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Does community care work? A model to evaluate the effectiveness of mental health services
The aim of this paper is to evaluate the effectiveness of community Mental Health Departments in Lombardy (Italy), and analyse the eventual differences in outcome produced by different packages of care. The survey was conducted in 2000 on 4,712 patients treated in ten Mental Health Departments. Pati...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2488329/ https://www.ncbi.nlm.nih.gov/pubmed/18601741 http://dx.doi.org/10.1186/1752-4458-2-10 |
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author | Monzani, Emiliano Erlicher, Arcadio Lora, Antonio Lovaglio, Piergiorgio Vittadini, Giorgio |
author_facet | Monzani, Emiliano Erlicher, Arcadio Lora, Antonio Lovaglio, Piergiorgio Vittadini, Giorgio |
author_sort | Monzani, Emiliano |
collection | PubMed |
description | The aim of this paper is to evaluate the effectiveness of community Mental Health Departments in Lombardy (Italy), and analyse the eventual differences in outcome produced by different packages of care. The survey was conducted in 2000 on 4,712 patients treated in ten Mental Health Departments. Patients were assessed at least twice in a year with HoNOS (Health of the Nation Outcome Scales). Data on treatment packages were drawn from the regional mental health information system, which includes all outpatient and day-care contacts, as well as general hospital and inpatient admissions provided by Mental Health Departments. Multilevel growth models were used for outcomes statistical analysis, expressed in terms of change of the total HoNOS score. On the whole, Mental Health Departments were effective in reducing HoNOS scores. The main predictor of improvement was treatment, while length of care, gender and diagnosis were weaker predictors. After severity adjustment, some packages of care proved more effective than others. Appropriate statistical methods, comprehensive treatment descriptions and routine outcome assessment tools are needed to evaluate the effectiveness of community mental health services in clinical settings. |
format | Text |
id | pubmed-2488329 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-24883292008-07-29 Does community care work? A model to evaluate the effectiveness of mental health services Monzani, Emiliano Erlicher, Arcadio Lora, Antonio Lovaglio, Piergiorgio Vittadini, Giorgio Int J Ment Health Syst Research The aim of this paper is to evaluate the effectiveness of community Mental Health Departments in Lombardy (Italy), and analyse the eventual differences in outcome produced by different packages of care. The survey was conducted in 2000 on 4,712 patients treated in ten Mental Health Departments. Patients were assessed at least twice in a year with HoNOS (Health of the Nation Outcome Scales). Data on treatment packages were drawn from the regional mental health information system, which includes all outpatient and day-care contacts, as well as general hospital and inpatient admissions provided by Mental Health Departments. Multilevel growth models were used for outcomes statistical analysis, expressed in terms of change of the total HoNOS score. On the whole, Mental Health Departments were effective in reducing HoNOS scores. The main predictor of improvement was treatment, while length of care, gender and diagnosis were weaker predictors. After severity adjustment, some packages of care proved more effective than others. Appropriate statistical methods, comprehensive treatment descriptions and routine outcome assessment tools are needed to evaluate the effectiveness of community mental health services in clinical settings. BioMed Central 2008-07-05 /pmc/articles/PMC2488329/ /pubmed/18601741 http://dx.doi.org/10.1186/1752-4458-2-10 Text en Copyright © 2008 Monzani et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Monzani, Emiliano Erlicher, Arcadio Lora, Antonio Lovaglio, Piergiorgio Vittadini, Giorgio Does community care work? A model to evaluate the effectiveness of mental health services |
title | Does community care work? A model to evaluate the effectiveness of mental health services |
title_full | Does community care work? A model to evaluate the effectiveness of mental health services |
title_fullStr | Does community care work? A model to evaluate the effectiveness of mental health services |
title_full_unstemmed | Does community care work? A model to evaluate the effectiveness of mental health services |
title_short | Does community care work? A model to evaluate the effectiveness of mental health services |
title_sort | does community care work? a model to evaluate the effectiveness of mental health services |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2488329/ https://www.ncbi.nlm.nih.gov/pubmed/18601741 http://dx.doi.org/10.1186/1752-4458-2-10 |
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