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Routine outcome monitoring mental health

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https://www.readbyqxmd.com/read/29453304/protocol-investigating-the-clinical-utility-of-an-objective-measure-of-attention-impulsivity-and-activity-qbtest-for-optimising-medication-management-in-children-and-young-people-with-adhd-qbtest-utility-for-optimising-treatment-in-adhd-quota-a-feasibility
#1
Charlotte L Hall, Marilyn James, Sue Brown, Jennifer L Martin, Nikki Brown, Kim Selby, Julie Clarke, Hena Vijayan, Boliang Guo, Kapil Sayal, Chris Hollis, Madeleine J Groom
INTRODUCTION: Attention-deficit hyperactivity disorder (ADHD) is characterised by symptoms of inattention, hyperactivity and impulsivity. To improve outcomes, the National Institute for Health and Care Excellence ADHD guidelines recommend regular monitoring of symptoms when children commence medication. However, research suggests that routine monitoring rarely happens, and clinicians often rely on subjective information such as reports from parents and teachers to ascertain improvement...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29432227/the-global-epidemiology-of-adolescents-living-with-hiv-time-for-more-granular-data-to-improve-adolescent-health-outcomes
#2
Amy L Slogrove, Annette H Sohn
PURPOSE OF REVIEW: The aim of this study was to summarize recent evidence on the global epidemiology of adolescents (age 10-19 years) living with HIV (ALHIV), the burden of HIV on the health of adolescents and HIV-associated mortality. RECENT FINDINGS: In 2016, there were an estimated 2.1 million (uncertainty bound 1.4-2.7 million) ALHIV; 770 000 younger (age 10-14 years) and 1.03 million older (age 15-19 years) ALHIV, 84% living in sub-Saharan Africa. The population of ALHIV is increasing, as more peri/postnatally infected ALHIV survive into older ages; an estimated 35% of older female ALHIV were peri/postnatally infected, compared with 57% of older male ALHIV...
February 9, 2018: Current Opinion in HIV and AIDS
https://www.readbyqxmd.com/read/29395613/towards-a-comprehensive-routine-outcome-monitoring-program-for-people-with-psychotic-disorders-the-pharmacotherapy-monitoring-and-outcome-survey-phamous
#3
Agna A Bartels-Velthuis, Ellen Visser, Johan Arends, Gerdina H M Pijnenborg, Lex Wunderink, Frederike Jörg, Wim Veling, Edith J Liemburg, Stynke Castelein, Henderikus Knegtering, Richard Bruggeman
BACKGROUND: Patients with psychotic disorders are at risk of developing mental health and social problems, and physical disorders. To monitor and treat these problems when indicated, an annual routine outcome monitoring program, Pharmacotherapy Monitoring and Outcome Survey (PHAMOUS), was developed. This paper presents the background and content of PHAMOUS, implementation of PHAMOUS, characteristics of the patients screened in 2015, and the outcome of patients with three annual screenings between 2011 and 2015...
January 26, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29387146/what-are-good-outcomes-for-adolescents-in-public-mental-health-settings
#4
Kristina O Lavik, Marius Veseth, Helga Frøysa, Per-Einar Binder, Christian Moltu
Background: In line with the evidence-based paradigm, routine outcome monitoring and clinical feedback systems are now being recommended and implemented in youth mental health services. However, what constitutes a good outcome for young service users is not fully understood. In order to successfully monitor outcomes that are clinically and personally relevant for the service user that are to benefit from these systems, we need to gain more knowledge of what young service users value as meaningful outcomes of youth mental health services...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29341860/risk-management-of-free-radicals-involved-in-air-travel-syndromes-by-antioxidants
#5
Jeum-Nam Kim, Byung-Mu Lee
Frequent air travelers and airplane pilots may develop various types of illnesses. The environmental risk factors associated with air travel syndromes (ATS) or air travel-related adverse health outcomes raised concerns and need to be assessed in the context of risk management and public health. Accordingly, the aim of the present review was to determine ATS, risk factors, and mechanisms underlying ATS using scientific data and information obtained from Medline, Toxline, and regulatory agencies. Additional information was also extracted from websites of organizations, such as the International Air Transport Association (IATA), International Association for Medical Assistance to Travelers (IAMAT), and International Civil Aviation Organization (ICAO)...
January 17, 2018: Journal of Toxicology and Environmental Health. Part B, Critical Reviews
https://www.readbyqxmd.com/read/29341052/-routine-outcome-monitoring-in-anxiety-disorders-diagnosis-specific-versus-generic-assessment-instruments
#6
M van der Mheen, L M Ter Mors, M A VAN den Hout, D C Cath
Mental health institutions increasingly utilise routine outcome monitoring (rom) in order to assess treatment effectiveness. It remains unclear which instruments are more sensitive to change with regard to rom in patients with an anxiety disorder: diagnosis-specific or generic instruments.<br/> AIM: To compare the sensitivity of diagnosis-specific versus generic rom-instruments in patients with an anxiety disorder.<br/> METHOD: 160 adults with an anxiety disorder received cognitive behavioural therapy at the Altrecht Academic Anxiety Centre...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29224931/transparency-about-the-outcomes-of-mental-health-services-iapt-approach-an-analysis-of-public-data
#7
David M Clark, Lauren Canvin, John Green, Richard Layard, Stephen Pilling, Magdalena Janecka
BACKGROUND: Internationally, the clinical outcomes of routine mental health services are rarely recorded or reported; however, an exception is the English Improving Access to Psychological Therapies (IAPT) service, which delivers psychological therapies recommended by the National Institute for Health and Care Excellence for depression and anxiety disorders to more than 537 000 patients in the UK each year. A session-by-session outcome monitoring system ensures that IAPT obtains symptom scores before and after treatment for 98% of patients...
December 7, 2017: Lancet
https://www.readbyqxmd.com/read/29078109/monitoring-oral-health-of-people-in-early-intervention-for-psychosis-eip-teams-the-extended-three-shires-randomised-trial
#8
Clive E Adams, Nicola Clark Wells, Andrew Clifton, Hannah Jones, Jayne Simpson, Graeme Tosh, Patrick Callaghan, Peter Liddle, Boliang Guo, Vivek Furtado, Mariam A Khokhar, Vishal R Aggarwal
BACKGROUND: The British Society for Disability and Oral Health guidelines made recommendations for oral health care for people with mental health problems, including providing oral health advice, support, promotion and education. The effectiveness of interventions based on these guidelines on oral health-related outcomes in mental health service users is untested. OBJECTIVE: To acquire basic data on the oral health of people with or at risk of serious mental illness...
October 16, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29067755/implementing-routine-outcome-monitoring-in-public-mental-health-services-in-israel-shared-and-unique-challenges
#9
Dana Tzur Bitan, Ori Ganor, Lior Biran, Yuval Bloch
OBJECTIVES: This study aimed to assess the feasibility, benefits, and challenges of routine outcome monitoring (ROM) in a public mental health centre in Israel. This is the first initiation of ROM implementation in a setting of a large psychiatric hospital, affiliated with the largest health maintenance organization in Israel, Clalit Health Services. METHODS: Four ambulatory units were invited to participate in the implementation of ROM. Prior to initiation of recruitment, staff meetings were held and broad descriptions of current knowledge regarding benefits and challenges were discussed...
October 25, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29023568/demonstrating-the-reliability-of-transdiagnostic-mhealth-routine-outcome-monitoring-in-mental-health-services-using-experience-sampling-technology
#10
Simone J W Verhagen, Juliënne A Berben, Carsten Leue, Anne Marsman, Philippe A E G Delespaul, Jim van Os, Richel Lousberg
BACKGROUND: Routine Outcome Monitoring (ROM) should provide a dynamic, within-treatment forward feedback loop to guide individual treatment decisions across diagnostic categories. It has been suggested that the Experience Sampling Method (ESM), capturing the film of daily life adaptive processes, offers a flexible, personalised and transdiagnostic feedback system for monitoring and adapting treatment strategies. This is the first study that uses an ESM application (the PsyMate™) as a routine mobile-ROM (mROM) tool in an ambulatory mental health setting...
2017: PloS One
https://www.readbyqxmd.com/read/28880346/-rom-for-the-elderly-a-prospective-cohort-study-of-the-outcomes-on-the-honos-65-in-various-diagnostic-groups
#11
M L M Hermens, M A Nugter, N Mooij, A W Hoogendoorn, G E van Son, S Robbers, M M van Bueren, A T F Beekman, J Theunissen
Routine outcome monitoring (rom) provides us with opportunities to study treatment outcome in daily clinical practice and to learn from the results.<br/> AIM: To assess the changes that occur in the psychological and social functioning of patients in geriatric psychiatry who are suffering from substance dependence, mood disorder, anxiety disorder, psychotic disorder, or personality disorder.<br/> METHOD: We analysed data relating to 1,810 patients (aged 60-101) from nine mental health care organisations that together form SynQuest cv...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28836954/randomized-controlled-trial-to-evaluate-the-effects-of-personalized-prediction-and-adaptation-tools-on-treatment-outcome-in-outpatient-psychotherapy-study-protocol
#12
Wolfgang Lutz, Dirk Zimmermann, Viola N L S Müller, Anne-Katharina Deisenhofer, Julian A Rubel
BACKGROUND: Psychotherapy is successful for the majority of patients, but not for every patient. Hence, further knowledge is needed on how treatments should be adapted for those who do not profit or deteriorate. In the last years prediction tools as well as feedback interventions were part of a trend to more personalized approaches in psychotherapy. Research on psychometric prediction and feedback into ongoing treatment has the potential to enhance treatment outcomes, especially for patients with an increased risk of treatment failure or drop-out...
August 24, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28836472/the-finnish-clinical-outcome-in-routine-evaluation-outcome-measure-psychometric-exploration-in-clinical-and-non-clinical-samples
#13
Kirsi Honkalampi, Aarno Laitila, Hanna Juntunen, Kristiina Lehmus, Aino Piiparinen, Iida Törmänen, Mikko Inkinen, Chris Evans
The Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) is a 34-item self-report measure designed to monitor changes in psychiatric patients. It has been translated into 25 languages, including Finnish. This is the first psychometric exploration of Finnish CORE-OM data. The aim of the study is to examine acceptability, internal consistency and convergent validity of the Finnish CORE-OM scores. Translation of the CORE-OM from English to Finnish was undertaken according to recommended protocols...
August 24, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28673958/identifying-primary-care-quality-indicators-for-people-with-serious-mental-illness-a-systematic-review
#14
Christoph Kronenberg, Tim Doran, Maria Goddard, Tony Kendrick, Simon Gilbody, Ceri R Dare, Lauren Aylott, Rowena Jacobs
BACKGROUND: Serious mental illness (SMI) - which comprises long-term conditions such as schizophrenia, bipolar disorder, and other psychoses - has enormous costs for patients and society. In many countries, people with SMI are treated solely in primary care, and have particular needs for physical care. AIM: The objective of this study was to systematically review the literature to create a list of quality indicators relevant to patients with SMI that could be captured using routine data, and which could be used to monitor or incentivise better-quality primary care...
August 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28622045/age-related-characteristics-of-outpatients-with-anxiety-disorders-the-leiden-routine-outcome-monitoring-study
#15
Anke Schat, Martijn S van Noorden, Therese van Amelsvoort, Erik J Giltay, Nic J A van der Wee, Marc J Noom, Robert R J M Vermeiren, Frans G Zitman
OBJECTIVE: It has been hypothesised that clinically important age-related differences between adults with anxiety disorders exist; this study aims to elucidate these differences. METHODS: We analysed data from 1950 outpatients diagnosed with DSM-IV-TR anxiety disorders treated at a Dutch hospital or affiliated mental healthcare centres. Three age-groups (young- (18-25; n = 435), mid- (26-40; n = 788) and older adult (41-65; n = 727)) were compared with regard to social demographic characteristics, diagnostic characteristics, anxiety symptom profile, general psychiatric symptom profile and generic health status, in addition, linear analyses were carried out with age as a continuous variable...
June 16, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/28621174/associations-between-family-and-clinician-ratings-of-child-mental-health-a-study-of-uk-camhs-assessments-and-outcomes
#16
Dion N Terrelonge, Andrew Jb Fugard
BACKGROUND: The rated severity of child mental health problems depends on who is doing the rating, whether child, carer or clinician. It is important to know how these ratings relate to each other. AIMS: To investigate to what extent clinicians' views are associated with carers' and young people's views in routine care in the United Kingdom. METHOD: Ratings of clinician and parent/child viewpoints from a large Child and Adolescent Mental Health Services (CAMHS) sample ( ns 1773-47,299), as measured by the Children's Global Assessment Scale (CGAS) and Strengths and Difficulties Questionnaire (SDQ) respectively, were analysed...
June 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28610561/blended-care-vs-usual-care-in-the-treatment-of-depressive-symptoms-and-disorders-in-general-practice-blending-study-protocol-of-a-non-inferiority-randomized-trial
#17
Btissame Massoudi, Marco H Blanker, Evelien van Valen, Hans Wouters, Claudi L H Bockting, Huibert Burger
BACKGROUND: The majority of patients with depressive disorders are treated by general practitioners (GPs) and are prescribed antidepressant medication. Patients prefer psychological treatments but they are under-used, mainly due to time constraints and limited accessibility. A promising approach to deliver psychological treatment is blended care, i.e. guided online treatment. However, the cost-effectiveness of blended care formatted as an online psychological treatment supported by the patients' own GP or general practice mental health worker (MHW) in routine primary care is unknown...
June 13, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28593621/-measuring-changes-during-the-treatment-of-eating-disorders-a-comparison-of-two-types-of-questionnaires
#18
A E Dingemans, E F van Furth
In mental health care routine outcome monitoring (ROM) has become an important part of everyday clinical practice in the Netherlands. It is important that the questionnaires involved are sensitive to therapeutic change. The Brief Symptom Inventory (BSI) is a generic instrument that is widely used and that seems to be responsive to therapeutic change. However, in relation to patients with an eating disorder, more valuable information might be obtained from a questionnaire that is better geared to the primary symptoms of the eating disorder...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28544391/the-experience-sampling-method-as-an-mhealth-tool-to-support-self-monitoring-self-insight-and-personalized-health-care-in-clinical-practice
#19
Jim van Os, Simone Verhagen, Anne Marsman, Frenk Peeters, Maarten Bak, Machteld Marcelis, Marjan Drukker, Ulrich Reininghaus, Nele Jacobs, Tineke Lataster, Claudia Simons, Richel Lousberg, Sinan Gülöksüz, Carsten Leue, Peter C Groot, Wolfgang Viechtbauer, Philippe Delespaul
BACKGROUND: The experience sampling method (ESM) builds an intensive time series of experiences and contexts in the flow of daily life, typically consisting of around 70 reports, collected at 8-10 random time points per day over a period of up to 10 days. METHODS: With the advent of widespread smartphone use, ESM can be used in routine clinical practice. Multiple examples of ESM data collections across different patient groups and settings are shown and discussed, varying from an ESM evaluation of a 6-week randomized trial of mindfulness, to a twin study on emotion dynamics in daily life...
June 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28523962/patients-experiences-with-routine-outcome-monitoring-and-clinical-feedback-systems-a-systematic-review-and-synthesis-of-qualitative-empirical-literature
#20
Stig Magne Solstad, Louis Georges Castonguay, Christian Moltu
Routine outcome monitoring (ROM) and clinical feedback (CF) systems have become important tools for psychological therapies, but there are challenges for their successful implementation. OBJECTIVE: To overcome these challenges, a greater understanding is needed about how patients experience the use of ROM/CF. METHOD: We conducted a systematic literature search of qualitative studies on patient experiences with the use of ROM/CF in mental health services. RESULTS: The findings from 16 studies were synthesized, resulting in four meta-themes: (1) Suspicion towards service providers, (2) Flexibility and support to capture complexity, (3) Empowering patients, and (4) Developing collaborative practice...
May 19, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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