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. Readership: 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.
AWARD-WINNING ~ Highly Commended in the Psychiatry category of the 2011 BMA Medical Book Awards ~ “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 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. Contents Introduction: an evolving perspective of mental health outcome measures Part I. Methodological issues 1 Measures of outcomes that are valued by service users 2 Statistical methods for measuring outcomes 3 Assessment instruments in mental health: description and metric properties 4 Using outcomes in routine clinical practice to support recovery Part II. Domains of outcome measurement 5 Global functioning scales 6 Satisfaction with mental health services 7 Measuring family and carer burden in severe mental illness: the instruments 8 Measures of quality of life for persons with severe mental disorders 9 Measuring social disabilities in mental health and employment outcomes 10 Measuring the costs of mental healthcare 11 Assessing needs for mental healthcare 12 Measuring stigma and discrimination related to mental illness Part III. Symptom severity outcome measures 13 Top-down versus bottom-up measures of depression 14 Symptom severity outcome measures for depression 15 Outcome measures for people with personality disorders 16 The Schedules for Clinical Assessment in Neuropsychiatry and the tradition of the Present State Examination Part IV. International approaches to outcome assessment 17 Psychiatric assessment instruments developed by the World Health Organization 18 Measuring outcomes in mental health: implications for policy 19 Outcome measures for the treatment of depression in primary care |