Mulder C L, Kortrijk H E
Afdeling Psychiatrie, Erasmus MC, en Bavo Europoort, Rotterdam.
Tijdschr Psychiatr. 2012;54(2):191-6.
Patients with severe mental illness (SMI) generally receive long-term treatment. Interrupting treatment or leaving treatment early can lead to problems with the interpretation of routine outcome monitoring (ROM) data.
To describe the link between early drop-out and treatment duration on the one hand, and patient characteristics and scores on a ROM outcome measure, namely the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), on the other hand.
Annual CANSAS assessments of patients in assertive community treatment (ACT).
2946 CANSAS assessments were performed on 1041 patients who had been treated by an ACT team for an average of 1.4 years since their first ROM assessment. Patients who remained under treatment by an ACT team were more frequently male, born outside the Netherlands and had a psychotic or addiction disorder more frequently than patients who had left the ACT team treatment early. Patients who remained in ACT had, both at the start of treatment and at their last assessment, more unfulfilled needs than patients who had been treated for a shorter period.
For the correct interpretation of ROM data for patients with SMI, one needs to have information about patient characteristics and the treatment duration.
重症精神疾病（SMI）患者通常接受长期治疗。中断治疗或提前终止治疗会导致常规疗效监测（ROM）数据解读方面的问题。
一方面描述早期退出与治疗时长之间的联系，另一方面描述患者特征与ROM疗效测量指标（即坎伯韦尔需求评估简短评定量表，CANSAS）得分之间的联系。
对接受积极社区治疗（ACT）的患者进行年度CANSAS评估。
对1041名患者进行了2946次CANSAS评估，自首次ROM评估以来，这些患者接受ACT团队治疗的平均时长为1.4年。与提前退出ACT团队治疗的患者相比，继续接受ACT团队治疗的患者男性比例更高，出生于荷兰境外，患精神病或成瘾性障碍的频率更高。在治疗开始时和最后一次评估时，继续接受ACT治疗的患者未满足的需求均多于接受治疗时间较短的患者。
为了正确解读SMI患者的ROM数据，需要了解患者特征和治疗时长。
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