Related Experiment Videos
North Birmingham assertive outreach evaluation. Patient characteristics and clinical outcomes
Martin Commander1, Sashi Sashidharan, Tanvir Rana
1Birmingham and Solihull Mental Health Trust, Northcroft, Highcroft Hospital, Reservoir Road, Erdington, Birmingham, B23 6AL, UK. martin.commander@bsmht.nhs.uk
Background:
Given the adoption of assertive outreach teams into UK mental health policy, it is important to assess whether gains identified in efficacy studies can be replicated in ordinary clinical settings.
Aim:
The aim of the study was to assess patient characteristics and clinical outcomes in routine assertive outreach services in the UK.
Methods:
Patients (N=250), newly taken onto five assertive outreach teams, were followed up over 2 years. Baseline characteristics and outcome measures were compared.
Results:
Most patients had an International Statistical Classification of Diseases and Related Health Problems, 10th Revision, diagnosis of schizophrenia, schizotypal or delusional disorder and long-standing involvement with psychiatric services. Around a half had a history of substance abuse and violence. At follow-up, the majority had ongoing input from the teams and there was a significant decrease in the use of in-patient care. There was no improvement in symptoms, risk behaviours or social functioning.
Conclusion:
Patients on assertive outreach teams remain in contact with services and spend less time in hospital yet show little change with respect to clinical outcomes.
Related Concept Videos
01:15Nursing Evaluation
Section...
01:11Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...