Routine outcomes monitoring to support improving care for schizophrenia: report from the VA Mental Health QUERI.
In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUERI used literature review, expert interviews, and a national panel process to increase consensus regarding outcomes monitoring instruments and strategies that support quality improvement. There was very good consensus in the domains of psychotic symptoms, side-effects, drugs and alcohol, depression, caregivers, vocational functioning, and community tenure. There are validated instruments and assessment strategies that are feasible for quality improvement in routine practice.
Young
Alexander S
AS
VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA. ayoung@ucla.edu
Niv
Noosha
N
Chinman
Matthew
M
Dixon
Lisa
L
Eisen
Susan V
SV
Fischer
Ellen P
EP
Smith
Jeffrey
J
Valenstein
Marcia
M
Marder
Stephen R
SR
Owen
Richard R
RR
D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003245:Consensus Statements as Topic; D019317:Evidence-Based Medicine; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D017410:Practice Guidelines as Topic; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D058996:Quality Improvement; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D014481:United States; D014493:United States Department of Veterans Affairs
D014150:Antipsychotic Agents