Routine outcome measurement in mental health service consumers: Who should provide support for the self-assessments?

Marc Gelkopf, Shira Pagorek-Eshel, Tom Trauer, David Roe

Research output: Contribution to journalArticlepeer-review

Abstract

This study examined whether mental health community service users completed outcome self-reports differently when assessments were supervised by internal vs. external staff. The examination of potential differences between the two has useful implications for mental health systems that take upon themselves the challenge of Routine Outcome Measurement (ROM), as it might impact allocation of public resources and managed care program planning. 73 consumers completed the Manchester Short Assessment of Quality of Life (MANSA), a shortened version of the Recovery Assessment Scale (RAS), and a functioning questionnaire. Questionnaires were administered, once using support provided by internal staff and once using support provided by external professional staff, with a one-month time interval and in random order. A MANOVA Repeated Measures showed no differences in outcomes of quality of life and recovery between internal and external support. Functioning scores were higher for the internal support when the internal assessments were performed first. Overall, except for the differences in functioning assessment, outcome scores were not determined by the supporting agency. This 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. Differences found in functioning assessment are discussed.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalEvaluation and Program Planning
Volume50
DOIs
StatePublished - 1 Jun 2015

Bibliographical note

Funding Information:
Shira Pagorek-Eshel received a Postdoctoral scholarship at the Center for Mental Health Research, Practice and Policy at the Department of Community Mental Health, the University of Haifa, Israel. She is a lecturer at the Department of Social Work at Zefat Academic College and the Bob Shapell School of Social Work at Tel Aviv University. Her research and teaching focus on outcome evaluation, traumatic stress and social work methods.

Funding Information:
David Roe is a licensed clinical psychologist and Professor at Department of Community Mental Health at the University of Haifa. His research has been funded by local and international sources, including NIMH, The Israeli Ministry of Health, The Israel National Institute for Health Services Research and Health Policy, the Israeli National Insurance Institution and the Tauber and Rich foundations. He has published over 120 peer reviewed articles and co-authored two books. He serves as deputy editor of the Israel Journal of Psychiatry, associate editor of BMC Psychiatry and Journal of Mental Health and is on the editorial board of several other journals.

Funding Information:
A joint Grant by the Ministry of Health 45980 and the Tauber Foundation was obtained for this project

Funding Information:
This study as part of the large National Outcome Measurement Project of Community Rehabilitation Services that was funded by the Laszlo N. Tauber Family Foundation and the Israeli Ministry of Health . We would like to thank the organizational support provided by the, Mrs. Noa Joseph for her statistical support, Mrs. Adi Telem and Mrs. Ronit Uliel Mirkin for their work in the field in organizing this study, as well as Mr. Aid Rohanna for supervising the data collection process.

Publisher Copyright:
© 2015 Elsevier Ltd.

Keywords

  • Assessment biases
  • Internal vs. external assessment
  • Mental health assessments
  • Mental health services
  • Outcome measurement

ASJC Scopus subject areas

  • Business and International Management
  • Social Psychology
  • Geography, Planning and Development
  • Strategy and Management
  • Public Health, Environmental and Occupational Health

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