Tidlig avklaring: ny tilnærming for vurdering og planlegging av behandling i poliklinisk psykisk helsevern
Open accessAbstract
Background: Mental health care services are facing challenges due to the increasing number of referrals of patients with multifaceted problems. This study aims to describe the Early Assessment Team (EAT), a novel method of organizing intake assessments for the outpatient mental health service in a community mental health center (CMHC). Method: During the first two years of EAT, 1,034 cases were included in a descriptive quality assurance study. Patient population, method of work, re-referrals and patient satisfaction were evaluated. Results: After contact with EAT, two-thirds of patients were assessed as not in need of further treatment in the outpatient clinic. The assessment was performed during one to three sessions in 90 % of cases. Fewer than 20 % of cases that were screened out by EAT were re-referred to the CMHC within six months. Patients expressed satisfaction with the service. Implications: The results indicate that intake assessment by an early assessment team may be an alternative in clinical practice, though further controlled studies are needed. Keywords: community mental health center (CMHC), health service development, intake assessment, general mental health
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Less than 20% of patients were re-referred within 6 months, and patients expressed satisfaction with the treatment.
“Less than 20% were re-referred within 6 months, and patients expressed satisfaction with the treatment”
From Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial (2024) · cites this paper as [5]
The Appendix B figure reports six-month re-referral rates of 11.1%–17.7%, but only among sampled TA patients who attended and were not referred onward to other mental-health services—not patients generally. In “Pasientenes mening,” over 94% of the 54 survey respondents found their TA contact useful and would likely recommend the service. That supports positive feedback about the service, though the survey did not assess satisfaction with subsequent treatment. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMore than a thousand patients were referred to EaT who were regarded as in need of service based on written referral.
“More than a thousand patients were referred to EaT who were regarded as in need of service based on written referral”
From Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial (2024) · cites this paper as [5]
The Results and ‘Videreføring til allmennpoliklinikk’ sections report that 1,034 patient cases were assigned to the Early Assessment Team. ‘Arbeidsform for Tidlig avklaringsteam’ says intake teams used written referrals to decide whether a case should go to the team for assessment, but it does not say all those patients had already been judged to need services; in typical cases, the appropriate next step was unclear. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe intervention was investigated thoroughly in a pilot study.
“Furthermore, the intervention was investigated thoroughly in a pilot study [5].”
From Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial (2024) · cites this paper as [5]
The Ethics and Statistical Analyses sections describe an evaluation of the new service using clinical data and statistical analyses. But the Discussion says the study was not designed to test the intervention’s effects and calls for further controlled evaluation, so describing it as investigated “thoroughly” overstates what this study established. No page numbers are available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIndividualised measures are often needed to solve the patient's challenge, and interventions other than psychotherapy or advanced psychiatric treatment may be more immediately needed.
“Individualised measures are often needed to solve the patient’s challenge, and often, interventions other than psychotherapy or advanced psychiatric treatment may be more immediately needed [5]”
The demographic form is based on findings from a Norwegian multicentre study of CRTs and was used in the pilot study evaluating the first 2 years of the EaT.
“The form is based on findings from a Norwegian multicentre study of CRTs [76] and was also used in the pilot study evaluating the first 2 years of the EaT being operational [5].”
After EaT assessment, two-thirds of patients were considered to be not in need of further follow-up in a general psychiatric outpatient clinic, and this was clarified over the course of 1-3 meetings in 90% of the cases.
“After EaT assessment, two-thirds of these patients were considered to be not in need of further follow-up in a general psychiatric outpatient clinic; this was clarified over the course of 1–3 meetings in 90% of the cases”
A pilot study evaluating the EaT methodology over its first 2 years indicated a potentially positive effect.
“A pilot study evaluating the EaT methodology over its first 2 years indicated a potentially positive effect [5]”
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Cites
Home visits: a strategy to improve newborn survival - Authors' reply
(2008) · Americanae (AECID Library) · doi:10.1016/s0140 · Cited by 22,524 · see citing works
The psychology of interpersonal relations.
Heider, F. (1958) · doi:10.1037/10628-000 · Cited by 13,457 · see citing works
The alliance in adult psychotherapy: A meta-analytic synthesis
Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018) · Psychotherapy · doi:10.1037/pst0000172 · Cited by 1,763 · see citing works
Evidence on multimorbidity from definition to intervention: An overview of systematic reviews
Xu, X., Mishra, G. D., & Jones, M. (2017) · Ageing Research Reviews · doi:10.1016/j.arr.2017.05.003 · Cited by 397 · see citing works
Social disparities in the prevalence of multimorbidity – A register-based population study
Schiøtz, M. L., Stockmarr, A., Høst, D., Glümer, C., & Frølich, A. (2017) · BMC Public Health · doi:10.1186/s12889-017-4314-8 · Cited by 179 · see citing works
A Systematic Review of Cost-of-Illness Studies of Multimorbidity
Wang, L., Si, L., Cocker, F., Palmer, A. J., & Sanderson, K. (2018) · Applied Health Economics and Health Policy · doi:10.1007/s40258-017-0346-6 · Cited by 178 · see citing works
Post-traumatic stress disorder: medicine and politics
Stein, D. J., Seedat, S., Iversen, A. C., & Wessely, S. C. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60075-0 · Cited by 141 · see citing works
The act of diagnosis: pros and cons of labelling chronic fatigue syndrome
Huibers, M. J. H., & Wessely, S. C. (2006) · Psychological Medicine · doi:10.1017/s0033291705006926 · Cited by 96 · see citing works
Multimorbidity: Implications and directions for health psychology and behavioral medicine.
Suls, J., Green, P. A., & Boyd, C. M. (2019) · Health Psychology · doi:10.1037/hea0000762 · Cited by 52 · see citing works
Being Mentally Ill: A Sociological Theory.
Clausen, J. A., & Scheff, T. J. (1967) · Social Forces · doi:10.2307/2575951 · Cited by 50 · see citing works
Ho, J., Kuluski, K., & Im, J. (2017) · Health Expectations · doi:10.1111/hex.12571 · Cited by 45 · see citing works
Probst, T., Lambert, M. J., Loew, T. H., Dahlbender, R. W., & Tritt, K. (2015) · Psychotherapy Research · doi:10.1080/10503307.2014.981682 · Cited by 35 · see citing works
A report card on the utility of psychiatric diagnosis
FRANCES, A. J. (2016) · World Psychiatry · doi:10.1002/wps.20285 · Cited by 22 · see citing works
Martin, C. M. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12644 · Cited by 17 · see citing works
Heggestad, T., Greve, G., Skilbrei, B., & Elgen, I. (2020) · Acta Paediatrica · doi:10.1111/apa.15250 · Cited by 12 · see citing works
Societal labeling and mental illness
Chesno, F. A., & Kilmann, P. R. (1975) · Journal of Community Psychology · doi:10.1002/1520-6629(197501)3:1 · Cited by 4 · see citing works
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Kvestad, C. A., Holte, I. R., Reitan, S. K., Chiappa, C. S., Helle, G. K., Skjervold, A. E., Rosenlund, A. M. A., Watne, Ø., Brattland, H., Helle, J., et al. (2024) · Trials · doi:10.1186/s13063-024-08028-6 · Cited by 5 · see citing works
Self-citationBedre og enklere tilgang til riktig psykisk helsehjelp
Kvestad, C. A., & Reitan, S. K. (2024) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.24.0384
- Authors
- Holgersen, K. H., Holte, I. R., Gluppe, E., Watne, Ø., Meisingset, W. K., Rostad, M., Arentz, M., Rosenlund, A. M. A., & Brattland, H.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Venue
- Tidsskrift for Norsk psykologforening
- Publisher
- Norsk psykologforening
- Published
- 2021-11-23
- Volume
- 58
- Issue
- 12
- Pages
- 1012-1020
- ISSN
- 0332-6470 (ISSN-L)
- 2703-9528
- OpenAlex
- W3215108788
- Cited by
- 2
- References
- 17
- Citations by year
- 2024: 2
- FWCI
- 0.34
- Type
- journal article
- Language
- nb
- Open access
- bronze
- doi.org
- Locations
- Tidsskrift for Norsk psykologforening (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- intake assessment, community mental health centers, outpatient psychiatric care, treatment planning, re-referral, patient satisfaction, health service development, general mental health
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