Assessing clinical outcomes: The community functioning of persons with serious mental illness.

摘要: OBJECTIVE The demand to measure the clinical outcomes of persons with serious mental illness in community is growing; however, there no consensus about how do this task. This paper identifies challenges measuring and reviews selected instruments that functioning population. METHODS Papers peer-reviewed psychiatric journals for years 1986 1996 were reviewed select two or more domains which data on reliability validity have been published. Selected evaluated, focusing their format, content, item scoring, length, original sample RESULTS AND CONCLUSIONS Challenges include multiplicity must be measured, conflicting interests various stakeholders involved care, limitations self-report data, other methodological problems. Nine met study criteria from literature. Three are instruments, six based report an informant independent rater. vary length content areas most consistently represented self-care social relationships. Life satisfaction, health status, symptoms, work skills not addressed. Individual additional limitations, including absence behavioral anchors scale items lack specificity illness. Effort should directed toward sharing across settings, effects treatment interventions, demonstrating predictive outcome data.