caa a22 4500 445849371 CHVBK 20180317145408.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s10597-010-9328-y doi (NATIONALLICENCE)springer-10.1007/s10597-010-9328-y Routine Outcomes Monitoring to Support Improving Care for Schizophrenia: Report from the VA Mental Health QUERI [Elektronische Daten] [Alexander Young, Noosha Niv, Matthew Chinman, Lisa Dixon, Susan Eisen, Ellen Fischer, Jeffrey Smith, Marcia Valenstein, Stephen Marder, Richard Owen] In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUERI used literature review, expert interviews, and a national panel process to increase consensus regarding outcomes monitoring instruments and strategies that support quality improvement. There was very good consensus in the domains of psychotic symptoms, side-effects, drugs and alcohol, depression, caregivers, vocational functioning, and community tenure. There are validated instruments and assessment strategies that are feasible for quality improvement in routine practice. The Author(s), 2010 Quality improvement nationallicence Outcomes assessment nationallicence Mental disorders nationallicence Community mental health nationallicence Evidence-based care nationallicence Young Alexander VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, 210A, 90073, Los Angeles, CA, USA aut Niv Noosha VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, 210A, 90073, Los Angeles, CA, USA aut Chinman Matthew VA Stars and Stripes MIRECC, 7180 Highland Drive (151-R), 15206, Pittsburgh, PA, USA aut Dixon Lisa VA Capitol MIRECC, VA Maryland Health Care System, 10 N. Greene Street, Suite 6A-MIRECC, 21201, Baltimore, MD, USA aut Eisen Susan Center for Health Quality, Outcomes & Economic Research, Edith Nourse Rogers Memorial VA Hospital, 200 Springs Rd. (152), 01730, Bedford, MA, USA aut Fischer Ellen VA Mental Health QUERI, Central Arkansas Veterans Healthcare System HSR&D (152/NLR), 2200 Fort Roots Dr., Bldg 58, 72114, North Little Rock, AR, USA aut Smith Jeffrey VA Mental Health QUERI, Central Arkansas Veterans Healthcare System HSR&D (152/NLR), 2200 Fort Roots Dr., Bldg 58, 72114, North Little Rock, AR, USA aut Valenstein Marcia Ann Arbor VA Medical Center, P.O. Box 130170, 48113, Ann Arbor, MI, USA aut Marder Stephen VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, 210A, 90073, Los Angeles, CA, USA aut Owen Richard VA Mental Health QUERI, Central Arkansas Veterans Healthcare System HSR&D (152/NLR), 2200 Fort Roots Dr., Bldg 58, 72114, North Little Rock, AR, USA aut Community Mental Health Journal Springer US; http://www.springer-ny.com 47/2(2011-04-01), 123-135 0010-3853 47:2<123 2011 47 10597 https://doi.org/10.1007/s10597-010-9328-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10597-010-9328-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Young Alexander VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, 210A, 90073, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Niv Noosha VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, 210A, 90073, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Chinman Matthew VA Stars and Stripes MIRECC, 7180 Highland Drive (151-R), 15206, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Dixon Lisa VA Capitol MIRECC, VA Maryland Health Care System, 10 N. Greene Street, Suite 6A-MIRECC, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Eisen Susan Center for Health Quality, Outcomes & Economic Research, Edith Nourse Rogers Memorial VA Hospital, 200 Springs Rd. (152), 01730, Bedford, MA, USA aut NATIONALLICENCE 700 1- Fischer Ellen VA Mental Health QUERI, Central Arkansas Veterans Healthcare System HSR&D (152/NLR), 2200 Fort Roots Dr., Bldg 58, 72114, North Little Rock, AR, USA aut NATIONALLICENCE 700 1- Smith Jeffrey VA Mental Health QUERI, Central Arkansas Veterans Healthcare System HSR&D (152/NLR), 2200 Fort Roots Dr., Bldg 58, 72114, North Little Rock, AR, USA aut NATIONALLICENCE 700 1- Valenstein Marcia Ann Arbor VA Medical Center, P.O. Box 130170, 48113, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Marder Stephen VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA, 11301 Wilshire Boulevard, 210A, 90073, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Owen Richard VA Mental Health QUERI, Central Arkansas Veterans Healthcare System HSR&D (152/NLR), 2200 Fort Roots Dr., Bldg 58, 72114, North Little Rock, AR, USA aut NATIONALLICENCE 773 0- Community Mental Health Journal Springer US; http://www.springer-ny.com 47/2(2011-04-01), 123-135 0010-3853 47:2<123 2011 47 10597 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer