Outcome management in in-patient psychiatric care
Article first published online: 26 MAY 2009
© 2009 John Wiley & Sons A/S
Acta Psychiatrica Scandinavica
Volume 120, Issue 4, pages 308–319, October 2009
How to Cite
Puschner, B., Schöfer, D., Knaup, C. and Becker, T. (2009), Outcome management in in-patient psychiatric care. Acta Psychiatrica Scandinavica, 120: 308–319. doi: 10.1111/j.1600-0447.2009.01397.x
- Issue published online: 10 SEP 2009
- Article first published online: 26 MAY 2009
- Accepted for publication March 25, 2009
- randomized controlled trial;
- health service;
Objective: To delineate methods and to describe patient appraisal as well as effect of outcome management in in-patient psychiatric care.
Method: Two hundred and ninety-four adults with mental illness receiving in-patient treatment at a psychiatric hospital in rural Bavaria gave informed consent to participate in this cluster-randomised trial. Participants were asked to provide information on treatment outcome via weekly computerised standardised assessments. Patients and clinicians in the intervention group received continuous feedback of outcome.
Results: Patients were willing and able to regularly provide outcome data and valued feedback. However, use of feedback in conversations between patient and clinician was rare. Outcome management failed to impact on patient-rated outcome during in-patient treatment.
Conclusion: Outcome management is feasible in people receiving in-patient psychiatric care, but failed to show an overall short-term effect. Strategies need to be developed to improve active use of routinely collected treatment outcome data in mental health care.