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Clinical decision making and outcome in routine care for people with severe mental illness

Objective

"Background: A considerable amount of research has been conducted on clinical decision making (CDM) in short-term physical conditions. However, there is a lack of knowledge on CDM and its outcome in long-term illnesses, especially in care for people with severe mental illness. Thus, this project entitled ""Clinical decision making and outcome in routine care for people with severe mental illness"" (CEDAR) is proposed by participants in six European countries (Denmark, Germany, Hungary, Italy, Switzerland and UK). Methods: First, CEDAR will establish a methodology to assess CDM in people with severe mental illness. Specific instruments will be developed (and psychometric properties established) to measure CDM style, key elements of CDM in routine care, as well as CDM involvement and satisfaction from patient and therapist perspectives. Second, these instruments will be put to use in a multi-national prospective observational study (monthly assessments during a one-year observation period; N = 540). This study will investigate the immediate, short- and long-term effect of CDM on crucial dimensions of clinical outcome (symptom level, quality of life, needs) by taking into account significant variables moderating the relationship between CDM and outcome. Expected results/impact: The results of this study will make possible to delineate quality indicators of CDM, as well as to specify prime areas for further improvement. Ingredients of best practice in CDM in the routine care for people with severe mental illness will be extracted and recommendations formulated. With its explicit focus on the patient role in CDM, CEDAR will also contribute to strengthening the service user perspective. Beyond dissemination of results in scientific journals, a number of steps to ensure swift transfer of the results to routine practice are proposed. Thus, this project will substantially add to improving the practice of CDM in mental health care across Europe."

Call for proposal

FP7-HEALTH-2007-B
See other projects for this call

Funding Scheme

CP-FP - Small or medium-scale focused research project

Coordinator

UNIVERSITAET ULM
Address
Helmholtzstrasse 16
89081 Ulm
Germany
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 503 371
Administrative Contact
Frank Gleixner

Participants (5)

KING'S COLLEGE LONDON
United Kingdom
EU contribution
€ 430 988
Address
Strand
WC2R 2LS London
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Mike Slade (Dr.)
UNIVERSITA DEGLI STUDI DELLA CAMPANIA LUIGI VANVITELLI
Italy
EU contribution
€ 244 741
Address
Viale Abramo Lincoln 5
81100 Caserta
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Luciana Taliento (Ms.)
DEBRECENI EGYETEM
Hungary
EU contribution
€ 94 573
Address
Egyetem Ter 1
4032 Debrecen
Activity type
Higher or Secondary Education Establishments
Administrative Contact
István Degrell (Prof.)
AALBORG SYGEHUS
Denmark
EU contribution
€ 234 282
Address
Hobrovej 42A
9000 Aalborg
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Povl Munk-Jørgensen (Prof.)
University of Zurich
Switzerland
EU contribution
€ 255 901
Address
Ramistrasse 71
8006 Zurich
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Wulf Roessler (Prof.)