Quality Measures Database

Keywords

Domains

Process
	Acceptability
	Accessibility
	Appropriateness
	Competence
	Continuity
	Effectiveness
	Efficiency
	Safety
	Comprehensiveness
	Patient-Centeredness
	Legal

Outcome
	Health Conditions
	Human Function
	Well-Being
	Deaths
	Service Outputs
	Satisfaction
	Impact on Society

Structure
	Physical Infrastructure
	Personnel Management
	Information Management
	Financial Management
	Quality and Safety

Non-Medical Determinants of Health
	Health Behaviors
	Living and Working Conditions
	Personal Resources
	Environmental Factors
	Health Literacy

Equity
	Equity

Specific Conditions
	Comorbid Conditions
	Chronic Conditions
	Acute Conditions
	Substance Abuse
	Anxiety Disorders
	Somatoform Disorders
	Sleep Disorders
	Eating Disorders
	Personality Disorders
	Mood Disorders
	Psychosis
	Impulse Control Disorders
	Elderly
	Reproductive Mental Health Disorders

Special Groups
	Ethnic / Cultural Minorities
	People Who Live in Rural Areas
	People with a Family History of a Mental Health Condition
	Social Service Welfare Recipients
	Homeless or Itinerant
	Unemployed
	Aboriginal
	Seniors in Facilities
	Recent Refugees
	Immigrants
	Residents of Correctional Institutions
	Inner City Residents
	Speakers of English as a Second Language

Age Groups
	Elderly
	Adult
	Youth
	Children
	Children

Gender Groups
	Women
	Men
	Gender Identities Other Than Men or Women

Interventions
	Medication
	Psychotherapy
	Peer Support
	Prevention
	Other Somatic Treatments
	Early Detection
	Health Promotion
	Family Involvement
	Group Treatment
	Self-Management Support
	Rehabilitation
	Physical Health Intervention

Clinical Setting
	Shared Care
	Emergency Services
	School-based Mental Health Services
	Work-based Mental Health Services
	Outreach Services
	Solo Practitioner
	Group Family Practitioner
	Community Health Care Centre
	Walk in Clinics

Level of Evidence

	I	Consistently higher quality studies specifically focused on primary mental health care.
	II	Less rigorous studies specifically focused on primary mental health care or extrapolated from higher quality studies from secondary mental health care.
	III	Preliminary research evidence only or evidence based on consensus opinion only.
	IV	Evidence based on individual expert opinion.
	V	Validated scale: Research has been conducted to determine it has at least some properties associated with a high quality scale
	VI	Non-validated scale: Research regarding the quality of the scale has not been conducted.

Measure Ranking

From To

Detailed Results

Use checkboxes to select measures to print or display

Assessment for Mental Disorders with Unexplained Physical Symptoms

Overall Rank: 39

Consider the possibility of mood, anxiety or somatoform disorders, particularly in the presence of medically unexplained heart system, digestive system and nervous system symptoms or emergency room visits for medically unexplained physical symptoms.

Domain : Patients with Comorbid Conditions

A condition in which a person has both a major mental illness and another health problem (e.g., development disability, substance abuse, personality disorder, or other general medical conditions such as heart disease or cancer).
Additional Domain(s) : Patients with Anxiety Disorders, Patients with Mood Disorders

Rationale

Patients with some depressive symptoms who do not meet full DSM-IV TR criteria for major depression often respond positively to antidepressant medication and /or psychotherapy. Emerging evidence also supports the use of bright light therapy in some of the cases of milder depression.

These symptoms can cause significant impairment, suffering and disability.

Primary Reference

Institute for Clinical Systems Improvement (ICSI). (2004) Major depression in adults in primary care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI). Retrieved on Aug 3, 2006 from: http://www.icsi.org/knowledge/detail.asp?catID=29&itemID=180

Level of Evidence

I: Consistently higher quality studies specifically focused on primary mental health care.

Summarized Comments

Add Comment

This measure suggests the usefulness of specialty clinics (outpatient) for patients with comorbid medical and psychiatric conditions where these patients could obtain follow-up care
And vice versa: Routinely consider the possiblity of physical conditions in presentations for mental disorders
This should be routine first contact care

Variation in Results

Ratings-based Rank

Relevance	46
Actionability	46
Overall Importance	40

Stakeholder Rank

Academics	51
Clinicians	20
Consumers	62
Decision Makers	31

�

Special Group Rank

First Nations	24
Rural Areas	70
Federal Stakeholders	39

Regional Rank

BC	AB	SK	MB	ON	QC	NB	NS	PE	NL	YT	NT	NU
21	8	34	40	70	34	22	67	83	110	21	96	5

Overall Rank

SA08h (B566)

Distribution of Survey Respondent Ratings

Relevance

100
90
80
70
60
50
40
30
20
10
0

Low

High

Actionability

100
90
80
70
60
50
40
30
20
10
0

Low

High

Overall Importance

100
90
80
70
60
50
40
30
20
10
0

3 = can live without
2 = nice to have
1 = indispensable

Use checkboxes to select measures to print or display

The views expressed herein do not necessarily represent the official policies of Health Canada