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


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
StatePublished - 1 Jun 2015

Bibliographical note

Publisher Copyright:
© 2015 Elsevier Ltd.


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

ASJC Scopus subject areas

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


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