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- Title
Use of a routine outcome measure in a consultation-liaison mental health service.
- Authors
Trauer, Tom
- Abstract
<bold>Objective: </bold>The problem severity of patients seen by a psychiatric consultation- liaison service was studied through the use of a routine outcome measure.<bold>Methods: </bold>Ratings on the Health of the Nation Outcome Scales (HoNOS) over nearly 3 years in the emergency department, general hospital, and on admission to the acute psychiatric unit were compared.<bold>Results: </bold>Mean HoNOS total scores in the emergency department were not significantly different from those at admission to the acute psychiatric unit, but were significantly higher than those in the general hospital. Mean scores in all three settings were higher than those obtained at case review of psychiatric patients in the community. Despite differences in age, sex, and psychiatric diagnosis between the three hospital settings, differences in mean HoNOS total scores remained substantially unchanged after adjustment for these factors. Most HoNOS assessments were performed by medical staff.<bold>Conclusions: </bold>The suspected high levels of problem severity and comorbidity of patients seen by a psychiatric consultation-liaison service were confirmed through the use of a routine outcome measure.
- Subjects
VICTORIA; MENTAL health services; COMORBIDITY; MEDICAL care; COMMUNITY mental health services; PSYCHIATRY; PSYCHOLOGY; PSYCHIATRIC diagnosis; MENTAL illness treatment; PSYCHIATRIC epidemiology; HOSPITAL statistics; PSYCHIATRIC hospital statistics; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; MEDICAL referrals; NURSING assessment; HEALTH outcome assessment; EMERGENCY services in psychiatric hospitals; REGRESSION analysis; RESEARCH; RESEARCH evaluation; STATISTICS; DATA analysis; EVALUATION research
- Publication
Australasian Psychiatry, 2004, Vol 12, Issue 2, p139
- ISSN
1039-8562
- Publication type
journal article
- DOI
10.1111/j.1039-8562.2004.02093.x