Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales
BackgroundCommunity mental health services in the UK have struggled to measure the clinical effectiveness of their services.AimsTo measure clinical outcomes for different diagnostic clusters.MethodClinicians measure the clinical status of patients by the Health of the Nation Outcome Scales (HoNOS),...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2018-05-01
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| Series: | BJPsych Open |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472418000030/type/journal_article |
| _version_ | 1811157089343504384 |
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| author | Richard Laugharne Scott Eaves Alin Mascas Kiki Psatha Gill Dinnis Jonathan Trower Rohit Shankar |
| author_facet | Richard Laugharne Scott Eaves Alin Mascas Kiki Psatha Gill Dinnis Jonathan Trower Rohit Shankar |
| author_sort | Richard Laugharne |
| collection | DOAJ |
| description | BackgroundCommunity mental health services in the UK have struggled to measure the clinical effectiveness of their services.AimsTo measure clinical outcomes for different diagnostic clusters.MethodClinicians measure the clinical status of patients by the Health of the Nation Outcome Scales (HoNOS), and HoNOS scores should be recorded annually after treatment. Clinical outcomes were measured by changes in HoNOS for diagnostic clusters.ResultsIn two time periods (2014 and 2016), the health of patients with mild to moderate common mental disorders deteriorated after intervention. Patients with severe common mental disorders and psychoses improved in their clinical status.ConclusionsBritish community mental health teams may be effective in improving the clinical status of people with severe mental illness, but may have a negative effect on people with mild to moderate illnesses. These teams need to focus on the severely mentally ill and build on this demonstrable effectiveness.Declaration of interestNone. |
| first_indexed | 2024-04-10T05:00:12Z |
| format | Article |
| id | doaj.art-55157c052d9440cc95667e259850e0c2 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T05:00:12Z |
| publishDate | 2018-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-55157c052d9440cc95667e259850e0c22023-03-09T12:28:45ZengCambridge University PressBJPsych Open2056-47242018-05-014919410.1192/bjo.2018.3Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome ScalesRichard Laugharne0Scott Eaves1Alin Mascas2Kiki Psatha3Gill Dinnis4Jonathan Trower5Rohit Shankar6Consultant Psychiatrist, Cornwall Partnership NHS Foundation Trust and University of Exeter Medical SchoolFoundation Doctor, Cornwall Partnership NHS Foundation TrustSpecialist Registrar, Cornwall Partnership NHS Foundation TrustFoundation Doctor, Cornwall Partnership NHS Foundation TrustPatient Safety Specialist, Cornwall Partnership NHS Foundation TrustIT Specialist, Cornwall Partnership NHS Foundation TrustConsultant Psychiatrist, Cornwall Partnership NHS Foundation Trust and University of Exeter Medical SchoolBackgroundCommunity mental health services in the UK have struggled to measure the clinical effectiveness of their services.AimsTo measure clinical outcomes for different diagnostic clusters.MethodClinicians measure the clinical status of patients by the Health of the Nation Outcome Scales (HoNOS), and HoNOS scores should be recorded annually after treatment. Clinical outcomes were measured by changes in HoNOS for diagnostic clusters.ResultsIn two time periods (2014 and 2016), the health of patients with mild to moderate common mental disorders deteriorated after intervention. Patients with severe common mental disorders and psychoses improved in their clinical status.ConclusionsBritish community mental health teams may be effective in improving the clinical status of people with severe mental illness, but may have a negative effect on people with mild to moderate illnesses. These teams need to focus on the severely mentally ill and build on this demonstrable effectiveness.Declaration of interestNone.https://www.cambridge.org/core/product/identifier/S2056472418000030/type/journal_article |
| spellingShingle | Richard Laugharne Scott Eaves Alin Mascas Kiki Psatha Gill Dinnis Jonathan Trower Rohit Shankar Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales BJPsych Open |
| title | Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales |
| title_full | Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales |
| title_fullStr | Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales |
| title_full_unstemmed | Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales |
| title_short | Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales |
| title_sort | desperately seeking outcomes quantifying the effectiveness of community mental healthcare using health of the nation outcome scales |
| url | https://www.cambridge.org/core/product/identifier/S2056472418000030/type/journal_article |
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