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J Ment Health. 2012 Apr;21(2):165-73. doi: 10.3109/09638237.2012.664304.

Patient-reported outcomes in child and adolescent mental health services (CAMHS): use of idiographic and standardized measures.

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1
Child and Adolescent Mental Health Services Evidence Based Practice Unit, UCL and Anna Freud Centre, London, UK. miranda.wolpert@annafreud.org

Erratum in

  • J Ment Health. 2012 Aug;21(4):421. Fugard, Rew J B [corrected to Fugard, Andrew J B].

Abstract

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 (goal-based outcomes) and standardized measures (practitioner-rated Children's Global Assessment Scale; child- and parent-rated Strengths and Difficulties Questionnaire).

RESULTS:

There was reliable positive change from the beginning of treatment to later follow-up according to all informants. Standardized clinician function report was correlated with standardized child difficulty report (r  =  - 0.26), standardized parent report (r  =  - 0.28) and idiographic joint client-determined goals (r  =  0.38) in the expected directions.

CONCLUSIONS:

These results suggest that routine outcome monitoring is feasible, and suggest the possibility of using jointly agreed idiographic measures alongside particular perspectives on outcome as part of a PROMs approach.

PMID:
22559827
DOI:
10.3109/09638237.2012.664304
[Indexed for MEDLINE]
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