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Routine outcome monitoring mental health

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https://www.readbyqxmd.com/read/28231239/surveillance-for-health-care-access-and-health-services-use-adults-aged-18-64-years-behavioral-risk-factor-surveillance-system-united-states-2014
#1
Catherine A Okoro, Guixiang Zhao, Jared B Fox, Paul I Eke, Kurt J Greenlund, Machell Town
PROBLEM/CONDITION: As a result of the 2010 Patient Protection and Affordable Care Act, millions of U.S. adults attained health insurance coverage. However, millions of adults remain uninsured or underinsured. Compared with adults without barriers to health care, adults who lack health insurance coverage, have coverage gaps, or skip or delay care because of limited personal finances might face increased risk for poor physical and mental health and premature mortality. PERIOD COVERED: 2014...
February 24, 2017: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/28230751/the-feasibility-of-embedding-data-collection-into-the-routine-service-delivery-of-a-multi-component-program-for-high-risk-young-people
#2
Alice Knight, Alys Havard, Anthony Shakeshaft, Myfanwy Maple, Mieke Snijder, Bernie Shakeshaft
BACKGROUND: There is little evidence about how to improve outcomes for high-risk young people, of whom Indigenous young people are disproportionately represented, due to few evaluation studies of interventions. One way to increase the evidence is to have researchers and service providers collaborate to embed evaluation into the routine delivery of services, so program delivery and evaluation occur simultaneously. This study aims to demonstrate the feasibility of integrating best-evidence measures into the routine data collection processes of a service for high-risk young people, and identify the number and nature of risk factors experienced by participants...
February 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28186934/protocol-for-the-mindful-student-study-a-randomised-controlled-trial-of-the-provision-of-a-mindfulness-intervention-to-support-university-students-well-being-and-resilience-to-stress
#3
Julieta Galante, Geraldine Dufour, Alice Benton, Emma Howarth, Maris Vainre, Timothy J Croudace, Adam P Wagner, Jan Stochl, Peter B Jones
INTRODUCTION: Levels of stress in UK university students are high, with an increase in the proportion of students seeking help in recent years. Academic pressure is reported as a major trigger. Mindfulness training has been shown to reduce stress and is popular among students, but its effectiveness in this context needs to be ascertained. In this pragmatic randomised controlled trial, we hypothesise that the provision of a preventative mindfulness intervention in universities could reduce students' psychological distress during the examination period (primary outcome), improve their resilience to stress up to at least 1 year later, reduce their use of mental health support services and improve academic performance...
November 9, 2016: BMJ Open
https://www.readbyqxmd.com/read/28181374/psychometric-properties-of-the-dutch-version-of-the-treatment-support-measure-tsm-parent-and-youth-form
#4
Maartje A M S van Sonsbeek, Catharina J M Holtmaat, Bea G Tiemens, Giel J M Hutschemaekers, Kim de Jong
: The Treatment Support Measure (TSM) Parent and Youth were created to help clinicians with actionable feedback when youths are not making sufficient progress in treatment. This study examined the psychometric properties of the Dutch TSM Parent and TSM Youth. Parents (n = 172) and youth (n = 122) were recruited at 2 outpatient mental health care institutions. Children of participating parents (50.6% boys) had a mean age of 11.9 years (SD = 3.46; range 4-18). Participating youth (30...
February 8, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28101132/what-are-good-outcomes-in-public-mental-health-settings-a-qualitative-exploration-of-clients-and-therapists-experiences
#5
Christian Moltu, Jon Stefansen, Jan Christian Nøtnes, Åse Skjølberg, Marius Veseth
BACKGROUND: The mental health field sees a surge of interest in Routine Outcome Monitoring, mandated by a wish to help better those not-on-track to recovery. What constitutes positive outcomes for these patients is not fully understood. AIMS: To contribute knowledge into what constitutes meaningful outcome concepts in the experiences of patients with long and complex mental health suffering and treatment, and the clinicians who work to help them. METHODS: A qualitative in-depth study of 50 participants' experiences...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/27893933/cancer-and-treatment-distress-psychometric-evaluation-over-time-a-bmt-ctn-0902-secondary-analysis
#6
Karen L Syrjala, Steven K Sutton, Heather S L Jim, Jennifer M Knight, William A Wood, Stephanie J Lee, Paul B Jacobsen, Muneer H Abidi, Jean C Yi
BACKGROUND: Routine monitoring of cancer-related distress is recognized as essential to quality care and mandated by a major accrediting organization. However, to the authors' knowledge, few cancer-specific measures have been developed to date to assess the multiple cancer-related factors contributing to this distress. In the current study, the authors examined the psychometric properties of the Cancer and Treatment Distress (CTXD) measure over time in hematopoietic cell transplantation (HCT) recipients...
November 28, 2016: Cancer
https://www.readbyqxmd.com/read/27808015/developing-indicators-for-the-child-and-youth-mental-health-system-in-ontario
#7
Julie Yang, Paul Kurdyak, Astrid Guttmann
When the Government of Ontario launched a comprehensive mental health and addictions strategy, the Institute for Clinical Evaluative Sciences (ICES) was tasked with developing a scorecard for ongoing monitoring of the child and youth mental health system. Using existing administrative and survey-based healthcare and education data, researchers at ICES developed a scorecard consisting of 25 indicators that described at-risk populations, child and youth mental healthcare and relevant outcomes. This scorecard is the first in Canada to report on performance indicators for the child and youth mental health system and provides a model for monitoring child and youth mental health using routinely collected administrative data...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27752281/child-responsible-personnel-in-adult-mental-health-services
#8
Camilla Lauritzen, Charlotte Reedtz
BACKGROUND: Children who have parents with mental health problems are a vulnerable group. Intervening early to support parents with a mental illness can contribute to improve outcomes for children. Rigging the adult mental health system in such a manner that child responsible personnel are designated in wards is a strategy to systematically address the needs of families. It has since 2010 been mandatory for Norwegian hospitals to appoint such personnel in all hospital wards. The current study aimed to investigate the appointment of child responsible personnel in the adult mental health services in a regional hospital with local clinics...
2016: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/27693477/cervical-disc-arthroplasty-for-symptomatic-cervical-disc-disease-traditional-and-bayesian-meta-analysis-with-trial-sequential-analysis
#9
REVIEW
Shun-Li Kan, Zhi-Fang Yuan, Guang-Zhi Ning, Fei-Fei Liu, Jing-Cheng Sun, Shi-Qing Feng
OBJECTIVE: Cervical disc arthroplasty (CDA) has been designed as a substitute for anterior cervical discectomy and fusion (ACDF) in the treatment of symptomatic cervical disc disease (CDD). Several researchers have compared CDA with ACDF for the treatment of symptomatic CDD; however, the findings of these studies are inconclusive. Using recently published evidence, this meta-analysis was conducted to further verify the benefits and harms of using CDA for treatment of symptomatic CDD. METHODS: Relevant trials were identified by searching the PubMed, EMBASE, and Cochrane Library databases...
November 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27659426/health-information-technologies-academic-and-commercial-evaluation-hit-ace-methodology-description-and-application-to-clinical-feedback-systems
#10
Aaron R Lyon, Cara C Lewis, Abigail Melvin, Meredith Boyd, Semret Nicodimos, Freda F Liu, Nathaniel Jungbluth
BACKGROUND: Health information technologies (HIT) have become nearly ubiquitous in the contemporary healthcare landscape, but information about HIT development, functionality, and implementation readiness is frequently siloed. Theory-driven methods of compiling, evaluating, and integrating information from the academic and commercial sectors are necessary to guide stakeholder decision-making surrounding HIT adoption and to develop pragmatic HIT research agendas. This article presents the Health Information Technologies-Academic and Commercial Evaluation (HIT-ACE) methodology, a structured, theory-driven method for compiling and evaluating information from multiple sectors...
September 22, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27650844/deploying-team-science-principles-to-optimize-interdisciplinary-lung-cancer-care-delivery-avoiding-the-long-and-winding-road-to-optimal-care
#11
Raymond U Osarogiagbon, Hector P Rodriguez, Danielle Hicks, Raymond S Signore, Kristi Roark, Satish K Kedia, Kenneth D Ward, Christopher Lathan, Scott Santarella, Michael K Gould, Mark J Krasna
The complexity of lung cancer care mandates interaction between clinicians with different skill sets and practice cultures in the routine delivery of care. Using team science principles and a case-based approach, we exemplify the need for the development of real care teams for patients with lung cancer to foster coordination among the multiple specialists and staff engaged in routine care delivery. Achieving coordinated lung cancer care is a high-priority public health challenge because of the volume of patients, lethality of disease, and well-described disparities in quality and outcomes of care...
September 20, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27647699/prescription-drug-monitoring-program-data-tracking-of-opioid-addiction-treatment-outcomes-in-integrated-dual-diagnosis-care-involving-injectable-naltrexone
#12
Ayesha Sajid, Aaron Whiteman, Richard L Bell, Marion S Greene, Eric A Engleman, R Andrew Chambers
BACKGROUND AND OBJECTIVES: Fourfold increases in opioid prescribing and dispensations over 2 decades in the U.S. has paralleled increases in opioid addictions and overdoses, requiring new preventative, diagnostic, and treatment strategies. This study examines Prescription Drug Monitoring Program (PDMP) tracking as a novel measure of opioid addiction treatment outcomes in a university-affiliated integrated mental health-addiction treatment clinic. METHODS: Repeated measure parametrics examined PDMP and urine drug screening (UDS) data before and after first injection for all patients (N = 68) who received at least one long-acting naltrexone injection (380 mg/IM) according to diagnostic groupings of having either (i) alcohol (control); (ii) opioid; or (iii) combined alcohol and opioid use disorders...
October 2016: American Journal on Addictions
https://www.readbyqxmd.com/read/27631868/creating-a-climate-for-therapist-improvement-a-case-study-of-an-agency-focused-on-outcomes-and-deliberate-practice
#13
Simon B Goldberg, Robbie Babins-Wagner, Tony Rousmaniere, Sandy Berzins, William T Hoyt, Jason L Whipple, Scott D Miller, Bruce E Wampold
Recent evidence suggests that psychotherapists may not increase in effectiveness over accrued experience in naturalistic settings, even settings that provide access to patients' outcomes. The current study examined changes in psychotherapists' effectiveness within an agency making a concerted effort to improve outcomes through the use of routine outcome monitoring coupled with ongoing consultation and the planful application of feedback including the use of deliberate practice. Data were available for 7 years of implementation from 5,128 patients seen by 153 psychotherapists...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27489459/a-review-of-behavioral-tailoring-strategies-for-improving-medication-adherence-in-serious-mental-illness
#14
Julie Kreyenbuhl, Elizabeth J Record, Jessica Palmer-Bacon
Nonadherence to psychopharmacological treatments poses a significant challenge to treatment success in individuals with serious mental illness, with upwards of 60% of people not taking their psychiatric medications as prescribed. Nonadherence is associated with adverse outcomes, including exacerbation of psychiatric symptoms, impaired functioning, increased hospitalizations and emergency room use, and increased health care costs. Whereas interventions using psychoeducation or cognitive approaches, such as motivational interviewing, have largely proven ineffective in improving adherence, approaches employing behavioral tailoring that incorporate medication taking into the daily routine and/or use environmental supports have shown promise...
June 2016: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/27455149/toward-an-understanding-of-the-quality-of-life-construct-validity-and-reliability-of-the-whoqol-bref-in-a-psychiatric-sample
#15
Sandra E H Oliveira, Helena Carvalho, Francisco Esteves
This study tested the psychometric properties of the WHOQOL-Bref by examining its construct validity, predictive validity and reliability in a psychiatric sample. The sample consisted of 403 participants recruited from mental health care facilities. Construct validity was assessed through confirmatory factor analysis (CFA) and item-domains correlations. Predictive validity was evaluated via multiple regressions. Internal consistency was analyzed by using Cronbach's alpha. Results from CFA second-order hierarchical model and item-domain correlational analyses supported the construct validity of the WHOQOL-Bref...
October 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27427498/fdny-and-9-11-clinical-services-and-health-outcomes-in-world-trade-center-exposed-firefighters-and-ems-workers-from-2001-to-2016
#16
REVIEW
Jennifer Yip, Mayris P Webber, Rachel Zeig-Owens, Madeline Vossbrinck, Ankura Singh, Kerry Kelly, David J Prezant
BACKGROUND: After the World Trade Center (WTC) attacks on September 11, 2001, the Fire Department of the City of New York (FDNY) instituted a WTC medical monitoring and treatment program and established a data center to document health outcomes in the WTC-exposed workforce of ∼16,000 firefighters and EMS workers. METHODS: FDNY schedules routine monitoring exams every 12-18 months and physical and mental health treatment appointments, as required. RESULTS: FDNY research studies have consistently found that early arrival to work and/or prolonged work at the WTC-site increased the risks for adverse physical and mental health outcomes...
September 2016: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/27409972/routine-use-of-patient-reported-outcome-measures-proms-for-improving-treatment-of-common-mental-health-disorders-in-adults
#17
REVIEW
Tony Kendrick, Magdy El-Gohary, Beth Stuart, Simon Gilbody, Rachel Churchill, Laura Aiken, Abhishek Bhattacharya, Amy Gimson, Anna L Brütt, Kim de Jong, Michael Moore
BACKGROUND: Routine outcome monitoring of common mental health disorders (CMHDs), using patient reported outcome measures (PROMs), has been promoted across primary care, psychological therapy and multidisciplinary mental health care settings, but is likely to be costly, given the high prevalence of CMHDs. There has been no systematic review of the use of PROMs in routine outcome monitoring of CMHDs across these three settings. OBJECTIVES: To assess the effects of routine measurement and feedback of the results of PROMs during the management of CMHDs in 1) improving the outcome of CMHDs; and 2) in changing the management of CMHDs...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27382288/psychometric-properties-of-the-spanish-version-of-the-clinical-outcomes-in-routine-evaluation-outcome-measure
#18
Adriana Trujillo, Guillem Feixas, Arturo Bados, Eugeni García-Grau, Marta Salla, Joan Carles Medina, Adrián Montesano, José Soriano, Leticia Medeiros-Ferreira, Josep Cañete, Sergi Corbella, Antoni Grau, Fernando Lana, Chris Evans
OBJECTIVE: The objective of this paper is to assess the reliability and validity of the Spanish translation of the Clinical Outcomes in Routine Evaluation - Outcome Measure, a 34-item self-report questionnaire that measures the client's status in the domains of Subjective well-being, Problems/Symptoms, Life functioning, and Risk. METHOD: Six hundred and forty-four adult participants were included in two samples: the clinical sample (n=192) from different mental health and primary care centers; and the nonclinical sample (n=452), which included a student and a community sample...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27267986/validity-of-clinically-significant-change-classifications-yielded-by-jacobson-truax-and-hageman-arrindell-methods
#19
Fiona R Ronk, Geoffrey R Hooke, Andrew C Page
BACKGROUND: Reporting of the clinical significance of observed changes is recommended when publishing mental health treatment outcome studies and is increasingly used in routine outcomes monitoring systems. Since recovery rates vary with the method chosen, we investigated the validity of classifications of clinically significant change when the Jacobson-Truax method and the Hageman-Arrindell method were used. METHODS: Of 718 inpatients who completed the Depression Anxiety Stress Scales (DASS-21) and Quality of Life Enjoyment and Satisfaction Questionnaire at admission and discharge to a psychiatric clinic, 355 were invited (and 119 agreed) to complete the questionnaires and the Recovery Assessment Scale six weeks post discharge...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27219820/this-is-what-i-need-a-clinical-feedback-system-to-do-for-me-a-qualitative-inquiry-into-therapists-and-patients-perspectives
#20
Christian Moltu, Marius Veseth, Jon Stefansen, Jan Christian Nøtnes, Åse Skjølberg, Per-Einar Binder, Louis Georges Castonguay, Samuel S Nordberg
: Routine outcome monitoring and clinical feedback systems (ROM/CFSs) are promising methods of providing naturalistic research data and enhancing mental health care. However, implementation in routine care is challenging, and we need more knowledge about clinicians' and patients' needs from such systems. OBJECTIVE: We aimed to study perspectives of clinicians and patients to explore how ROM/CFS can be helpful and acceptable to them. METHOD: We interviewed 55 participants in focus groups and individual interviews and analyzed the data through rigorous team-based qualitative analyses...
May 24, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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