Effect of feedback of treatment outcome in specialist mental healthcare: meta-analysis
Feedback of treatment outcome during the course of therapy (outcome
management) is increasingly considered to be beneficial for improving the
quality of mental healthcare.
To review the impact of feedback of outcome to practitioners and/or
patients in specialist mental health services.
A systematic search and meta-analysis of controlled trials using outcome
management in mental health services published in English or German
Twelve studies met inclusion criteria. Feeding back outcome showed a small,
but significant (d = 0.10; 95% CI 0.01–0.19) positive
short-term effect on the mental health of individuals that did not prevail in
the long run. Subgroup analysis revealed no significant differences regarding
feedback modalities. Outcome management did not contribute to a reduction of
Evidence on the effects of outcome management in mental healthcare is
promising. More targeted research is needed in order to identify the effective
ingredients of outcome feedback and to assess its cost-effectiveness.