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Routine outcome measurement in mental health service consumers: Who should provide support for the self-assessments?

机译：精神卫生服务消费者的常规结局测量：谁应该为自我评估提供支持？

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This study examined whether mental health community service users completed outcome self-reports differently when assessments were supervised by internal vs. external staff. The examination of potential differences between the two has useful implications for mental health systems that take upon themselves the challenge of Routine Outcome Measurement (ROM), as it might impact allocation of public resources and managed care program planning. 73 consumers completed the Manchester Short Assessment of Quality of Life (MANSA), a shortened version of the Recovery Assessment Scale (RAS), and a functioning questionnaire. Questionnaires were administered, once using support provided by internal staff and once using support provided by external professional staff, with a one-month time interval and in random order. A MANOVA Repeated Measures showed no differences in outcomes of quality of life and recovery between internal and external support. Functioning scores were higher for the internal support when the internal assessments were performed first. Overall, except for the differences in functioning assessment, outcome scores were not determined by the supporting agency. This might indicate that when measuring quality of life and recovery, different supporting methods can be used to gather outcome measures and internal staff might be a good default agency to do this. Differences found in functioning assessment are discussed. (c) 2015 Elsevier Ltd. All rights reserved.
机译：这项研究检查了在内部人员与外部人员进行监督评估时，精神卫生社区服务使用者完成自我报告的方式是否有所不同。检验两者之间的潜在差异对精神卫生系统很有帮助，因为精神卫生系统可能会承受常规结果测量（ROM）的挑战，因为这可能会影响公共资源的分配和可管理的护理计划的制定。 73名消费者完成了曼彻斯特生活质量短期评估（MANSA），恢复评估量表（RAS）的简化版以及有效的调查问卷。使用内部人员提供的支持和外部专业人员提供的支持进行问卷调查，时间间隔为1个月，随机排列。 MANOVA重复测量显示，内部和外部支持之间的生活质量和恢复结果没有差异。首先进行内部评估时，内部支持的功能评分较高。总体而言，除了功能评估方面的差异外，支持机构未确定结果得分。这可能表明在衡量生活质量和康复时，可以使用不同的支持方法来收集结果指标，而内部人员可能是执行此操作的理想默认代理。讨论了功能评估中发现的差异。 （c）2015 Elsevier Ltd.保留所有权利。

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