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Chapter 20 - Outcome Measurement in Consultation-Liaison Psychiatry

Published online by Cambridge University Press:  04 January 2024

Rachel Thomasson
Affiliation:
Manchester Centre for Clinical Neurosciences
Elspeth Guthrie
Affiliation:
Leeds Institute of Health Sciences
Allan House
Affiliation:
Leeds Institute of Health Sciences
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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.

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Publisher: Cambridge University Press
Print publication year: 2024

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References

Donabedian, A. Evaluating the quality of medical care. Milbank Quart. 2005;83(4):691729.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):6572.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
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

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