Article

Client outcomes: II. Longitudinal client data from the Colorado Treatment Outcome Study

New York State Office of Mental Health, Albany.
Milbank Quarterly (Impact Factor: 5.06). 02/1994; 72(1):123-48. DOI: 10.2307/3350341
Source: PubMed

ABSTRACT The outcomes of a reform of the Denver mental health system, cosponsored by the state and the RWJF, are contrasted with changes in a comparison area of the state. The study examines the structural characteristics of the mental health system, staff attitudes and satisfaction, and client-reported services and outcome. Results indicate that, in Denver, structural changes, the introduction of new services, and an intervening financial crisis increased worker dissatisfaction. Client reports documented parallel changes in the following variables: continuity of care, unmet need for case management services, frequency of symptoms, and satisfaction with services. The reform had no impact, however, on most quality-of-life indicators. The possibly adverse consequences of centralizing the system and the indirect influences of system integration on quality of life are discussed.

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    • "Index (CSI). The CSI (Shern et al., 1994) was used to measure psychiatric symptoms and is consistent with the National Institute of Mental Health task force criteria for outcome measures (Ciarlo, Edwards, Kiresuk, et al., 1981). Although two versions of the CSI exist, the version reported on in this article is the 14-item version. "
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    • "Current psychiatric symptomatology was assessed using the Colorado Symptom Index (CSI; Shern et al., 1994). This widely used self-report measure assesses the frequency of psychiatric symptoms in the past month. "
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    • "Information about prescribed medications was obtained from chart review. The Colorado Symptom Index (CSI) (Shern et al., 1994) was used to assess anxiety and depression symptoms (higher scores reflecting more frequent symptoms). "
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