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A multistakeholder-driven model for developing an outcome management system

J R Koch1, A Lewis, D McCall

  • 1Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services, Richmond 23218, USA.

The Journal of Behavioral Health Services & Research
|May 22, 1998
PubMed
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Developing standardized outcome assessment for public mental health services requires stakeholder involvement. This initiative in Virginia focused on creating relevant and acceptable tools for effective treatment outcome monitoring.

Area of Science:

  • Public Health
  • Mental Health Services Research
  • Health Services Administration

Background:

  • Growing demand for accountability in public mental health services necessitates organized treatment outcome monitoring systems.
  • Effective outcome management systems require the active involvement of key stakeholders in developing assessment tools and methodologies.
  • Ensuring the relevance and acceptability of outcome management systems is crucial for successful implementation.

Purpose of the Study:

  • To describe a multistakeholder initiative for developing standardized outcome assessment in Virginia's public mental health services.
  • To outline the process of stakeholder engagement, instrument selection, and pilot testing for outcome assessment.
  • To evaluate the feasibility, utility, and cost-benefit of standardized outcome assessment instruments.

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Main Methods:

  • A multistakeholder approach was employed to enlist participants and guide the development process.
  • Standardized assessment instruments were identified and recommended for public mental health services.
  • A pilot project, focusing on child and adolescent mental health, was conducted to evaluate the proposed system.

Main Results:

  • The initiative successfully engaged diverse stakeholders in developing outcome assessment tools.
  • The pilot project provided preliminary data on the feasibility, utility, and cost-effectiveness of the selected instruments.
  • The child/adolescent mental health pilot demonstrated the practical application of the standardized assessment approach.

Conclusions:

  • Multistakeholder collaboration is essential for creating relevant and acceptable public mental health outcome management systems.
  • The Virginia initiative provides a model for developing and implementing standardized outcome assessment in public mental health.
  • Further evaluation and refinement are needed for the broader application of this outcome management system.