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Do adults in contact with Australia's public sector mental health services get better?

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TLDR
The results showed that people in contact with public sector mental health services generally do get better, although the magnitude of improvement depends on the setting and episode type.
Abstract
This paper describes the outcomes of episodes of care for adults in public sector mental health services across Australia, with a view to informing the debate on service quality. Health of the Nation Outcome Scales (HoNOS) change scores and effect sizes were calculated for 14,659 acute inpatient episodes and 23,692 community episodes. The results showed that people in contact with public sector mental health services generally do get better, although the magnitude of improvement depends on the setting and episode type. This confirmatory finding is particularly positive, given current community concerns about the quality and effectiveness of mental health services.

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Journal ArticleDOI

Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial

TL;DR: The results demonstrate that feedback is not effective under all circumstances and therapist factors are important when implementing feedback in clinical practice.
Journal ArticleDOI

Australia's Better Access Initiative: An Evaluation:

TL;DR: It is suggested that Better Access is playing an important part in meeting the community's previously unmet need for mental health care, with statistically significant improvements in average K-10 and DASS-21 scores from pre- to post-treatment.
Journal ArticleDOI

Strengths and Difficulties Questionnaire Added Value Scores: evaluating effectiveness in child mental health interventions

TL;DR: Preliminary support is provided for the validity of the Added Value Score approach as one tool in the evaluation of interventions with groups of children who have, or are at high risk of developing, significant psychopathology.
Journal ArticleDOI

Modelling candidate effectiveness indicators for mental health services

TL;DR: The degree of effectiveness demonstrated by services will depend on the specific statistical indicator used to judge effectiveness, and the most conservative results were produced by the RCI and the least conservative by the medium ES statistic and the SEM.
Journal ArticleDOI

Achievements in mental health outcome measurement in Australia: Reflections on progress made by the Australian Mental Health Outcomes and Classification Network (AMHOCN)

TL;DR: The history of AMHOCN is documents, with a view to providing lessons for others embarking on similar exercises, to contribute to routine outcome measurement gaining a firm foothold in Australia’s public sector mental health services.
References
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Journal ArticleDOI

Health of the Nation Outcome Scales (HoNOS). Research and development.

TL;DR: The resulting 12-item HoNOS instrument is simple to use, covers clinical problems and social functioning with reasonable adequacy, has been generally acceptable to clinicians who have used it, is sensitive to change or the lack of it, and showed good reliability in independent trials.
Journal ArticleDOI

A review of the psychometric properties of the Health of the Nation Outcome Scales (HoNOS) family of measures

TL;DR: Collectively, the Health of the Nation Outcome Scales family of measures can assess outcomes for different groups on a range of mental health-related constructs, and can be regarded as appropriate for routinely monitoring outcomes.
Journal ArticleDOI

Distribution of the standardized mean change effect size for meta-analysis on repeated measures

TL;DR: The distributional properties of the standardized mean change are examined, potential problems with the variance formulae given in Becker (1988) are discussed, and the use of an approximation is recommended.
Journal ArticleDOI

Routine outcome assessment in mental health services.

Mike Slade
TL;DR: Three levels of mental health service can be differentiated: treatment (specific interventions); programme (combination of different treatment components); and system (all programmes for a defined target group in a given area) (Burns & Priebe, 1996).
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