1. Outcome Measures in Mental Health Physiotherapy A Clinician’s PerspectiveBy
Jean Picton-Bentley Lead Physiotherapist
Ross Farmer Head of Physiotherapy & Clinical Exercise

2. Aims Application of outcome measures to a mental health setting
Commonly used metrics
Setting baselines & understanding our practice
National comparison vs individual patients

3. MH Outcome Measures Outcomes are important...
... but are they relevant?
Do they explain why our interventions work?

5. HoNAS / Clustering
Overactive, aggressive, disruptive or agitated behaviour
Non-accidental self injury
Problem-drinking or drug-taking
Cognitive problems
Physical illness or disability problems
Problems associated with hallucinations and delusions

6. HoNAS / Clustering
7. Problems with depressed mood 8. Other mental and behavioural problems 9. Problems with relationships 10. Problems with activities of daily living 11. Problems with living conditions 12. Problems with occupation and activities 13. Strong unreasonable beliefs occurring in non-psychotic disorders only

11. What we do... ...setting baselines
South London & Maudsley
Why do people refer to MH physiotherapy?
What do people refer to MH physiotherapy?
TIM study; band / contact time
Is there an unmet need within psychosis?
CPMH National Audit

12. Healthcare Quality
Healthcare involves interaction between medical professionals and patients. Each have a role to play Donabedian 1968
3 key viewpoints / stakeholders; physicians, purchasers & patients McGlynn 1997
Healthcare can be viewed as;
Structure conduit to healthcare
Process clinician/patient relationship
Outcome care provided & manner received
Campbell et al. 2000
Patient Satisfaction Systematic Review 2012

13. Social Constructivism
“A theory which explains how apparently neutral or biologically determined social decisions are created by contemporary social values, beliefs and attitudes”
E.g. Professionalization
Even after legitimate power has been lost, power gains can still be made by maintaining a mass appeal and a wide ranging morale terrain Halliday 1985

14. Legislation
NHS core principles: should meet the needs of everyone NHS Choices
Conflict between meeting the needs of the individual and that of the nation Campbell et al. 2000
NHS patient survey commenced 1997 The New NHS
NICE introduced 1998 A First Class Service
LINks The Local Government Involvement Act 2007

15. Individualised Treatment / PROMs / Patient Centred Goals / Service user involvement