Routine outcome measurement by mental health-care providers: is it worth doing?

  title={Routine outcome measurement by mental health-care providers: is it worth doing?},
  author={Dan Bilsker and Elliot M. Goldner},
  journal={The Lancet},
In the USA, many health maintenance organisations and state governments require specific outcome measures to be used routinely by mental health care providers. 6,7 However, reliance on treatment providers as the source of data raises a serious methodological concern. Quite apart from pragmatic difficulties that arise if we impose the burden of outcome measurement on this community (lack of motivation for accurate data collection, 8 reallocation of scarce clinical time, cost of training, etc… 
Objections to routine clinical outcomes measurement in mental health services: any evidence so far?
An observational study of routine ratings using HoNOS65+ at inception/admission and again at discharge in an old age psychiatry service from 1997 to 2008 found no evidence of gaming, selection, attrition or detection bias, and RCOM seems valid and practical in mental health services.
Quality assurance in psychiatry: quality indicators and guideline implementation
Carefully used, the use of quality indicators and improved guideline adherence can address suboptimal clinical outcomes, reduce practice variations, and narrow the gap between optimal and routine care.
Use of standardised outcome measures in adult mental health services
Routine use of outcome measures as implemented in this study did not improve subjective outcomes, but was associated with reduced psychiatric inpatient admissions.
The Need to Adapt Standardized Outcomes Measures for Community Mental Health
The authors discuss the problems they have experienced with three common survey design strategies, which result in measures whose length and cognitive complexity may compromise their validity in community settings.
Routine Outcome Measurement: A Survey of UK Child and Adolescent Mental Health Services.
A cross-sectional survey of UK CAMHS revealed that although quantitative clinical measures are commonly used within these services, there is little uniformity in the instruments utilised, and they rarely inform a system of routine outcome measurement.
Routine Assessment of Patient‐Reported Outcomes in Behavioral Health: Room for Improvement
A Web-based system designed to routinely collect quality-of-life ratings from patients in outpatient behavioral health clinics is described, allowing for real-time feedback at the patient levels regarding clinical improvement.
Provider-Associated Measurement Error in Routine Outcome Monitoring in Community Mental Health
  • E. Treichler, W. Spaulding
  • Psychology, Medicine
    Administration and Policy in Mental Health and Mental Health Services Research
  • 2018
The findings supported past research that provider characteristics impact ROM, and added the novel finding that client gender, age, diagnosis, and cognition also impact ROM.
Routine outcome measurement in mental health service consumers: who should provide support for the self-assessments?
Differences found in functioning assessment might indicate that when measuring quality of life and recovery, different supporting methods can be used to gather outcome measures and internal staff might be a good default agency to do this.
Using Mental Health Outcome Measures in Everyday Clinical Practice
Clinicians’ lack of adherence to MH-OAT and use of MHOAT data are discussed in terms of passive resistance and their possible perception that the process is largely irrelevant to the care of their clients.
Routine clinical outcomes measurement in old age psychiatry
It is puzzling that major public health systems in the developed world do not engage in the routine clinical outcomes measurement (RCOM) of their interventions. For example, the budget of the U.K.


Attitudes of mental health personnel towards rating outcome.
If the findings are corroborated, attention will need to be paid to staff attitudes to outcome assessment so that ratings are more reliable and valid, properly inform treatment and meaningfully influence resource allocation.
The feasibility of routine outcome measures in mental health
If mental health care is to maximise outcome, then more attention needs to be paid both to the process of developing and to facilitating the routine clinical use of feasible outcome measures.
Evidence based practice in mental health
An approach that acknowledges that mental health services should be fundamentally evidence based and helps define what constitutes the best available evidence should clarify decision making.
Mental Health Services Outcome Evaluation
There is an urgent need for pertinent outcome information. Relevance for decision makers must take priority over scientific rigor. However, a review of computer-identified outcome evaluation reports
Implementing evidence-based practices for persons with severe mental illnesses.
An implementation plan for evidence-based practices based on the use of toolkits to promote the consistent delivery of such practices and to address the concerns of mental health authorities (funders), administrators of provider organizations, clinicians, and consumers and their families are described.
The Imperative of Outcome Assessment in Psychiatry
  • L. Sederer, R. Hermann, B. Dickey
  • Medicine
    American journal of medical quality : the official journal of the American College of Medical Quality
  • 1995
The value of linking outcome assessment to data on patient char acteristics and service utilization are discussed in order to gain insight into the relationship between treatment and outcome.
Routinely administered questionnaires for depression and anxiety: systematic review
Little evidence shows that it is of benefit in improving psychosocial outcomes of those with psychiatric disorder managed in non-psychiatric settings, and the routine measurement of outcome is a costly exercise.
Implementing outcomes management systems in mental health settings.
Seven key issues that must be addressed in planning an outcomes management system are reviewed: involving senior organizational leaders in ownership of the project, securing the support of clinicians and patients, selecting personnel to operate the system, choosing outcomes assessment instruments, developing data collection procedures, selecting techniques for data management, and using the data to improve outcomes.
The measurement and management of clinical outcomes in mental health
Outcomes Management in Managed Behavioral Healthcare: Defining and Measuring Clinical and Utilization Outcomes, and Methods of Outcome Management.
Mental Health Outcome Evaluation
Why Evaluate Mental Health Service Outcomes? A Different Perspective: Practical Outcome Evaluation. So, How Do We Tell if Something Works? What Should Be Measured? Issues. What Should Be Measured?