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Tijdschrift voor Psychiatrie 52 (2010) 3, 169 - 179

Essay

Routine Outcome Monitoring for patients with severe mental illness: a consensus document

C.L. Mulder, M. van der Gaag, R. Bruggeman , W. Cahn, P.A.E. Delespaul, P. Dries, G. Faber, L. de Haan, F.M.M.A. van der Heijden, R.W. Kempen, E.S.G. Mogendorff, C.J. Slooff, S. Sytema, D. Wiersma, L. Wunderink, J. van Os

summary background Routine outcome monitoring (rom) means the assessment of the patient's condition on a routine basis using instruments. So far there is no consensus about which instruments should be used for rom with severely mentally ill patients (rom-smi).
aim To reach a consensus about instruments for rom-smi in the Netherlands and Belgium and to create possibilities for comparison of rom data.
method This article discusses the consensus document of the National Remission Working Group for rom in patients with smi and covers the following topics: reasons for rom-smi, domains for rom-smi and appropriate instruments, logistics and analyses of the data.
results Patients with smi have problems in several domains. These can be assessed by collecting information about psychiatric symptoms, addiction, somatic problems, general functioning, needs, quality of life and care satisfaction. Potential instruments for rom-smi are short, valid, reliable and assess several domains, taking the patient's perspective into account, and have been used in national and international research. The working group advises institutions to choose from a limited set of instruments. After the scores have been aggregated and standardised, comparisons can be drawn. rom-smi data can be interpreted more meaningfully, if outcome data are supplemented with data regarding patient characteristics and the treatment interventions already applied.
conclusion It should be possible to reach a consensus about instruments for rom-smi and the way in which they should be used. The use of identical instruments will lead to improvements in mental health care and create possibilities for comparison (benchmarking) and research.

 

keywords instruments, routine outcome monitoring, severe mental illness