Patient-reported outcomes in child and adolescent mental health services (CAMHS): Use of idiographic and standardized measures
@article{Wolpert2012PatientreportedOI,
title={Patient-reported outcomes in child and adolescent mental health services (CAMHS): Use of idiographic and standardized measures},
author={Miranda Wolpert and Tamsin Jane Ford and Emma Trustam and Duncan Law and Jessica Deighton and Halina Flannery and Rew J. B. Fugard},
journal={Journal of Mental Health},
year={2012},
volume={21},
pages={165 - 173}
}Background There is increasing emphasis on use of patient-reported outcome measures (PROMs) in mental health but little research on the best approach, especially where there are multiple perspectives. Aims To present emerging findings from both standardized and idiographic child-, parent- and clinician-rated outcomes in child and adolescent mental health services (CAMHS) and consider their correlations. Method Outcomes were collected in CAMHS across the UK. These comprised idiographic measures…
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References
SHOWING 1-10 OF 35 REFERENCES
Parent and teacher mental health ratings of children using primary-care services: interrater agreement and implications for mental health screening.
- Medicine, PsychologyAmbulatory pediatrics : the official journal of the Ambulatory Pediatric Association
- 2006
Brief scale for measuring the outcomes of emotional and behavioural disorders in children
- Medicine, PsychologyBritish Journal of Psychiatry
- 1999
HNOSCA represents a satisfactory brief outcome measure which could be used routinely in child and adolescent mental health services and was reasonably acceptable to clinicians' from a range of disciplines and services.
Using mental health outcome measures in everyday clinical practice.
- Medicine, PsychologyAustralasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
- 2006
Clinicians' lack of adherence to MH-OAT and use of MH- OAT data are discussed in terms of passive resistance and their possible perception that the process is largely irrelevant to the care of their clients.
Youth Top Problems: using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy.
- Psychology, MedicineJournal of consulting and clinical psychology
- 2011
The Top Problems measure appears to be a psychometrically sound, client-guided approach that complements empirically derived standardized assessment that can help focus attention and treatment planning on the problems that youths and caregivers consider most important and can generate evidence on trajectories of change in those problems during treatment.
Strengths and Difficulties Questionnaire Added Value Scores: evaluating effectiveness in child mental health interventions
- Medicine, PsychologyBritish Journal of Psychiatry
- 2009
Preliminary support is provided for the validity of the Added Value Score approach as one tool in the evaluation of interventions with groups of children who have, or are at high risk of developing, significant psychopathology.
Modelling sources of informant variance in parent and teacher ratings of child psychopathology
- Psychology
- 1998
Factors influencing agreement between parent and teacher ratings of child psychopathology were studied in a population‐based survey of 1458 children aged six to 11. Child psychopathology was assessed…
Assessing Outcomes in Psychiatric Practice: Guidelines, Challenges, and Solutions
- Medicine, PsychologyHarvard review of psychiatry
- 2000
In this column, an outline for choosing a measurement system is provided and examples of how to navigate common implementation problems in a variety of treatment settings are offered.
What do parents and carers think about routine outcome measures and their use? A focus group study of CAMHS attenders
- PsychologyClinical child psychology and psychiatry
- 2012
Outcome monitoring needs to become a more collaborative process in order that services are measuring what service users think is important, as most would agree that a service should deliver the outcomes that its users want to see.
A patient satisfaction rating scale for psychiatric service users
- Medicine, Psychology
- 2010
The PatSat is a new patient satisfaction scale validated in a psychiatric out-patient population and appeared popular with patients and took less than 1 minute to fill in.
Construct validity of the five-factor Strengths and Difficulties Questionnaire (SDQ) in pre-, early, and late adolescence.
- Psychology, MedicineJournal of child psychology and psychiatry, and allied disciplines
- 2008
Support for the proposed five-factor structure of the SDQ is indicated across a wide age range (10-19years), including older adolescents and different informants, however, some improvements should be considered to improve internal reliability and conceptual clarity.