scholarly journals Perinatal mental health outcome measures in a mother and baby unit

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S96-S97
Author(s):  
Johanna O'Connor ◽  
Raunica Katyal
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Perinatal Outcomes ◽  
Significant Degree ◽  
Maternal Bonding ◽  
Mother And Baby Unit ◽  
Postpartum Bonding ◽  
Ages And Stages Questionnaires ◽  
Audit Standards ◽  
Better Than

AimsTo Audit Perinatal outcome measures and understand better the population served in order to improve care and understand risks. Our audit standards inculded: paired HoNOS and PBQ recorded on admission and discharge as well as ASQ scores prior to admission.MethodHealth of the Nation Outcome Scales (HoNOS), Postpartum Bonding Questionnaire (PBQ) and Ages and Stages Questionnaires (ASQ) were recorded on Lorenzo and SystmOne. Scores were collected over 20 months within the same MBU and these were analyzed.ResultOur audit standards had an overall audit compliancy of 73% with paired HoNOS better than PBQ. Mental health severity mitigated and maternal bonding improved to a significant degree. Depression was the principal presentation as were patients from deprived areas. Only 55% of babies had ASQ scores completed appropriately pre- admission.ConclusionAs the newest MBU in the country, this an initial foray of perinatal outcomes. Gratifyingly, benefits of MBU admission for mother and baby is evidenced in this snapshot.

scholarly journals Recovering Quality of Life (ReQoL): a new generic self-reported outcome measure for use with people experiencing mental health difficulties

2018 ◽  
Vol 212 (1) ◽  
pp. 42-49 ◽  
Author(s):  
Anju Devianee Keetharuth ◽  
John Brazier ◽  
Janice Connell ◽  
Jakob Bue Bjorner ◽  
Jill Carlton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Outcome Measures ◽  
Service User ◽  
Quantitative Methods ◽  
Outcome Measure ◽  
Well Being ◽  
Self Report ◽  
Better Than

BackgroundOutcome measures for mental health services need to adopt a service-user recovery focus.AimsTo develop and validate a 10- and 20-item self-report recovery-focused quality of life outcome measure named Recovering Quality of Life (ReQoL).MethodQualitative methods for item development and initial testing, and quantitative methods for item reduction and scale construction were used. Data from >6500 service users were factor analysed and item response theory models employed to inform item selection. The measures were tested for reliability, validity and responsiveness.ResultsReQoL-10 and ReQoL-20 contain positively and negatively worded items covering seven themes: activity, hope, belonging and relationships, self-perception, well-being, autonomy, and physical health. Both versions achieved acceptable internal consistency, test–retest reliability (>0.85), known-group differences, convergence with related measures, and were responsive over time (standardised response mean (SRM) > 0.4). They performed marginally better than the Short Warwick-Edinburgh Mental Well-being Scale and markedly better than the EQ-5D.ConclusionsBoth versions are appropriate for measuring service-user recovery-focused quality of life outcomes.Declaration of interestM.B. and J.Co. were members of the research group that developed the Clinical Outcomes in Routine Evaluation (CORE) outcome measures.

ePS5.02 Development of mental health quality outcome measures in the Swedish Cystic Fibrosis Registry - pitfalls and possibilities

2020 ◽  
Vol 19 ◽  
pp. S49
Author(s):  
L. Backström Eriksson ◽  
C. Laine ◽  
I. de Monestrol ◽  
A. Lindblad ◽  
E. Bergenmar-Ivarsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Cystic Fibrosis ◽  
Outcome Measures ◽  
Health Quality

Making sense of child and adolescent mental health services (CAMHS): An audit of the referral journey and the use of routine outcome measures (ROMS)

2021 ◽  
pp. 135910452199970
Author(s):  
Naomi Gibbons ◽  
Emma Harrison ◽  
Paul Stallard
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Completion Rates ◽  
Making Sense ◽  
North East ◽  
Over Time

Background: There is increased emphasis on the national reporting of Routine Outcome Measures (ROMS) as a way of improving Child and Adolescent Mental Health Services (CAMHS). This data needs to be viewed in context so that reasons for outcome completion rates are understood and monitored over time. Method: We undertook an in-depth prospective audit of consecutive referrals accepted into the Bath and North East Somerset, Swindon and Wiltshire (BSW) CAMHS service from November 2017 to January 2018 ( n = 1074) and April to September 2019 ( n = 1172). Results: Across both audits 90% of those offered an appointment were seen with three quarters completing baseline ROMS. One in three were not seen again with around 30% still being open to the service at the end of each audit. Of those closed to the service, paired ROMS were obtained for 46% to 60% of cases. There were few changes in referral problems or complexity factors over time. Conclusion: Understanding the referral journey and the reasons for attrition will help to put nationally collected data in context and can inform and monitor service transformation over time.

Aircraft Applications of Insecticides in East Africa. VIII.—An Experiment against the Tsetse Fly, Glossina swynnertoni Aust., in an isolated Area of Thronbush and Thicket

1954 ◽  
Vol 45 (3) ◽  
pp. 613-622 ◽  
Author(s):  
K. S. Hocking ◽  
G. F. Burnett ◽  
R. C. Sell
Keyword(s):  
East Africa ◽  
Apparent Density ◽  
Significant Degree ◽  
Tsetse Fly ◽  
Central Province ◽  
The North ◽  
Insecticidal Treatment ◽  
Bad Weather ◽  
Glossina Swynnertoni ◽  
Better Than

An isolated area of 2,200 acres of thicket and thronbush in the Central Province, Tanganyika, was treated from the air with a DDT-in-oil aerosol in an attempt to eliminate the tsetse fly, Glossina swynnertoni Aust. Eight applications of 0·25 lb. technical DDT per acre were planned to be done at fortnightly intervals.Delays due to unseasonal bad weather reduced this to seven at a slightly higher rate and over a longer-period.G. swynnertoni was reduced from an apparent density of about 7 to zero at the end of the second application. No flies were caught after the fifth application for a period of six months.It is not possible to say whether the few caught since then have been brought in or are the offspring of survivors of the insecticidal treatment.This experiment was more successful than that on the Galapo Block in the same ares, to a highly significant degree, and this is attributed to the vulnerability of the smaller population present. It was doubtfully better than the first treatment of the North Block, also in this area, because the increase in population in the latter block may have been assisted by immigration.

scholarly journals A randomized controlled clinical trial of the effect of supportive counseling on mental health in Iranian mothers of premature infants

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leila Seiiedi-Biarag ◽  
Mojgan Mirghafourvand ◽  
Khalil Esmaeilpour ◽  
Shirin Hasanpour
Keyword(s):  
Mental Health ◽  
Clinical Trial ◽  
Premature Infants ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Postpartum Bonding ◽  
Supportive Counseling

Abstract Background Premature birth can affect maternal mental health. Considering that the mental health disorder in mothers may play a vital role in the growth and development of their children, therefore, this study was conducted to determine the effect of supportive counseling on mental health (primary outcome), mother-child bonding and infant anthropometric indices (secondary outcomes) in mothers of premature infants. Methods This randomized controlled clinical trial was carried out on 66 mothers with hospitalized neonates in the NICU of Alzahra hospital in Tabriz- Iran. Participants were randomly allocated into two groups of intervention (n = 34) and control (n = 32) through a block randomization method. The intervention group received 6 sessions of supportive counseling (45–60 minutes each session) by the researcher, and the control group received routine care. Questionnaires of Goldberg General Health and the postpartum bonding were completed before the intervention (first 72 hours postpartum) and 8 weeks postpartum. Also, the anthropometric index of newborns were measured at the same time. Results There was no statistically significant difference between the two groups in terms of socio-demographic characteristics. After the intervention, based on ANCOVA with adjusting the baseline score, mean score of mental health (AMD: -9.8; 95% Confident Interval (95% CI): -12.5 to -7.1; P < 0.001) and postpartum bonding (AMD: -10.0; 95% CI: -0.6 to 13.9; P < 0.001) in the counseling group was significantly lower than those of the control group; however, in terms of weight (P = 0.536), height (P = 0.429) and head circumference (P = 0.129), there was no significant difference between the two groups. Conclusions Supportive counseling may improve mental health and postpartum bonding in mothers of premature infants. Thus, it may be recommendable for health care providers to offer it to mothers. Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N45. Date of registration: October 29, 2018.

External Validation and Test-Retest Reliability of Postpartum Bonding Questionnaire in Spanish Mothers

2021 ◽  
Vol 24 ◽  
Author(s):  
Anna Torres-Giménez ◽  
Alba Roca-Lecumberri ◽  
Bàrbara Sureda ◽  
Susana Andrés-Perpiña ◽  
Bruma Palacios-Hernández ◽  
...  
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Characteristic Curve ◽  
External Validation ◽  
Area Under The Curve ◽  
Retest Reliability ◽  
Outpatient Unit ◽  
Auc Value ◽  
Postpartum Bonding ◽  
Test Retest Reliability

Abstract The aim of the present study was to validate the Spanish Postpartum Bonding Questionnaire (PBQ) against external criteria of bonding disorder, as well as to establish its test-retest reliability. One hundred fifty-six postpartum women consecutively recruited from a perinatal mental health outpatient unit completed the PBQ at 4–6 weeks postpartum. Four weeks later, all mothers completed again the PBQ and were interviewed using the Birmingham Interview for Maternal Mental Health to establish the presence of a bonding disorder. Receiver operating characteristic curve analysis revealed an area under the curve (AUC) value for the PBQ total score of 0.93, 95% CI [0.88, 0.98], with the optimal cut-off of 13 for detecting bonding disorders (sensitivity: 92%, specificity: 87%). Optimal cut-off scores for each scale were also obtained. The test-retest reliability coefficients were moderate to good. Our data confirm the validity of PBQ for detecting bonding disorders in Spanish population.

Evaluation of an Online System for Routine Outcome Monitoring: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Deanna Wiebe ◽  
Pria Nippak ◽  
Julien Meyer ◽  
Shannon Remers
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Service Providers ◽  
Routine Outcome Monitoring ◽  
Completion Rates ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Online System ◽  
Health Service Providers ◽  
Outcome Monitoring

BACKGROUND The use of Routine Outcome Monitoring (ROM) in the treatment of mental health has emerged as a method of improving psychotherapy treatment outcomes. Despite this, very few clinicians regularly use ROM in clinical practice. Online ROM has been suggested as a solution to increase adoption. OBJECTIVE To identify the influence of moving ROM online on client completion rates of self-reported outcome measures and to identify implementation and utilization barriers to online ROM by assessing clinicians’ views on their experience utilizing the online system over previous paper-based methods. METHODS Client completion rates of self-reported outcome measures were compared pre and post implementation of an online system of ROM. In addition, a survey questionnaire was administered to 340 mental health service providers regarding their perception of benefits with an online system of ROM. RESULTS Client completion rates of self-reported measures increased from 15% to 54% after moving online. Fifty-eight% of service providers found the new system less time consuming than previous paper-based ROM and 64% found that it helped monitor clients. However, the perceived value of the system remains in doubt as only 23% found it helped them identify clients at risk for treatment failure, and only 18% found it strengthened the therapeutic alliance. CONCLUSIONS Although the current study suggests mixed results regarding service providers’ views on their experience using an online system for ROM, it has identified barriers and challenges that are actionable for improvement.

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