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Haider T, Dunstan DA, Bhullar N. Psychologists’ Application of Clinical Guidelines and Recommended Protocols and Procedures within State Insurance Regulatory Authority Insurance Frameworks: Outcomes for Injured Patients with Musculoskeletal Injuries. AUSTRALIAN PSYCHOLOGIST 2020. [DOI: 10.1111/ap.12354] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Tahira Haider
- School of Behavioural, Cognitive and Social Sciences, University of New England,
| | - Debra A. Dunstan
- School of Behavioural, Cognitive and Social Sciences, University of New England,
| | - Navjot Bhullar
- School of Behavioural, Cognitive and Social Sciences, University of New England,
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Madan A, Sharp C, Newlin E, Vanwoerden S, Fowler JC. Adolescents Are Less Satisfied with Inpatient Psychiatric Care than Their Parents: Does It Matter? J Healthc Qual 2018; 38:e19-28. [PMID: 25103571 DOI: 10.1111/jhq.12081] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVE Patient satisfaction is a commonly used measure of healthcare quality. Limited research exists among psychiatric inpatients, especially adolescents, who pose unique challenges. This study sought to (1) concurrently assess adolescents' and parents' satisfaction with treatment and (2) compare their perspectives' association with treatment outcomes. METHODS This exploratory study assessed discharged adolescents from a specialty psychiatric hospital. Adolescent patients and parents completed the Perceptions of Care survey (POC), a measure of patient satisfaction. Patients also completed the Youth Self-Report measure, while parents also completed the Child Behavior Checklist-both are used as measures of mental health treatment outcomes. RESULTS Adolescents and parents gave favorable overall ratings of care. Adolescents were more critical than their parents, and there was little agreement between them. Adolescents' ratings on the POC frequently related to outcomes, whereas parents' ratings rarely did. CONCLUSIONS Ratings of satisfaction with adolescent healthcare can vary depending on whether patients or caregivers are assessed. The discrepancy between them contains value: adolescents' perception may be a better gauge of treatment outcomes and may affect treatment adherence. Future research should examine adolescent-specific concerns in the context of satisfaction with care and relate them to longer term treatment outcomes.
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Osborne PJ, Jimenez-Torres GJ, Landa Y, Mahoney J, Madan A. Chronic pain management group psychotherapy for psychiatric inpatients: A pilot study. Bull Menninger Clin 2017; 81:123-149. [PMID: 28609146 DOI: 10.1521/bumc.2017.81.2.123] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. In this report, the authors highlight (1) the theoretical underpinnings of and execution of the psychotherapy group, (2) the characteristics of participants in the pilot phase of the group, and (3) outcomes of group participants. Data were collected from 16 participants in the pain management psychotherapy group. The mean number of groups attended was two (SD = 1.7). Participants endorsed pain across five regions of the body with high pain intensity and severity. Improvements in depression, anxiety, somatic, and emotional regulation symptoms were evidenced during the course of treatment. CP group psychotherapy may be an effective modality to disseminate "best practices" and prevent diagnostic overshadowing for SMI patients.
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Affiliation(s)
- Patricia J Osborne
- VISN 2 South Mental Illness Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York.,Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York
| | | | - Yulia Landa
- VISN 2 South Mental Illness Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York.,Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Jane Mahoney
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas
| | - Alok Madan
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas
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Allen JG, Fowler JC, Madan A, Ellis TE, Oldham JM, Frueh BC. Discovering the impact of psychotherapeutic hospital treatment for adults with serious mental illness. Bull Menninger Clin 2017; 81:1-38. [DOI: 10.1521/bumc.2017.81.1.1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Jon G. Allen
- The Menninger Clinic, Houston, Texas
- Baylor College of Medicine, Houston, Texas
| | | | - Alok Madan
- The Menninger Clinic, Houston, Texas
- Baylor College of Medicine, Houston, Texas
| | - Thomas E. Ellis
- The Menninger Clinic, Houston, Texas
- Baylor College of Medicine, Houston, Texas
| | - John M. Oldham
- The Menninger Clinic, Houston, Texas
- Baylor College of Medicine, Houston, Texas
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Madan A, Fowler JC. Consistency and coherence in treatment outcome measures for borderline personality disorder. Borderline Personal Disord Emot Dysregul 2015; 2:1. [PMID: 26401304 PMCID: PMC4579515 DOI: 10.1186/s40479-014-0022-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Accepted: 12/23/2014] [Indexed: 11/19/2022] Open
Abstract
There is little consensus regarding outcomes assessment in borderline personality disorder treatment trials, making comparisons of results and meta-analytic studies difficult and far less generalizable. The current article highlights a range of measures frequently employed and puts forth a set of recommendations for a core battery of outcome measures in BPD treatment efforts. The proposed core battery aims to be comprehensive while minimizing patient burden, clinician time and costs. The relative brevity of the proposed core battery would engender flexibility for adding specific processes and outcome measures unique to targeted interventions and treatment models.
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Affiliation(s)
- Alok Madan
- The Menninger Clinic, 12301 South Main Street, Houston, TX 77035 USA ; Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, TX USA
| | - J Christopher Fowler
- The Menninger Clinic, 12301 South Main Street, Houston, TX 77035 USA ; Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, TX USA
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Terhorst L, Hutchison SL, Sorbero MJ, Mitchell AM, Dogin JW, Stein BD. Psychometric investigation of a brief measure of outcomes in children's mental health. Community Ment Health J 2014; 50:204-8. [PMID: 23748555 DOI: 10.1007/s10597-013-9627-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2012] [Accepted: 06/03/2013] [Indexed: 11/29/2022]
Abstract
The current investigation sought to provide reliability and validity evidence for the Child Outcomes Survey (COS), a brief measure designed with a dual purpose to measure functioning and therapeutic relationship and to serve as a clinician-caregiver communication tool. Exploratory (EFA) and confirmatory factor analyses (CFA) were performed using a sample of 774 responses collected from 15 provider sites throughout the state of Pennsylvania. Results of the EFA (n = 387) uncovered a three factor structure (family functioning, child functioning, and therapeutic relationship) which was confirmed in the CFA (n = 387). The internal consistency reliability of the three subscales ranged from α = .76 to α = .91. There was a significant relationship between the therapeutic relationship subscale and the use of the COS as a communication aid (r s = .50, p < .001). Findings support the COS as an accurate measure of functioning and therapeutic relationship and its utility as a communication aid between clinician and caregiver.
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Affiliation(s)
- Lauren Terhorst
- Community Care Behavioral Health Organization, 112 Washington Place, Suite 700, Pittsburgh, PA, 15219, USA,
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Hepner KA, Greenwood GL, Azocar F, Miranda J, Burnam MA. Usual care psychotherapy for depression in a large managed behavioral health organization. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2010; 37:270-8. [PMID: 19859800 DOI: 10.1007/s10488-009-0247-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Evidence-based psychotherapies to treat depression are available, yet it remains unknown the extent to which these practices are used in routine care for depression. Using survey and administrative data, we sought to describe usual care psychotherapy for depression for adult patients receiving care through a large, managed behavioral health care organization. Data from 420 patients receiving psychotherapy for depression and 159 of their therapists provide evidence that some practitioners are using evidence-based psychotherapy techniques for depression, but also demonstrate the need for improved tools to monitor and improve quality of psychotherapy in usual care.
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Cate RA, Bolstrom B, McCulloch J, Azocar F. Medical Comorbidity and its Effect on Workplace Productivity in Specialty Care Patients. Psychiatr Ann 2010. [DOI: 10.3928/00485713-20100804-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Badano LP, Nucifora G, Stacul S, Gianfagna P, Pericoli M, Del Mestre L, Buiese S, Compassi R, Tonutti G, Di Benedetto L, Fioretti PM. Improved workflow, sonographer productivity, and cost-effectiveness of echocardiographic service for inpatients by using miniaturized systems. EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY 2009; 10:537-42. [DOI: 10.1093/ejechocard/jen341] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Making the business case for enhanced depression care: the National Institute of Mental Health-harvard Work Outcomes Research and Cost-effectiveness Study. J Occup Environ Med 2008; 50:468-75. [PMID: 18404020 DOI: 10.1097/jom.0b013e31816a8931] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Explore the business case for enhanced depression care and establish a return on investment rationale for increased organizational involvement by employer-purchasers. METHOD Literature review, focused on the National Institute of Mental Health-sponsored Work Outcomes Research and Cost-effectiveness Study. RESULTS This randomized controlled trial compared telephone outreach, care management, and optional psychotherapy to usual care among depressed workers in large national corporations. By 12 months, the intervention significantly improved depression outcomes, work retention, and hours worked among the employed. CONCLUSION Results of the Work Outcomes Research and Cost-effectiveness Study trial and other studies suggest that enhanced depression care programs represent a human capital investment opportunity for employers.
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