Laugharne Richard, Eaves Scott, Mascas Alin, Psatha Kiki, Dinnis Gill, Trower Jonathan, Shankar Rohit
Consultant Psychiatrist,Cornwall Partnership NHS Foundation Trust and University of Exeter Medical School.
Foundation Doctor,Cornwall Partnership NHS Foundation Trust.
BJPsych Open. 2018 May;4(3):91-94. doi: 10.1192/bjo.2018.3.
Community mental health services in the UK have struggled to measure the clinical effectiveness of their services.AimsTo measure clinical outcomes for different diagnostic clusters.
Clinicians measure the clinical status of patients by the Health of the Nation Outcome Scales (HoNOS), and HoNOS scores should be recorded annually after treatment. Clinical outcomes were measured by changes in HoNOS for diagnostic clusters.
In two time periods (2014 and 2016), the health of patients with mild to moderate common mental disorders deteriorated after intervention. Patients with severe common mental disorders and psychoses improved in their clinical status.
British community mental health teams may be effective in improving the clinical status of people with severe mental illness, but may have a negative effect on people with mild to moderate illnesses. These teams need to focus on the severely mentally ill and build on this demonstrable effectiveness.Declaration of interestNone.
英国的社区心理健康服务一直在努力衡量其服务的临床效果。
测量不同诊断类别患者的临床结局。
临床医生通过《国家健康结局量表》（HoNOS）来衡量患者的临床状况，且治疗后应每年记录HoNOS评分。通过诊断类别中HoNOS的变化来衡量临床结局。
在两个时间段（2014年和2016年），轻度至中度常见精神障碍患者的健康状况在干预后恶化。重度常见精神障碍和精神病患者的临床状况有所改善。
英国社区心理健康团队可能在改善重度精神疾病患者的临床状况方面有效，但可能对轻度至中度疾病患者产生负面影响。这些团队需要专注于重度精神病患者，并在此已证实的有效性基础上继续努力。
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