Evidence-based medicine demands that clinical outcomes are measurable and practicable. Yet mental health outcomes have always been notoriously difficult to quantify. This book guides the reader through the minefield of outcome measurement, providing the building blocks for evidence-based mental health service provision and evaluation. This new edition charts the increased range of outcome domains that are now measurable, while reflecting a new emphasis on positive outcomes and recovery, and the central role of the service user's experience. Fully revised and updated. New service-user focus and emphasis on recovery. Guide to a key aspect of evidence-based practice. With authors drawn from centres of excellence around the world, this volume will be essential for all those involved in research, commissioning and provision of mental health services.
Evidence-based medicine demands that clinical outcomes are measurable and practicable. Yet mental health outcomes have always been notoriously difficult to quantify. This book guides the reader through the minefield of outcome measurement, providing the building blocks for evidence-based mental health service provision and evaluation.
List of tables, boxes and figures; List of contributors; Foreword David Goldberg; Foreword Robert E. Drake; Preface: an evolving perspective of mental health outcome measures; Part I. Methodological Issues: 1. Measures of outcomes that are valued by service users Thomas Kahir and Til Wykes; 2. Statistical methods for measuring outcomes Graham Dunn; 3. Assessment instruments in mental health: description and metric properties Luis Salvador-Carulla and Juan-Luis Gonzalez-Caballero; 4. Using outcomes in routine clinical practice to support recovery Mike Slade, Lindsay Oades and Bernd Puschner; Part II. Domains of Outcome Measurement: 5. Global functioning scales Emese Csipke and Til Wykes; 6. Satisfaction with mental health services Mirella Ruggeri; 7. Measuring family and carer burden in severe mental illness: the instruments Bob van Wijngaarden and Aart H. Schene; 8. Measures of quality of life for persons with severe mental disorders Anthony F. Lehman and Antonio Lasalvia; 9. Measuring social disabilities in mental health and employment outcomes Durk Wiersma and Thomas Becker; 10. Measuring the costs of mental healthcare Paul McCrone and Scott Weich; 11. Assessing needs for mental healthcare Mike Slade, Sonia Johnson, Michael Phelan and Graham Thornicroft; 12. Measuring stigma and discrimination related to mental illness Elaine Brohan, Mike Slade, Sarah Clement and Graham Thornicroft; Part III. Symptom Severity Outcome Measures: 13. Top-down versus bottom-up measures of depression David Goldberg; 14. Symptom severity outcome measures for depression Tom Trauer and David J. Castle; 15. Outcome measures for people with personality disorders Paul Moran and Rohan Borschmann; 16. The Schedules for Clinical Assessment in Neuropsychiatry and the tradition of the Present State Examination John K. Wing and Traolach S. Brugha; Part IV. International Approaches to Outcome Assessment: 17. Psychiatric assessment instruments developed by the World Health Organization Norman Sartorius, Aleksander Janca, Shekhar Saxena and T. Bedirhan UEstun; 18. Measuring outcomes in mental health: implications for policy Rachel Jenkins, Graham Mellsop and Bruce Singh; 19. Outcome measures for the treatment of depression in primary care William E. Narrow and Farifteh F. Duffy; Index.
"This well-established book covers the ground in a way that I found most helpful. It's up-to-date and well-produced." - BMA Medical Book Awards 2011 Programme
This book guides the reader through the minefield of outcome measurement, providing the building blocks for evidence-based mental health service provision and evaluation.
About the editors:
Graham Thornicroft is Professor of Psychiatry at the Institute of Psychiatry, London and Michele Tansella is Professor of Psychiatry at the University of Verona, Italy.