Objective: There remains no optimal measurement strategy for assessing quality of life outcomes among persons with serious and persistent mental illness who live in the community. In this study, we examine the relationship between various key components of quality of life from client self-reports, and compare them to service provider ratings on the same dimensions. Methods: We analyze a dataset of 693 outpatient mental health clients who participated in studies that employed the Wisconsin Quality of Life Index (W-QLI). Using both standard and new factor analyzed measures, we conducted an associational analysis of psychological symptoms, physical health, ADL functioning, and life satisfaction. Client self-reports are analyzed alone, and then provider reports on client status are compared for correspondence to the client responses. Results: Client symptoms by self-report are related most strongly to client ratings of physical health ( r=43 ), but also positively associated with ADL functioning ( r=.23 ) and perceived life satisfaction ( r=25). Provider rating of client psychological symptoms with the Brief Psychiatric Rating Scale(BPRS) is unrelated to any of the client self-report dimensions of quality of life. Provider rating of physical health is somewhat associated with client rating of physical health ( r=.27 ). Similarly, provider assessment have some overlap with client assessment of ADL functioning ( r=.35). However, there is little correspondence between client and provider reports. Our results point to the need to emphasize client perspective in assessing multiple dimensions quality of life. See wqli.fmhi.usf.edu
Learning Objectives: At the conclusion of this session, the participant will be able to: 1) Identify relationship between symptoms and function in persons with mental illness 2) Describe the relationship between symptoms, function, and quality of life 3) Discuss ways to improve quality of life outcomes in mental health
Keywords: Mental Health Care, Outcomes Research
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.