Overview: Ohio Consumer Outcomes Initiative
Mental Health Consumer Outcomes System is an ongoing endeavor to obtain
outcome measures for consumers served by Ohioís public mental health
Recognizing the lack of a statewide system of data for consumer outcomes as
an indicator of quality, Michael F. Hogan, Ph.D., then Director of the Ohio
Department of Mental Health convened the Ohio Mental Health Outcomes Task Force
(OTF) on September 12, 1996.
The OTF, consisting of consumers, family members, providers, boards,
researchers and evaluators, ODMH staff and ODADAS staff, was asked to recommend
to ODMH "a standard, statewide, ongoing approach to measuring outcomes for
consumers served by Ohioís public mental health system (The Ohio Mental Health
Consumer Outcomes System Procedure Manual, 1-2).
The OTF submitted its final report, Vital Signs, to Director Hogan on
March 31, 1998. These efforts were followed by the development of the Outcomes
Implementation Pilot Coordinating Group (OIPCG) which planned and conducted a
consumer outcomes implementation pilot. Lake County, Stark County and an adult
provider in Columbiana County volunteered to be the sites for the consumer
outcomes pilot. The pilot sites collected data from November 1998 through the
spring of 1999. Based on the experiences of the pilot sites, the OIPCG made
final recommendations to Director Hogan in December 1999.
The three main purposes for using consumer outcomes are (a) to manage
consumer care, (b) to improve the service delivery system, and (c) to account
for public resources. As stated in the Ohio Mental Health Consumer Outcomes System
Procedure Manual, "consumer outcomes data provide additional information
for individual consumers and workers/clinicians to use in assessment and
service/treatment planning. Baseline outcomes data help the consumer and
clinician to identify a consumerís strengths, needs, and goals and to
show areas in which the worker/clinician needs to advocate on behalf of the
consumer. The comparison of a consumerís baseline outcomes data with his/her
outcomes at subsequent intervals indicates where changes have occurred in the
consumerís life and identifies aspects of the service/treatment plan which
the consumer and clinician may need to revise (Procedure Manual,1-7)."
For many clinicians and consumers, this requires a shift in the manner in
which treatment is provided. In order for the Outcomes System to be used
effectively, the consumer must be involved in treatment decisions and
treatment planning process. The consumer, to the extent possible, will become
more involved in their treatment and take ownership of their progress. The
Outcomes System provides consumers and clinicians a tool to enhance
the consumerís recovery.
The OTF defines consumer outcomes as "indicators of health or well-being
for an individual or family, as measured by statements or characteristics of the
consumer/family, not the service system (procedure manual 1-2)."
The OTF collapsed indicators that were of special interest to the Ohio
Consumer Outcomes Project into the following four domains.
||This domain looks at the symptoms that a person may
experience from their illness and how much they interfere with their
|Quality of Life
||This domain's questions look at how "good" a
personís life is, and if their needs are being met. An important piece
of this is how much control a person has over the events in their life
||This domain identifies how well a person is doing in the
community including areas such as work, school and social relationships.
|Safety & Health
||This domain addresses the amount of freedom a person has
from physical and/or psychological harm from self and others.
The OTF then developed specific surveys for different consumer populations
and their providers. The surveys are provided in the table below.
||ODMH Survey Form (PDF):
Adult consumer with severe mental illness
(Adult Consumer A & B and Provider form)
Children (child, parent and provider surveys)
Scales* (Ben Ogles)
|* the Ohio Scales instruments are copy written
and require a minimal fee for use outside of Ohio
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