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dc.contributor.authorPriebe, Sen_US
dc.contributor.authorMccabe, Ren_US
dc.contributor.authorBullenkamp, Jen_US
dc.contributor.authorHansson, Len_US
dc.contributor.authorRössler, Wen_US
dc.contributor.authorTorres-Gonzales, Fen_US
dc.contributor.authorWiersma, Den_US
dc.description.abstractThree issues characterise the background to the MECCA study: A) Throughout Europe, most patients with severe forms of psychotic disorders are cared for in the community. The challenge now is to make processes in community mental health care more effective. B) There are widespread calls to implement regular outcome measurement in routine settings. This, however, is more likely to happen, if it provides a direct benefit to clinicians and patients. C) Whilst user involvement is relatively easy to achieve on a political level, new mechanisms may have to be established to make the views of patients feed into individual treatment decisions. The MECCA study is a cluster randomised controlled trial following the same protocol in community mental health teams in six European countries. In the experimental group, patients' subjective quality of life, treatment satisfaction and wishes for different or additional help are assessed in key worker-patient meetings every two months and intended to inform the therapeutic dialogue and treatment decisions. The trial tests the hypothesis that the intervention--as compared to current best standard practice--will lead to a better outcome in terms of quality of life and other criteria in patients with psychotic disorders over a one year period. This more favourable outcome is assumed to be mediated through different treatment input based on more appropriate joint decisions or a more positive therapeutic relationship in line with a partnership model of care or both. Moreover, the study will hopefully reveal new insights into how therapeutic processes in community mental health care work and how they can be optimised.en_US
dc.format.extent198 - 205en_US
dc.relation.ispartofEpidemiol Psichiatr Socen_US
dc.subjectCommunity Mental Health Servicesen_US
dc.subjectMulticenter Studies as Topicen_US
dc.subjectOutcome Assessment, Health Careen_US
dc.subjectPatient Satisfactionen_US
dc.subjectPsychotic Disordersen_US
dc.subjectQuality of Lifeen_US
dc.subjectRandomized Controlled Trials as Topicen_US
dc.titleThe impact of routine outcome measurement on treatment processes in community mental health care: approach and methods of the MECCA study.en_US
pubs.notesNot knownen_US
pubs.notesMetadata only pleaseen_US

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