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Use of standardised outcome measures in adult mental health services: randomised controlled trial
- Authors:
- SLADE Mike, et al
- Journal article citation:
- British Journal of Psychiatry, 189(4), October 2006, pp.330-336.
- Publisher:
- Cambridge University Press
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. 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% CI1.6–25.7), 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. Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admissions.