Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Clardy, J. A. Articles by Smith, G. R. Search for Related Content PubMed Citation Articles by Clardy, J. A. Articles by Smith, G. R. Outcome and Process Assessment

Implementing a Statewide Outcomes Management System for Consumers of Public Mental Health Services

The authors describe the development and implementation of an outcomes management system designed to measure outcomes and processes of care for public mental health consumers in Arkansas. The public-academic project was implemented in 1995 and is based on the Shewhart-Deming model of continuous quality improvement. All 15 community mental health centers (CMHCs) in the state participate in the project, which prospectively measures longitudinal outcomes of care for the tracer conditions of major depression and schizophrenia. Multiperspective measurement tools are used to measure patients' psychiatric status and general health status at periodic intervals; information is gathered on functioning, symptoms, severity of illness, social factors, demographic characteristics, and quality of life. A problem encountered during implementation was the relatively low rate of referral of patients with the tracer conditions for monitoring. Voluntary rather than mandatory participation in the outcomes management system by the CMHCs as well as clinicians' misperceptions about the system's purpose and concerns about confidentiality may have partly accounted for the low rate.

This article has been cited by other articles:

				M. J. Sernyak, D. Leslie, and R. Rosenheck Use of System-Wide Outcomes Monitoring Data to Compare the Effectiveness of Atypical Neuroleptic Medications Am J Psychiatry, February 1, 2003; 160(2): 310 - 315. [Abstract] [Full Text] [PDF]

				D. A. Adler, K. M. Bungay, D. J. Cynn, and M. Kosinski Patient-Based Health Status Assessments in an Outpatient Psychiatry Setting Psychiatr Serv, March 1, 2000; 51(3): 341 - 348. [Abstract] [Full Text] [PDF]

				T. E. Smith, J. W. Hull, A. Hedayat-Harris, G. Ryder, and L. J. Berger Development of a Vertically Integrated Program of Services for Persons With Schizophrenia Psychiatr Serv, July 1, 1999; 50(7): 931 - 935. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 1998 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us