Process mining to discover patterns in patient outcomes in a Psychological Therapies Service

Courtney Potts, RR Bond, Julie-Ann Jordan, Maurice Mulvenna, Kevin Dyer, Anne Moorhead, Adam Elliott

Research output: Contribution to journalArticlepeer-review

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Abstract

In the mental health sector, Psychological Therapies face numerous challenges including ambiguities over the client and service factors that are linked to unfavourable outcomes. Better understanding of these factors can contribute to effective and efficient use of resources within the Service. In this study, process mining was applied to data from the Northern Health and Social Care Trust Psychological Therapies Service (NHSCT PTS). The aim was to explore how psychological distress severity pre-therapy and attendance factors relate to outcomes and how clinicians can use that information to improve the service. Data included therapy episodes (N=2,933) from the NHSCT PTS for adults with a range of mental health difficulties. Data were analysed using Define-Measure-Analyse model with process mining. Results found that around 11% of clients had pre-therapy psychological distress scores below the clinical cut-off and thus these individuals were unlikely to significantly improve. Clients with fewer cancelled or missed appointments were more likely to significantly improve post-therapy. Pre-therapy psychological distress scores could be a useful factor to consider at assessment for estimating therapy duration, as those with higher scores typically require more sessions. This study concludes that process mining is useful in health services such as NHSCT PTS to provide information to inform caseload planning, service management and resource allocation, with the potential to improve client’s health outcomes.
Original languageEnglish
Pages (from-to)461-476
Number of pages16
JournalHealth Care Management Science
Volume26
Issue number3
Early online date16 May 2023
DOIs
Publication statusPublished online - 16 May 2023

Bibliographical note

Funding Information:
The authors are grateful to the staff from the Northern Health and Social Care Trust Psychological Therapies Service in Northern Ireland for their time, effort, and support in participating in this research.

Publisher Copyright:
© 2023, The Author(s).

Keywords

  • process mining
  • data science
  • mental health
  • psychological therapies
  • Process mining
  • Therapy
  • Mental health
  • Data analytics
  • Psychological therapies

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