Driving with Roadmaps and Dashboards: Using Information Resources to Structure the Decision Models in Service Organizations

Abstract

This paper illustrates the application of design principles for tools that structure clinical decision-making. If the effort to implement evidence-based practices in community services organizations is to be effective, attention must be paid to the decision-making context in which such treatments are delivered. Clinical research trials commonly occur in an environment characterized by structured decision making and expert supports. Technology has great potential to serve mental health organizations by supporting these potentially important contextual features of the research environment, through organization and reporting of clinical data into interpretable information to support decisions and anchor decision-making procedures. This article describes one example of a behavioral health reporting system designed to facilitate clinical and administrative use of evidence-based practices. The design processes underlying this system-mapping of decision points and distillation of performance information at the individual, caseload, and organizational levels-can be implemented to support clinical practice in a wide variety of settings.

Tracking Evidence Based Practice with Youth: Validity of the MATCH and Standard Manual Consultation Records

“…What is role play vs. in vivo rehearsal?) and making a template means of reporting this information is important particularly if it will inform a mechanism for tracking clinical progress and practice (Bickman, 2008a;Chorpita et al, 2008). Establishing integrity-promoting practices within supervision may be important as previous findings have indicated that adherence to supervisory principles can be related to therapist adherence to treatment principles (Schoenwald, Sheidow, & Chapman, 2009).…”

Youth top problems: Using idiographic, consumer-guided assessment to identify treatment needs and to track change during psychotherapy.

“…A therapist's capacity to plan treatment and adjust intervention procedures appropriately during care can be enhanced by ongoing information about client response (e.g., Chorpita, Bernstein, & Daleiden, 2008;Lambert, Harmon, Slade, Whipple, & Hawkins, 2005;Weisz et al, 2004;Weisz & Chorpita, in press). Moreover, clients often unilaterally end treatment without notice and thus are unavailable for termination debriefing or post-treatment assessment.…”

How do components of evidence-based psychological treatment cluster in practice?

“…It is unclear how the clusters of discrete practices incorporated within these treatments translate to community settings (Wachtel, 2010). In recent efforts to implement evidence-based mental health treatments, Chorpita, Bernstein, and Daleiden (2008) and Chorpita, Daleiden, and Weisz (2005) have found it helpful to assess implementation of "lower level" practices, that is, the component interventions or practices covered in treatment manuals. They describe this method as distillation, "whereby interventions are conceptualized not as single units of analysis, but rather as composites of individual strategies, techniques, or components that can allow subsequent empirical grouping" (Chorpita et al, 2005, p. 6).…”