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BACKGROUND The Health of the Nation Outcome Scales was developed to routinely measure outcomes for adults with mental illness. Comparable instruments were also developed for children and adolescents (the Health of the Nation Outcome Scales for Children and Adolescents) and older people (the Health of the Nation Outcome Scales 65+). All three are being(More)
BACKGROUND Many countries have set targets for suicide reduction, and suggested that mental health care providers and general practitioners have a key role to play. METHOD A systematic review of the literature. RESULTS Among those in the general population who commit suicide, up to 41% may have contact with psychiatric inpatient care in the year prior(More)
Although suicide in Asia is widely recognized as a compelling problem, obtaining accurate data about suicide in Asia has proved difficult. Some countries make no effort to collect data on the causes of death. In many Asian countries deaths occur without medical certification of the cause and may be reported by family members or other lay people who do not(More)
This study examined the self-reported needs of suicidal users of mental health services and the extent to which needs were met. Data on 10,641 adults were available from the Australian National Survey of Mental Health and Wellbeing. In the year before the survey, 245 persons with suicidal ideation used services, 37 of whom had attempted suicide. Suicidal(More)
OBJECTIVE Although Australia and the UK have both made efforts to systematize outcome measurement in mental health services, surprisingly little attention has been paid to how best to analyse routine outcome data in order to determine how services are performing. METHODS Outcome data collected in acute inpatient and ambulatory mental health services(More)
OBJECTIVES To provide an overview of 12 month rates of service use for mental health problems and mental disorders by the general Australian adult population. METHOD Data came from the 2007 National Survey of Mental Health and Wellbeing (2007 NSMHWB), a nationally representative household survey of 8841 individuals aged between 16 and 85 years. RESULTS(More)
OBJECT The concept of recovery has been recognized as important in the treatment of mental illness. A number of specific instruments exist which are designed to: (i) measure recovery at an individual level; and (ii) assess the recovery orientation of services. The current review aimed to identify these and evaluate their potential for routine use in(More)
BACKGROUND Australia's National Mental Health Strategy has emphasised the quality, effectiveness and efficiency of services, and has promoted the collection of outcomes and casemix data as a means of monitoring these. All public sector mental health services across Australia now routinely report outcomes and casemix data. Since late-2003, the Australian(More)
This paper describes the outcomes of episodes of care for adults in public sector mental health services across Australia, with a view to informing the debate on service quality. Health of the Nation Outcome Scales (HoNOS) change scores and effect sizes were calculated for 14,659 acute inpatient episodes and 23,692 community episodes. The results showed(More)
This article introduces the role economics can play in deciding whether programs designed to prevent mental disorders, which carry large disease and economic burdens, are a worthwhile use of limited healthcare resources. Fortunately, preventive interventions for mental disorders exist; however, which interventions should be financed is a common issue facing(More)