Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-16T17:04:49.161Z Has data issue: false hasContentIssue false

Chapter 20 - Outcome Measurement in Consultation-Liaison Psychiatry

Published online by Cambridge University Press:  04 January 2024

By
Allan House
Edited by
Rachel Thomasson ,
Elspeth Guthrie  and
Allan House
Rachel Thomasson
Affiliation:
Manchester Centre for Clinical Neurosciences
Elspeth Guthrie
Affiliation:
Leeds Institute of Health Sciences
Allan House
Affiliation:
Leeds Institute of Health Sciences
Get access

Summary

outcome measurement in healthcare is to establish the effect of a clinical or organisational activity. A useful initial step is therefore to clarify not just what outcome is being assessed but also what activity is being evaluated by measuring that outcome. In terms of describing the activity of liaison psychiatry, the service can be understood as a complex intervention in healthcare. That is, it has multiple components, each with its own mechanism of action and possible effects. This raises a fundamental question about outcome measurement – what part of this complex system is being evaluated? Before considering the particulars of outcome measurement, we therefore need to have a way of characterising liaison services and how they might work.

Type
Chapter
Information
Seminars in Consultation-Liaison Psychiatry , pp. 328 - 344
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Donabedian, A. Evaluating the quality of medical care. Milbank Quart. 2005;83(4):691–729.CrossRefGoogle ScholarPubMed
Stroke Unit Trialists’ Collaboration, Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. BMJ. 1997;314(7088):1151–9.Google Scholar
Brightey-Gibbons, F, Patterson, E, Rhodes, E, Ryley, A, Hodge, S (eds.). Quality Standards for Liaison Psychiatry Services, 5th ed. London; 2017.Google Scholar
NHS England. Guidance for Commissioning Liaison Psychiatry Services. London; 2014.Google Scholar
Haggerty, JL, Reid, RJ, Freeman, GK, Starfield, BH, Adair, CE, McKendry, R. Continuity of care: A multidisciplinary review. BMJ. 2003;327(7425):1219–21.CrossRefGoogle ScholarPubMed
McLaughlin, JA, Jordan, GB. Logic models: A tool for telling your programs performance story. Eval Prog Plan. 1999;22(1):65–72.CrossRefGoogle Scholar
Pawson, R, Tilley, N. Realistic Evaluation.London; 1997.Google Scholar
House, A, Guthrie, E, Walker, A et al. A programme theory for liaison mental health services in England. BMC Health Serv Res. 2018;18(1):742.CrossRefGoogle ScholarPubMed
Hoffmann, TC, Glasziou, PP, Boutron, I et al. Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687.CrossRefGoogle ScholarPubMed
Bestall, J, Siddiqi, N, Heywood-Everett, S et al. New models of care: A liaison psychiatry service for medically unexplained symptoms and frequent attenders in primary care. BJPsych Bull. 2017;41(6):340–4.CrossRefGoogle Scholar
NHS Friends and Family Test. www.nhs.uk/using-the-nhs/about-the-nhs/friends-and-family-test-fft.Google Scholar
House, A, West, R, Smith, C, Tubeuf, S, Guthrie, E, Trigwell, P. The effect of a hospital liaison psychiatry service on inpatient lengths of stay: Interrupted time series analysis using routinely collected NHS hospital episode statistics. BMC Psychiatry. 2020;20(1):27.CrossRefGoogle ScholarPubMed
Walker, A, Barrett, JR, Lee, W et al. Organisation and delivery of liaison psychiatry services in general hospitals in England: Results of a national survey. BMJ Open. 2018;8(8):e023091.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence Quality and Outcomes Framework Indicator. www.nice.org.uk/standards-and-indicators/qofindicators.Google Scholar
Guthrie, E, Harrison, M, Brown, R et al. The development of an outcome measure for liaison mental health services. BJPsych Bull. 2018;42(3):109–14.CrossRefGoogle ScholarPubMed
Busner, J, Targum, SD. The clinical global impressions scale: Applying a research tool in clinical practice. Psychiatry. 2007;4(7):28.Google ScholarPubMed
Keetharuth, AD, Brazier, J, Connell, J et al. Recovering Quality of Life (ReQoL): A new generic self-reported outcome measure for use with people experiencing mental health difficulties. Br J Psychiatry. 2018;212(1):42–9.Google Scholar
Dickens, AP, Richards, SH, Greaves, CJ, Campbell, JL. Interventions targeting social isolation in older people: A systematic review. BMC Public Health. 2011;11(1):647.CrossRefGoogle ScholarPubMed
NHS England. Implementing the Five Year Forward View for Mental Health. London; 2014.Google Scholar
Trigwell, P, Kustow, J. A multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP). BJPsych Bull. 2016;40(4):192–4.CrossRefGoogle ScholarPubMed
Guest, C, Crockett, S, Little, P, Patel, A. The clinical utility of the IRAC component of the Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP). BJPsych Bull. 2018;42(4):152–6.CrossRefGoogle ScholarPubMed
Ramsay, CR, Matowe, L, Grilli, R, Grimshaw, JM, Thomas, RE. Interrupted time series designs in health technology assessment: Lessons from two systematic reviews of behavior change strategies. IJTAHC. 2003;19(4):613–23.Google ScholarPubMed
Moore, GF, Audrey, S, Barker, M et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015;350:h1258.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×