How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn, Katie Aafjes‐van; Jong, Kim de

doi:10.1002/jclp.23438

Cited by 5 publications

(1 citation statement)

References 61 publications

(84 reference statements)

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“…Because of the level of detail that case studies provide, we are confident that these detailed illustrations will give therapists insights into how ROM could be useful (or not) for their own clinical practices. A further reflection on the cases is provided in our commentary (Aafjes‐van Doorn & De Jong, 2022).…”

Section: In This Issuementioning

confidence: 90%

Routine outcome monitoring: The need for case examples

Jong

Doorn

2022

J Clin Psychol

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Routine outcome monitoring (ROM) involves measuring an outcome variable (e.g., symptoms and alliance) at a regular interval over time (e.g., before each session), using a standardized patient self-report measure. Several computerized ROM system exists that also provide the therapist with benchmarks for these measures based on expected treatment responses (ETRs) for a patient, and clinical support tools (CSTs) to help the therapists in making clinician decisions in the treatment. When implementing ROM into clinical practice, a therapist needs to decide what patient-self report measure to use as well as what ROM system might be most clinically helpful and cost-effective. Although the use of ROM has shown to be effective, especially in reducing dropout and reducing deterioration of patients, the implementation of ROM can be challenging. The use of ROM always requires the active involvement of the therapist, but the implementation in treatment may look different for each patient. It is thus helpful to see case illustration of exactly how ROM might be useful or not so useful in clinical practice.

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Section: In This Issuementioning

confidence: 90%

Routine outcome monitoring: The need for case examples

Jong

Doorn

2022

J Clin Psychol

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Clinical supervisors' expectations and experiences with a routine outcome monitoring system in a psychotherapy training service

Valdiviezo‐Oña,

Ortiz‐Mancheno,

Paz

2024

Couns and Psychother Res

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IntroductionRoutine outcome monitoring (ROM) enables data‐informed decision‐making in mental health care, yet its implementation presents both benefits and challenges. To date, the literature on the perception of ROM implementation has extensively focussed on therapists and clients; hence, there is limited information available about the perceptions of supervisors in services that provide training for psychological interventions.MethodsThis qualitative study explored supervisors' expectations and experiences with a web‐based ROM system in a university psychotherapy service. Through semi‐structured interviews and framework analysis, two senior clinical supervisors' perspectives were examined before and after ROM implementation.ResultsExpectations highlighted the need for clinically useful information, adaptability and user‐friendly interfaces. Supervisors anticipated using ROM data for case analysis, training and institutional learning. Following the implementation, supervisors recognised the system's utility in case supervision, enhancing understanding and facilitating learning processes. Perceived challenges included the potential misuse of information, client resistance and technological issues, underscoring the importance of ongoing communication and training during the implementation process. Additionally, supervisors provided some recommendations, such as enhancing system usability, providing comprehensive training, improving client engagement, refining data collection methods and conducting ongoing evaluation of the implementation process and promoting effective communication with clients.ConclusionsThese findings align with previous research, emphasising the significance of system adaptability and user‐friendliness for effective ROM utilisation. Supervisors play a crucial role in fostering collaboration, providing feedback and integrating ROM into supervision. Overall, these insights contribute to refining our ROM implementation processes, as well as guiding future ROM adoption in similar centres interested in involving supervisors.

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Psychotherapists’ Experience with In-Session Use of Routine Outcome Monitoring: A Qualitative Meta-analysis

Jonášová,

Čevelíček,

Doležal

et al. 2024

Adm Policy Ment Health

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Routine outcome monitoring (ROM) has become an increasingly utilized tool in therapeutic practice that has the potential to improve therapy outcomes. This study aimed to synthesize the findings of existing qualitative studies investigating how clinicians use ROM in their work with clients. A systematic search of qualitative studies on clinicians’ experience with the use of ROM in mental health services was conducted via PsycInfo, PsycArticles, Medline, Web of Science, and Scopus databases. Qualitative meta-analysis was used to synthesize the finding of the primary studies. Forty-seven studies met the inclusion criteria. The analysis resulted in 21 meta-categories organized into six clusters, namely (1) obtaining clinically relevant information, (2) adapting treatment, (3) facilitating communication, (4) enhancing the therapeutic relationship, (5) facilitating change in clients, and (6) personalized usage of ROM. The meta-analysis revealed that clinicians utilized ROM in diverse ways, including both informational and communicational functions. From the clinicians’ perspective, ROM was an element that, on the one hand, introduced additional structure and standardization in treatment and, on the other hand, allowed for greater flexibility and tailoring of treatment.

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How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Cited by 5 publications

References 61 publications

Routine outcome monitoring: The need for case examples

Routine outcome monitoring: The need for case examples

Clinical supervisors' expectations and experiences with a routine outcome monitoring system in a psychotherapy training service

Psychotherapists’ Experience with In-Session Use of Routine Outcome Monitoring: A Qualitative Meta-analysis

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