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3.0 Outcomes
The following sections of the report (Sections 4-10) present an in-depth description of each of the seven Doing Well projects according to analytically-derived headings.
Data relating to activity and outcomes is also presented for each site. Although activity data is presented similarly across all seven site reports, it should be viewed within the context and type of the intervention being implemented. The outcome data presented for each site reflects the main outcome measures used at each site, but is also intended to provide examples of the range of data that is available to support local evaluations of the Doing Well initiative. All sites collected data on clinical outcomes, client satisfaction, quality of life and social functioning and local evaluation reports based on these outcomes are available for each local site on request. The purpose of this report is to present key learning around the implementation and sustainability of different models of care. Appendix 2 provides an overview of the seven Doing Well projects.
3.1 General reflections on outcomes
In general, the clinical outcomes data has demonstrated improvements in patients from baseline to discharge across all Doing Well sites. Figures at four month follow-up are relatively low (7%-11% of baseline in some areas and not all sites sent reminders for completion of follow-up forms) therefore the data at this level is less robust for comparison with baseline data. The low response at follow-up may also be due to the type of patients being seen, those with transient problems which have been resolved and who no longer identify themselves with the service being evaluated, or do not want to be reminded of a period in their lives which they have overcome. They may also feel their mental health status is being 'monitored' well beyond their period of need.
The age and gender mix of patients being seen across all Doing Well sites was generally similar with a male: female ratio of 1:2 and with the majority of clients aged 25-44 (based on figures from across all seven sites, approximately 18% of clients were aged 18-24, 23% aged 25-34, 29% aged 35-44, 17% aged 45-54 and 8% aged 55-64). This is generally representative of the depressed population presenting at general practice consultations across Scotland and is therefore in line with expectations of the potential client group.
All sites collected data on patient satisfaction using the Client Satisfaction Questionnaire ( CSQ) which is an eight item questionnaire (with a maximum score of 32 as reflecting 'very satisfied'). All sites reported high levels of satisfaction with services with no significant differences between males or females or across age groups at the different Doing Well sites. Although numbers of completed questionnaires at follow-up have been small, satisfaction levels have generally been maintained.
Similarly, on the Work and Social Adjustment Scale ( WASAS) which consists of five items ranked on a scale of 0 (not at all difficult) to 8 (very difficult) (max score of 40 reflecting very poor outcomes), all sites reporting WASAS scores demonstrated an overall improvement in scores which was maintained at follow-up. Examples of these findings are presented within some site reports below.
Waiting times are based on the number of days from referral to first appointment.
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