Measuring outcomes on a Medical Psychiatric Unit: HoNOS,, CANSAS and costs

Jansen, Luc; Hunnik, Florian J. G. van; Busschbach, Jan J. V.; Lijmer, Jeroen G.

doi:10.1016/j.psychres.2019.112526

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…However, due to the differences in the studies in terms of study design, symptom severity, mental health care systems, and socioeconomic status, the number of needs cannot be compared precisely. Still, in general, studies that evaluate more severe and inpatient participants reported a more significant number of needs ( 12 , 24 ). However, studies with outpatient participants and less illness severity reported fewer needs ( 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Mohebbi,

Alavi,

Jalali Nadoushan

et al. 2024

MJIRI

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Background Paying attention to the needs of patients with psychiatric disorders has recently come into focus. Failure to meet the needs of patients can affect their quality of life. This study aimed to determine the main areas of the needs of patients with severe psychiatric disorders and evaluate their relationship with the quality of life. Methods In this cross-sectional study, 174 patients with severe mental illness who were referred to Iran Psychiatric Hospital for hospitalization or outpatient treatment were enrolled in this study (68 with schizophrenia and schizoaffective disorder, 106 with bipolar disorder type 1). A qualified psychiatry resident conducted interviews with each patient to determine their needs using the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and the severity of their illness using the Hamilton Depression Rating Scale (HAM-D), Positive and Negative Syndrome Scale (PANSS), and Young Mania Rating Scale. A checklist for demographic data and the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) questionnaire was completed by patients. Data were analyzed using descriptive statistics. Since the number of needs distribution was not normal, we used the Mann-Whitney, Kruskal-Wallis, and chi-square tests for qualitative variables. Results The total number of patient needs was 9 (mean = 9.1, SD = 3.7). The most unmet needs were intimate relationships (69.5%), sexual expression (65.5%), and information on condition and treatment (51.1%). Unmet needs showed a negative correlation with the quality of life ( P < 0.001) and a positive correlation with the severity of depression ( P = 0.045), negative symptoms ( P = 0.001), and general psychopathology ( P < 0.001). Conclusion A higher number of unmet needs of severe psychiatric patients is associated with lower quality of life and more severe disorders.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Mohebbi,

Alavi,

Jalali Nadoushan

et al. 2024

MJIRI

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“…(ii) We could only use age and gender to account for case mix. (iii) The absence of a variable to compare the achieved change in health status, like for instance the HoNOS that is used in other studies (Honig et al 2014;Jansen et al 2019). As this study was lacking such an outcome measure, the impact of opening an MPU on outcome indicators could not be assessed (Drummond et al 2015).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…These increased costs related to LOS are contrary to the results of previous studies. The other studies found that treatment on an MPU resulted in a decrease on the Health of the Nation Outcome Scales (HoNOS), indicating a decrease of behavioural problems, impairments, psychiatric symptoms, or social problems (Honig et al 2014;Jansen et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of opening a type III/IV medical psychiatric unit

Jansen

Somanje-Bolweg

Wierdsma

et al. 2021

International Journal of Psychiatry in Clinical Practice

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Objective: The aim of this study is to examine the impact of opening a medical psychiatric unit (MPU) on a variety of outcomes. Methods: In this non-equivalent groups design, there were two groups: 'pre-MPU' and 'actual MPU'. Staff assessed whether patients in the pre-MPU group were eligible for admission to a planned MPU, resulting in virtual admissions and discharges. The actual MPU group consisted of patients admitted after opening of the MPU. Results: The length of stay (LOS) in the hospital was one day longer for patients in the MPU group (8.68 vs. 9.89, p ¼ .004), but the LOS on the MPU was comparable in both groups (5.63 vs. 6.06, p ¼ .231). The LOS on the intensive care unit (ICU) was longer in the MPU group (0.10 vs. 0.40, p < .001), even as the time patients were physically restraint (0.28 vs. 0.83, p < .001). In the pre-MPU group, the odds were not significantly different for involuntary commitment (OR ¼ 0.92; p ¼ .866) and death within six months after discharge (OR ¼ 1.84; p ¼ .196). Conclusions: Both physical restraint and ICU admission have a link with patient complexity, it therefore seemed that opening of the MPU resulted in the treatment of more complex patients with a comparable LOS on the MPU. KEY POINTSThe LOS on the MPU was not significantly different between the groups before and after opening of the MPU. Opening of the MPU resulted in the admission of patients that were admitted more days to the ICU and to more days of physically restraint. It can be considered that opening of the MPU resulted in an increased ability to treat complex patients.

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“…I forlengelsen av dette kan man også tenke seg å bruke HoNOS-skårer for å vurdere hva som er passende behandlingsnivå for en gitt pasient (Bech et al, 2006). Det er også gjort enkelte studier hvor man knytter HoNOSskårer til kostnader i behandling (Jansen et al, 2019;Twomey et al, 2016), noe som illustrerer en mulig nytteverdi for administrasjonen.…”

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Holgersen¹,

Holte²,

Gluppe³

et al. 2021

TNPF

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Denne utgaven ble godkjent til trykk 24.11.2021 Omslagsillustrasjon Øivind Hovland Form Bøk Oslo AS Trykk 07 Gruppen AS Tidsskrift for Norsk psykologforening (Journal of the Norwegian Psychological Association) er et redaksjonelt uavhengig organ som redigeres etter Fagpressens redaktørplakat, Tekstreklameplakaten og Vaer varsom-plakaten, samt Lov om redaksjonell fridom i media. Psykologtidsskriftet eies av Norsk psykologforening.

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Measuring outcomes on a Medical Psychiatric Unit: HoNOS,, CANSAS and costs

Cited by 4 publications

References 22 publications

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Evaluation of opening a type III/IV medical psychiatric unit

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