Structured patient–clinician communication and 1-year outcome in community mental healthcare

Priebe, Stefan; McCabe, Rose; Bullenkamp, Jens; Hansson, Lars; Lauber, Christoph; Martínez‐Leal, Rafael; Rössler, Wulf; Salize, Hans Joachim; Svensson, Bengt; Torres-Gonzales, Francisco; Brink, Rob van den; Wiersma, Durk; Wright, Donna

doi:10.1192/bjp.bp.107.036939

Cited by 186 publications

(216 citation statements)

References 19 publications

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“…The case managers were asked to discuss every three months with their clients the clients' functioning, needs for care, and satisfaction with care, using the CANFOR. This was modeled after a method of structured patient-clinician communication that showed positive effects on patient outcomes in community mental healthcare (Priebe et al, 2007). After the study presented here, we further strengthened the link between risk assessment and care evaluation, by incorporating the method of routine violence risk assessment into the process of care plan evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…Two approaches to ROA should be distinguished: one in which the outcome assessments take place outside client-clinician contacts (see, e.g., Marshall et al, 2004;Slade et al, 2006) and one in which they are incorporated into 'routine' client-clinician contacts (see, e.g., Priebe et al, 2007;Van Os et al, 2004). We modeled our routine violence risk assessment method after the latter approach, because this approach showed positive short term effects on client-clinician communication and treatment (Van Os et al, 2004) and long term improvements in client satisfaction, quality of life, and needs for care (Priebe et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…We modeled our routine violence risk assessment method after the latter approach, because this approach showed positive short term effects on client-clinician communication and treatment (Van Os et al, 2004) and long term improvements in client satisfaction, quality of life, and needs for care (Priebe et al, 2007). Furthermore, the approach is explicitly intended to intervene in client-clinician communication and to facilitate 'shared decision making' in individual care planning (Priebe et al, 2002): an approach that is expected to contribute to client satisfaction, commitment, and treatment outcome (Fenton, 2003;Hamann, Leucht, & Kissling, 2003;Joosten et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Routine violence risk assessment in community forensic mental healthcare

Brink

Hooijschuur

et al. 2009

Behavioral Sci & The Law

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We developed a method for periodic monitoring of violence risk, as part of routine community forensic mental healthcare. The feasibility of the method was tested, as well as its predictive validity for violent and risk enhancing behavior in the subsequent months. Participants were 83 clients who received forensic psychiatric home treatment, and six case managers. The method proved feasible and informative. Violent and risk enhancing behavior could be predicted to a reasonable extent (AUC ¼ .77, 95% CI ¼ .70-.85; respectively .76, .70-.82). Dynamic risk factors had an incremental predictive value over static factors in the prediction of violent behavior (OR ¼ 4.30, 1.72-10.73). The professional judgment of the case managers added further predictive power (OR ¼ 2.16, 1.40-3.33), corroborating the structured professional judgment approach. Finally, unmet needs for care of the client were associated with a reduced risk for violent and risk enhancing behavior (OR ¼ .80, and 0.84,). This latter finding suggests that in cases with unmet needs the case manager saw opportunities to do something about the risk. Currently we are testing whether using the method actually prevents violence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Routine violence risk assessment in community forensic mental healthcare

Brink

Hooijschuur

et al. 2009

Behavioral Sci & The Law

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“…The control group patients continued with standard treatment. The study design, study sample, settings, aims, and primary outcomes are described in detail elsewhere (Priebe et al, 2002;Priebe et al, 2007).…”

Section: Studymentioning

confidence: 99%

Cost of treatment of schizophrenia in six European countries

Salize

McCabe

Bullenkamp

et al. 2009

Schizophrenia Research

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Background and aims:As part of a RCT in six European sites, the direct mental health care cost for 422 patients with schizophrenia was analysed according to how total, and medication costs differed across sites and which variables were likely to predict total or service-specific costs.Method: Service use was recorded continuously during a 12-month follow-up. Prescribed psychotropic medication was recorded at baseline and 12 months later. Service use data were transformed into EURO, log-transformed and analysed using linear regression models. Results:Although samples were homogeneous, large inter-site cost differences were found (annual means ranging from 2,958 € in Spain up to 36,978 € in Switzerland). Psychopharmacologic costs were much more constant across sites than costs for other services. Total costs were associated more with region or socio-demographic characteristics than with disorder related parameters. Conclusions:The findings confirm remarkable differences in direct costs of patients wit schizophrenia across Europe. However, the relative stability of medication costs suggests a need to analyse mechanisms that influence service specific costs for schizophrenia.

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“…Service user satisfaction was operationalized using a Dutch version of the Client Satisfaction Questionnaire-8 (Nguyen et al, 1983;De Brey, 1983), which 7 is one of the unidimensional scales most often used for measuring satisfaction in a large diversity of mental health services (e.g., Priebe et al, 2007). The scores on eight items, ranging from 1 to 4, were averaged to obtain a global satisfaction score (M = 3.08; SD = 0.53; alpha = 0.89).…”

Section: Methodsmentioning

confidence: 99%

Stigma and Trust Among Mental Health Service Users

Verhaeghe¹,

Bracke

2011

Archives of Psychiatric Nursing

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This paper investigates whether and how the stigma experiences of mental health service users relate to trust in the professionals caring for them, and how both stigma and trust relate to service user satisfaction. The study uses survey data gathered from mental health service users (N = 650 service users from 36 organizations) and applies multilevel regression analyses. The results show that service users with more stigma experiences report less trust and are, partially for that reason, less satisfied with the services. Furthermore, service users with more severe symptoms and those with a psychotic disorder seem the most vulnerable ones for the processes occurring.

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Structured patient–clinician communication and 1-year outcome in community mental healthcare

Abstract: Structuring patient-clinician dialogue to focus on patients' views positively influenced quality of life, needs for care and treatment satisfaction.

Cited by 186 publications

References 19 publications

Routine violence risk assessment in community forensic mental healthcare

Routine violence risk assessment in community forensic mental healthcare

Cost of treatment of schizophrenia in six European countries

Stigma and Trust Among Mental Health Service Users

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