title: Objective social outcomes index (SIX): a method to summarise objective indicators of social outcomes in mental health care.
abstract: OBJECTIVE
  No method has yet been established to summarise different objective indicators of social outcomes into one score. The study aimed to develop and test a simple, brief and meaningful index of social outcomes that can be used across a broad range of mental health studies and is potentially obtainable from routine documentation.
  
  
  METHODS
  An index capturing employment, accommodation and living situation (range from 0 to 6; SIX) was devised and tested in three longitudinal datasets of patients with severe mental illness from Germany, Sweden and the UK.
  
  
  RESULTS
  SIX showed an almost normal distribution cross-sectionally in all three datasets. Between 58 and 78% of patients changed scores over time. Change scores were weakly associated with change scores of symptoms, quality of life, global functioning and disability.
  
  
  CONCLUSIONS
  A simple method to summarise different indicators of social outcomes provides meaningful results. It can be widely used in research and routine care.
authors.affiliation: Unit for Social & Community Psychiatry, Barts & The London School of Medicine and Dentistry, Queen Mary, University of London, London, UK. s.priebe@qmul.ac.uk
authors.forename: S
authors.initials: S
authors.lastname: Priebe
authors.forename: S
authors.initials: S
authors.lastname: Watzke
authors.forename: L
authors.initials: L
authors.lastname: Hansson
authors.forename: T
authors.initials: T
authors.lastname: Burns
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000523:psychology / Q000534:rehabilitation; D019090:Case Management; D003431:Cross-Cultural Comparison; D005260:Female; D005858:Germany; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology / Q000534:rehabilitation; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000523:psychology / Q000534:rehabilitation; D011594:Psychometrics / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000523:psychology / Q000534:rehabilitation; D011788:Quality of Life / Q000523:psychology*; D012050:Rehabilitation, Vocational; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D012917:Social Adjustment; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation; D013548:Sweden; D006113:United Kingdom