Journal
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
Volume 43, Issue 3, Pages 410-425Publisher
SPRINGER
DOI: 10.1007/s10488-015-0647-8
Keywords
Measurement feedback system (MFS); Contextualized feedback systems (CFS); Youth mental health services outcomes; Peabody treatment progress battery (PTPB); Symptoms and functioning severity scale (SFSS); Implementation analysis; Routine outcome measurement (ROM)
Funding
- Agency on Healthcare Research and Quality (AHRQ) [R18HS18036-01]
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A randomized experiment was conducted in two outpatient clinics evaluating a measurement feedback system called contextualized feedback systems. The clinicians of 257 Youth 11-18 received feedback on progress in mental health symptoms and functioning either every 6 months or as soon as the youth's, clinician's or caregiver's data were entered into the system. The ITT analysis showed that only one of the two participating clinics (Clinic R) had an enhanced outcome because of feedback, and only for the clinicians' ratings of youth symptom severity on the SFSS. A dose-response effect was found only for Clinic R for both the client and clinician ratings. Implementation analyses showed that Clinic R had better implementation of the feedback intervention. Clinicians' questionnaire completion rate and feedback viewing at Clinic R were 50 % higher than clinicians at Clinic U. The discussion focused on the differences in implementation at each site and how these differences may have contributed to the different outcomes of the experiment.
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