan, M., Holloway, F. A., Wykes, T., Dunn, G., McCrone, P., Leese, M., Johnson, S., & SZMUKLER, G. I. (1998) · The British Journal of Psychiatry · doi:10.1192/bjp.173.5.363 · Cited by 321 · see citing works
Self-citationGrosser, R. C. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199407000-00029 · Cited by 311 · see citing works
Psychiatrists in the UK do not use outcomes measures
Gilbody, S. M., House, A. O., & Sheldon, T. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.180.2.101 · Cited by 231 · see citing works
McCabe, R., Skelton, J., Heath, C., Burns, T., & Priebe, S. (2002) · BMJ · doi:10.1136/bmj.325.7373.1148 · Cited by 219 · see citing works
Self-citationPatient-rated mental health needs and quality of life improvement
Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.187.3.256 · Cited by 189 · see citing works
Self-citationRosen, A., Strathdee, G., Slade, M., & Powell, R. (2000) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050011 · Cited by 127 · see citing works
Self-citationRoutine outcome assessment in mental health services
Slade, M. (2002) · Psychological Medicine · doi:10.1017/s0033291701004974 · Cited by 111 · see citing works
Self-citationSlade, M. (2002) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2002.01099.x · Cited by 102 · see citing works
Self-citationReliable Self-Report of Health Service Use by Individuals With Serious Mental Illness
Goldberg, R. W., Seybolt, D. C., & Lehman, A. F. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.7.879 · Cited by 101 · see citing works
What information do clinicians value for monitoring adolescent client progress and outcomes?
Bickman, L., Rosof-Williams, J., Salzer, M. S., Summerfelt, W. T., Noser, K., Wilson, S. J., & Karver, M. S. (2000) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.31.1.70 · Cited by 101 · see citing works
Gilbody, S. M., House, A. O., & Sheldon, T. (2002) · Psychological Medicine · doi:10.1017/s0033291702006001 · Cited by 100 · see citing works
Can You Trust Self-Report Data Provided By Homeless Mentally Ill Individuals?
Calsyn, R. J., Allen, G., Morse, G. A., Smith, R. D., & Tempelhoff, B. (1993) · Evaluation Review · doi:10.1177/0193841x9301700306 · Cited by 94 · see citing works
McCabe, R., Röder‐Wanner, U., Hoffmann, K. G., & Priebe, S. (1999) · International Journal of Social Psychiatry · doi:10.1177/002076409904500406 · Cited by 90 · see citing works
Self-citationGuest, L. (2000) · The British Journal of Psychiatry · doi:10.1192/bjp.177.5.474 · Cited by 83 · see citing works
A Bayesian approach to sensitivity analysis
Felli, J. C., & Hazen, G. B. (1999) · Health Economics · doi:10.1002/(sici)1099-1050(199905)8:3 · Cited by 77 · see citing works
A BAYESIAN APPROACH TO STOCHASTIC COST-EFFECTIVENESS ANALYSIS
Briggs, A. H. (2001) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462301104071 · Cited by 68 · see citing works
Evaluation of the Two-Way Communication Checklist as a clinical intervention
van Os, J., Altamura, A. C., Bobes, J., Gerlach, J., Hellewell, J. S. E., Kasper, S. F., Naber, D., & Robert, P. H. (2003) · The British Journal of Psychiatry · doi:10.1192/bjp.184.1.79 · Cited by 67 · see citing works
Quality Indicators and Monitoring of Mental Health Services: What Do Frontline Providers Think?
Valenstein, M. M., Mitchinson, A., Ronis, D. L., Alexander, J. A., Duffy, S. A., Craig, T., & Barry, K. L. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.1.146 · Cited by 56 · see citing works
Gilbody, S. M., & Whitty, P. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.180.1.13 · Cited by 52 · see citing works
Routine outcome measurement by mental health-care providers: is it worth doing?
Bilsker, D., & Goldner, E. M. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11610-2 · Cited by 43 · see citing works
Hodges, K. K., & Wotring, J. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.4.396 · Cited by 41 · see citing works
Systematic assessments of need and care planning in severe mental illness
Marshall, M., Lockwood, A., Green, G., Zajac-Roles, G., Roberts, C., & Harrison, G. (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.185.2.163 · Cited by 39 · see citing works
Ashaye, O., Livingston, G., & Orrell, M. W. (2003) · Aging & Mental Health · doi:10.1080/1360786031000101166 · Cited by 35 · see citing works
Routine outcome measurement by mental health-care providers
Callaly, T., Coombs, T., & Berk, M. (2003) · The Lancet · doi:10.1016/s0140-6736(03)12883-8 · Cited by 16 · see citing works
Routine outcome measurement by mental health-care providers
Trauer, T. (2003) · The Lancet · doi:10.1016/s0140-6736(03)12897-8 · Cited by 12 · see citing works
Mishra, P., Shukla, B., & Sujatha, R. (2021) · Routledge eBooks · doi:10.4324/9781003191346-3 · Cited by 10 · see citing works
Gough, D., & Boaz, A. (2015) · Evidence & Policy · doi:10.1332/174426415x14465420257907 · Cited by 7 · see citing works
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Research works printed but not linked: 4
- Bootstrapped confidence interval using percentile method and controlling for baseline service use. https://doi.org/10.1192/bjp.bp.105.015412 Published online by Cambridge University Press
- In the patient version, wording was altered to refer to staff giving care. https://doi.org/10.1192/bjp.bp.105.015412 Published online by Cambridge University Press
- Lambert, M. J., Hansen, N. B. & Finch, A. Lambert, M. J., Hansen, N. B. & Finch, A. (2001) (2001) Evaluation of theTwo-Way Communication Checklist as a Evaluation of theTwo-Way Communication Checklist as a clinicalintervention.Results of a multinational, randomised clinicalintervention.Resultsof a multinational, randomised controlledtrial. controlledtrial. British Journal of Psychiatry British Journalof Psychiatry, ,184 184,79^83. ,79^83.
- Psychiatry,King's College London, London SE5 8AF,UK.Tel.: +44 (0) 20 7848 0795; fax: +44 (0) 20 7277 14 62; email: m.slade 14 62; email: m.slade@ @iop.kcl.ac.uk iop.kcl.ac.uk (First received 18 July 2005, final revision 31 October 2005, accepted 6 December 2005) (First received 18 July 2005, final revision 31 October 2005, accepted 6 December 2005) https://doi.org/10.1192/bjp.bp.105.015412 Published online by Cambridge University Press
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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
Holländare, F., Andersson, G., & Engström, I. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1392 · Cited by 179 · see citing works
Priebe, S., Kelley, L., Omer, S., Golden, E., Walsh, S., Khanom, H., Kingdon, D., Rutterford, C., McCrone, P., & McCabe, R. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000430991 · Cited by 140 · see citing works
Self-citation
- Authors
- Slade, M., McCrone, P., Kuipers, E., Leese, M., Cahill, S., Parabiaghi, A., Priebe, S., & Thornicroft, G.
- Affiliations
- King's College London (GB)
- University of East London (GB)
- University of London (GB)
- Corresponding author
- Slade, Mike
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2006-10
- Volume
- 189
- Issue
- 4
- Pages
- 330-336
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W1980099595
- Cited by
- 147
- References
- 38
- Citations by year
- 2025: 1 · 2024: 6 · 2022: 1 · 2021: 3 · 2020: 24 · 2019: 3 · 2018: 7 · 2017: 2 · 2016: 7 · 2015: 9 · 2014: 5 · 2013: 10 · 2012: 13
- FWCI
- 12.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- outcome measurement, adult mental health services, patient feedback, unmet needs, quality of life, therapeutic relationship, psychiatric hospital admissions, cost-effectiveness, mental health services evaluation
- MeSH terms
- Adult, Mental Disorders, Female, Health Status, Health Status Indicators, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Psychiatric Status Rating Scales, Outcome Assessment, Health Care
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