Using electronic patient-reported measures to characterize symptoms and improvement in inpatient psychiatric units

• Published in: Psychiatry research Vol. 317; p. 114839
• Main Authors: Wong, Samantha A., Duffy, Lucie A., Layfield, Savannah D., Long, Marina, Rodriguez-Villa, Fernando, Gelda, Steven E., Gelwan, Eliot M., Sugarman, Dawn E., Busch, Alisa, Eisen, Jane, Ressler, Kerry J., Yip, Agustin G.
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01-11-2022
• Subjects: Anxiety; Anxiety Disorders; Assessment; Depression; Electronics; Hospitalization; Humans; Inpatient; Inpatients; Patient Reported Outcome Measures; Self-report; Suicide; Inpatient; Depression; Anxiety; Suicide; Self-report; Assessment
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/j.psychres.2022.114839

•Patient-Reported Measures (PRMs) implemented in adult, inpatient psychiatric setting.•PRMs help track symptom severity and suicidality with treatment, and may identify treatment effect modifiers.•Deploying PRMs as part of routine care is feasible in a well-resourced inpatient psychiatric setting.
Patient-reported measures are an important tool in personalizing care and monitoring clinical outcomes. This work presents results from the routine collection of self-report measures from individuals (n = 753) admitted to depression and anxiety inpatient units at McLean Hospital. 93.7% participated in the Clinical Measurement Initiative (CMI) between September 2020 and February 2022 on the most established unit. The average time between admission and discharge measures was 12.6 days and an attrition rate of 10.4% was observed on this unit. Missingness of discharge assessments was unrelated to symptom severity or comorbidities. We discuss the feasibility of deploying patient-reported measures as part of routine care in an inpatient psychiatric setting. Systematic evaluation of potential treatment modifiers (e.g., personality disorder, trauma history, and substance misuse) may be valuable in better serving those impacted by psychiatric illness.