Routine Outcome Measurement: A Survey of UK Child and Adolescent Mental Health Services

Johnston, Craig; Gowers, Simon

doi:10.1111/j.1475-3588.2005.00357.x

Cited by 71 publications

(100 citation statements)

References 12 publications

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“…In Australia, New Zealand and Denmark, another and not very different multidimensional scale, the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is established as a mandatory routine outcome measure in CAMHS (National Mental Health Strategy 2004;Australian Mental Health Outcomes and Classification Network 2005;MH-SMART 2007;Bilenberg, 2003). It is also widely used in the United Kingdom (Johnston and Gowers 2005;Ford et al 2006) where it was developed as part of a family of broad scales to measure health and social functioning (Gowers et al 2000). The HoNOSCA consists of 13 clinical scales and two scales on the caregiver's need for information and knowledge giving both a clinical profile and a total severity score (Gowers et al 1999a;Gowers et al 1999b;Yates et al 1999;Garralda et al 2000;Brann et al 2001;Bilenberg 2003;Pirkis et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Inter-rater Reliability of Clinician-rated Outcome Measures in Child and Adolescent Mental Health Services

Hanssen‐Bauer

Aalen

Ruud

et al. 2007

Adm Policy Ment Health

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This study investigated the inter-rater reliability when 169 out of 171 clinicians working in 10 Norwegian child and adolescent mental health services rated 20 written vignettes using the following outcome measures: Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA), Children's Global Assessment Scale (CGAS) and Global Assessment of Psychosocial Disability (GAPD). Three clinicians rated both patients and vignettes. On vignettes the intraclass correlation coefficient (ICC) for the HoNOSCA total score was 0.81 (single scales 0.47-0.96), for the CGAS 0.61 and for the GAPD 0.60. The reliability was not lower on patients. The rater's profession, experience or clinic did not have effect on the scores.

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Section: Introductionmentioning

confidence: 99%

Inter-rater Reliability of Clinician-rated Outcome Measures in Child and Adolescent Mental Health Services

Hanssen‐Bauer

Aalen

Ruud

et al. 2007

Adm Policy Ment Health

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show abstract

“…Routine outcome measurement in child and adolescent mental health services (CAMHS) are increasingly being used internationally (Weiss 1998;Johnston and Gowers 2005). Australia, New Zealand and Denmark have incorporated the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) as a mandatory outcome measure in CAMHS (Department of Health and Ageing 2003;MH-SMART 2007;Bilenberg 2003).…”

Section: Introductionmentioning

confidence: 99%

Cross-National Reliability of Clinician-Rated Outcome Measures in Child and Adolescent Mental Health Services

Hanssen‐Bauer

Gowers

Aalen

et al. 2007

Adm Policy Ment Health

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Clinician-rated measures are in extensive use as routine outcome measures in child and adolescent mental health services. We investigated cross-national differences and inter-rater reliability of the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA), the Children's Global Assessment Scale (CGAS) and the Global Assessment of Psychosocial Disability (GAPD). Thirty clinicians from 5 nations independently rated 20 written vignettes. The national groups afterwards established national consensus ratings. There were no cross-national differences in independent scores, but there were differences in national consensus scores, which were also more severe than independent scores. The ICC for the HoNOSCA total score was 0.84, for the CGAS 0.61 and for the GAPD 0.54. These measures may usefully contribute to cross-national comparison studies.

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“…Despite this support, studies have noted little uptake of routine outcome measurement (ROM) within CAMHS in the UK [3,4], and particularly low rates of repeated use of outcome measures [3,5-7]. …”

Section: Introductionmentioning

confidence: 99%

A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services

et al. 2014

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BackgroundRegular monitoring of patient progress is important to assess the clinical effectiveness of an intervention. Recently, initiatives within UK child and adolescent mental health services (CAMHS) have advocated the use of session-by-session monitoring to continually evaluate the patient’s outcome throughout the course of the intervention. However, the feasibility and acceptability of such regular monitoring is unknown.MethodSemi-structured qualitative interviews were conducted with clinicians (n = 10), administrative staff (n = 8) and families (n = 15) who participated in a feasibility study of an electronic session-by-session outcome monitoring tool, (SxS), which is based on the Strengths and Difficulties Questionnaire (SDQ). This study took place in three CAMHS clinics in Nottinghamshire. The interview transcripts were thematically analysed.ResultsWe found clinicians accepted the need to complete outcome measures, particularly valuing those completed by the patient. However, there were some difficulties with engaging clinicians in this practice and in the training offered. Generally, patients were supportive of completing SxS in the waiting room prior to the clinic session and assistance with the process from administrative staff was seen to be a key factor. Clinicians and families found the feedback reports created from SxS to be helpful for tracking progress, facilitating communication and engagement, and as a point of reflection. The use of technology was considered positively, although some technological difficulties hindered the completion of SxS. Clinicians and families appreciated the brevity of SxS, but some were concerned that a short questionnaire could not adequately encapsulate the complexity of the patient’s issues.ConclusionsThe findings show the need for appropriate infrastructure, mandatory training, and support to enable an effective system of session-by-session monitoring. Our findings indicate that clinicians, administrative staff and young people and their parents/carers would support regular monitoring if the system is easy to implement, with a standard ‘clinic-wide’ adoption of the procedure, and the resulting data are clinically useful.

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Routine Outcome Measurement: A Survey of UK Child and Adolescent Mental Health Services

Cited by 71 publications

References 12 publications

Inter-rater Reliability of Clinician-rated Outcome Measures in Child and Adolescent Mental Health Services

Inter-rater Reliability of Clinician-rated Outcome Measures in Child and Adolescent Mental Health Services

Cross-National Reliability of Clinician-Rated Outcome Measures in Child and Adolescent Mental Health Services

A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services

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