Assessing quality of life in people living with psychosis

Herrman, Helen

doi:10.1017/s1121189x00007697

Cited by 6 publications

(3 citation statements)

References 31 publications

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“…Defining and measuring QOL are not easy. The World Health Organization (WHO) defines QOL as the individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns [16]. QOL includes physical and psychological health, level of independence, and social relationships.…”

mentioning

confidence: 99%

Relationships Between Cognitive Deficits, Symptoms and Quality of Life in Schizophrenia

Savilla¹,

Kettler

Galletly

2008

Aust N Z J Psychiatry

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mentioning

confidence: 99%

Relationships Between Cognitive Deficits, Symptoms and Quality of Life in Schizophrenia

Savilla¹,

Kettler

Galletly

2008

Aust N Z J Psychiatry

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“…While there is disagreement about what quality of life is (e.g., Kilian & Angermeyer, 1999;Lauer, 1999;Herrman, 2000), there is agreement that it is a complex construct encompassing many domains, at least health, social relations, family relations, work and leisure (Van Nieuwenhuizen et al, 1997). There is also debate about the relative importance of subjective and objective indices of quality of life (e.g., Warner, 1999), with some expressing concern about the reliability of subjective assessments of well-being and whether they can be treated as objectively as direct assessments of pathology (Ellwood, 1998).…”

Section: What Outcomes To Assess?mentioning

confidence: 99%

The impact of routine outcome measurement on treatment processes in community mental health care: approach and methods of the MECCA study

Priebe¹,

McCabe²,

Bullenkamp³

et al. 2002

Epidemiol Psichiatr Soc

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SUMMARYThree issues characterise the background to the MECCA study: A) Throughout Europe, most patients with severe forms of psychotic disorders are cared for in the community. The challenge now is to make processes in community mental health care more effective. B) There are widespread calls to implement regular outcome measurement in routine settings. This, however, is more likely to happen, if it provides a direct benefit to clinicians and patients. C) Whilst user involvement is relatively ?" easy to achieve on a political level, new mechanisms may have to be established to make the views of patients feed into individual treatment decisions. The MECCA study is a cluster randomised controlled trial following the same protocol in community mental health teams in six European countries. In the experimental group, patients' subjective quality of life, treatment satisfaction and wishes for different or additional help are assessed in key worker-patient meetings every two months and intended to inform the therapeutic dialogue and treatment decisions. The trial tests the hypothesis that the intervention – as compared to current best standard practice – will lead to a better outcome in terms of quality of life and other criteria in patients with psychotic disorders over a one year period. This more favourable outcome is assumed to be mediated through different treatment input based on more appropriate joint decisions or a more positive therapeutic relationship in line with a partnership model of care or both. Moreover, the study will hopefully reveal new insights into how therapeutic processes in community mental health care work and how they can be optimised.

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“…While there is some disagreement about what quality of life is (e.g. Killian & Angermeyer, 1999;Lauer, 1999;Herrman, 2000), there is agreement that it is a complex construct encompassing many domains, at least health, social relations, family relations, work and leisure (van Nieuwenhuizen et al, 1997). There is also debate about the relative importance of subjective and objective indices of quality of life (e.g.…”

Section: What Outcomes Should Be Assessed?mentioning

confidence: 99%

Focussing on quality of life in treatment

Priebe

2002

International Review of Psychiatry

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There are widespread calls for the implementation of outcomes management in mental health services, which involves routinely assessing individual patient outcomes to analyse the effectiveness of treatment. The emphasis in outcomes management is on aggregating outcome data on the level of groups and services and feeding the results back to commissioners, clinicians and managers to inform their decisions on service development and funding. The most important outcome criterion in mental health service research is quality of life, which is also the 'centrepiece' of outcomes management. In several countries, there are plans to implement the main component of outcomes management, i.e. routine outcome assessment, requiring clinicians to routinely assess patient outcome. However, valid data will only be collected if it is worthwhile for clinicians and patients at the level on which it is collected, i.e. the individual patient level. Concurrent assessment and feedback of outcome data to the clinician and patient so that the information can be used to inform treatment activities might make it worthwhile. A European multi-centre randomized controlled trial is currently underway to test the effect of such an intervention in the treatment of psychotic illness. Keyworkers will systematically elicit patients' views on their quality of life, treatment satisfaction and needs for additional/different care over 1 year. It is hypothesized that the intervention will improve patient outcome by prompting explicit discussion about reasons for progress-and lack of progress-in treatment as a basis for further treatment decisions. If the intervention is effective, it is hypothesized that the effect will be mediated by more appropriate treatment decisions and/or a better therapeutic relationship. Focussing on the patient's perspective in the therapeutic interaction may also facilitate patient involvement in decision-making. Finally, outcomes management is still a technical term, which could benefit from further specification and development in order to exploit its potential for improving treatment processes in mental health care.

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Assessing quality of life in people living with psychosis

Cited by 6 publications

References 31 publications

Relationships Between Cognitive Deficits, Symptoms and Quality of Life in Schizophrenia

Relationships Between Cognitive Deficits, Symptoms and Quality of Life in Schizophrenia

The impact of routine outcome measurement on treatment processes in community mental health care: approach and methods of the MECCA study

Focussing on quality of life in treatment

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