Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 3/2016

Open Access 01-05-2016 | Original Paper

Using Patient Reported Outcome Measures to Improve Service Effectiveness (UPROMISE): Training clinicians to Use Outcome Measures in Child Mental Health

Authors: Julian Edbrooke-Childs, Miranda Wolpert, Jessica Deighton

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2016

Login to get access

Abstract

Patient reported outcome measures (PROMs) are prevalent in child mental health services. In this point of view, we discuss our experience of training clinicians to use PROMs and to interpret and discuss feedback from measures. Findings from pre–post observational data from clinicians who attended either a 1- or 3-day training course showed that clinicians in both courses had more positive attitudes and higher levels of self-efficacy regarding administering measures and using feedback after training. We hope that this special issue will lead the way for future research on training clinicians to use outcome measures so that PROMs may be a source of clinically useful practice based evidence.
Footnotes
1
As the measure was developed in Australia, the word “client” was changed to “patient” and “consumer” to “service user” to make the items more applicable to clinicians in mental health services in England, without changing the meaning of the items.
 
2
The effects of the covariates were not significant in any of the ANCOVAs.
 
Literature
go back to reference Abrines-Jaume, N., Midgley, N., Hopkins, K., Hoffman, J., Martin, K., Law, D., et al. (2014). A qualitative analysis of implementing shared decision making in child and adolescent mental health services in the United Kingdom: Stages and facilitators. Clinical Child Psychology and Psychiatry. doi:10.1177/1359104514547596. Abrines-Jaume, N., Midgley, N., Hopkins, K., Hoffman, J., Martin, K., Law, D., et al. (2014). A qualitative analysis of implementing shared decision making in child and adolescent mental health services in the United Kingdom: Stages and facilitators. Clinical Child Psychology and Psychiatry. doi:10.​1177/​1359104514547596​.
go back to reference Batty, M. J., Moldavsky, M., Foroushani, P. S., Pass, S., Marriott, M., Sayal, K., et al. (2013). Implementing routine outcome measures in child and adolescent mental health services: From present to future practice. Child and Adolescent Mental Health, 18(2), 82–87. doi:10.1111/j.1475-3588.2012.00658.x.CrossRef Batty, M. J., Moldavsky, M., Foroushani, P. S., Pass, S., Marriott, M., Sayal, K., et al. (2013). Implementing routine outcome measures in child and adolescent mental health services: From present to future practice. Child and Adolescent Mental Health, 18(2), 82–87. doi:10.​1111/​j.​1475-3588.​2012.​00658.​x.CrossRef
go back to reference Bickman, L., Kelley, S. D., Breda, C., de Andrade, A. R., & Reimer, M. (2011). Effects of routine feedback to clinicians on mental health outcomes of youths: Results of a randomized trial. Psychiatric Services, 62(12), 1423–1429.CrossRefPubMed Bickman, L., Kelley, S. D., Breda, C., de Andrade, A. R., & Reimer, M. (2011). Effects of routine feedback to clinicians on mental health outcomes of youths: Results of a randomized trial. Psychiatric Services, 62(12), 1423–1429.CrossRefPubMed
go back to reference Booth, A., Sutton, A., & Falzon, L. (2003). Working together: Supporting projects through action learning. Health Information and Libraries Journal, 20, 225–231.CrossRefPubMed Booth, A., Sutton, A., & Falzon, L. (2003). Working together: Supporting projects through action learning. Health Information and Libraries Journal, 20, 225–231.CrossRefPubMed
go back to reference Carlier, I. V. E., Meuldijk, D., Van Vliet, I. M., Van Fenema, E., Van der Wee, N. J. A., & Zitman, F. G. (2012). Routine outcome monitoring and feedback on physical or mental health status: Evidence and theory. Journal of Evaluation in Clinical Practice, 18(1), 104–110. doi:10.1111/j.1365-2753.2010.01543.x.CrossRefPubMed Carlier, I. V. E., Meuldijk, D., Van Vliet, I. M., Van Fenema, E., Van der Wee, N. J. A., & Zitman, F. G. (2012). Routine outcome monitoring and feedback on physical or mental health status: Evidence and theory. Journal of Evaluation in Clinical Practice, 18(1), 104–110. doi:10.​1111/​j.​1365-2753.​2010.​01543.​x.CrossRefPubMed
go back to reference Chen, J., Ou, L., & Hollis, S. (2013). A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting. BMC Health Services Research, 13(1), 211.CrossRefPubMedPubMedCentral Chen, J., Ou, L., & Hollis, S. (2013). A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting. BMC Health Services Research, 13(1), 211.CrossRefPubMedPubMedCentral
go back to reference Children and Young People’s Improving Access to Psychological Therapies Programme. (2013). National curriculum for core, cognitive behavioural therapy, parenting training (3–10 year olds), systemic family practice, interpersonal psychotherapy for adolescents, supervision, and transformational service leadership. London: IAPT. Children and Young People’s Improving Access to Psychological Therapies Programme. (2013). National curriculum for core, cognitive behavioural therapy, parenting training (3–10 year olds), systemic family practice, interpersonal psychotherapy for adolescents, supervision, and transformational service leadership. London: IAPT.
go back to reference Childs, J. (2013). Masterclasses: Promoting excellence in evidence-based, outcomes informed practice and user participation for child mental health professionals. London: CAMHS Press. Childs, J. (2013). Masterclasses: Promoting excellence in evidence-based, outcomes informed practice and user participation for child mental health professionals. London: CAMHS Press.
go back to reference de Jong, K. (2014). Deriving implementation strategies for outcome monitoring from theory, research and practice. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-014-0589-6. de Jong, K. (2014). Deriving implementation strategies for outcome monitoring from theory, research and practice. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-014-0589-6.
go back to reference de Jong, K., van Sluis, P., Nugter, M. A., Heiser, W. J., & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial. Psychotherapy Research, 22(4), 464–474. doi:10.1080/10503307.2012.673023.CrossRefPubMed de Jong, K., van Sluis, P., Nugter, M. A., Heiser, W. J., & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial. Psychotherapy Research, 22(4), 464–474. doi:10.​1080/​10503307.​2012.​673023.CrossRefPubMed
go back to reference Deighton, J., Croudace, T., Fonagy, P., Brown, J., Patalay, P., & Wolpert, M. (2014). Measuring mental health and wellbeing outcomes for children and adolescents to inform practice and policy: A review of child self-report measures. Child and Adolescent Psychiatry and Mental Health, 8(1), 14. doi:10.1186/1753-2000-8-14.CrossRefPubMedPubMedCentral Deighton, J., Croudace, T., Fonagy, P., Brown, J., Patalay, P., & Wolpert, M. (2014). Measuring mental health and wellbeing outcomes for children and adolescents to inform practice and policy: A review of child self-report measures. Child and Adolescent Psychiatry and Mental Health, 8(1), 14. doi:10.​1186/​1753-2000-8-14.CrossRefPubMedPubMedCentral
go back to reference Demming, W. (1986). Out of the crisis. Cambridge, MA: Massachusetts Institute of Technology. Demming, W. (1986). Out of the crisis. Cambridge, MA: Massachusetts Institute of Technology.
go back to reference Department of Health. (2010). Equity and excellence: Liberating the NHS. Norwich: The Stationery Office. Department of Health. (2010). Equity and excellence: Liberating the NHS. Norwich: The Stationery Office.
go back to reference Department of Health. (2011). Talking therapies: A four-year plan of action. London: Author. Department of Health. (2011). Talking therapies: A four-year plan of action. London: Author.
go back to reference Department of Health. (2012). IAPT three-year report: The first million patients. London: Author. Department of Health. (2012). IAPT three-year report: The first million patients. London: Author.
go back to reference Douglas, S., Button, S., & Casey, S. E. (2014). Implementing for sustainability: Promoting use of a measurement feedback system for innovation and quality improvement. Administration and Policy in Mental Health and Mental Health Services Research. Douglas, S., Button, S., & Casey, S. E. (2014). Implementing for sustainability: Promoting use of a measurement feedback system for innovation and quality improvement. Administration and Policy in Mental Health and Mental Health Services Research.
go back to reference Fleming, I., Jones, M., Bradley, J., & Wolpert, M. (2014). Learning from a learning collaboration: The CORC approach to combining research, evaluation and practice in child mental health. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-014-0592-y. Fleming, I., Jones, M., Bradley, J., & Wolpert, M. (2014). Learning from a learning collaboration: The CORC approach to combining research, evaluation and practice in child mental health. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-014-0592-y.
go back to reference Hall, C. L., Taylor, J., Moldavsky, M., Marriott, M., Pass, S., & Newell, K. (2014). A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services. BMC Psychiatry, 14, 113. Hall, C. L., Taylor, J., Moldavsky, M., Marriott, M., Pass, S., & Newell, K. (2014). A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services. BMC Psychiatry, 14, 113.
go back to reference Hoenders, R. H. J., Bos, E. H., Bartels-Velthuis, A. A., Vollbehr, N. K., Ploeg, K., Jonge, P., et al. (2013). Pitfalls in the assessment, analysis, and interpretation of routine outcome monitoring (ROM) data: Results from an outpatient clinic for integrative mental health. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-013-0511-7. Hoenders, R. H. J., Bos, E. H., Bartels-Velthuis, A. A., Vollbehr, N. K., Ploeg, K., Jonge, P., et al. (2013). Pitfalls in the assessment, analysis, and interpretation of routine outcome monitoring (ROM) data: Results from an outpatient clinic for integrative mental health. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-013-0511-7.
go back to reference Institue of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st Century. Washington, DC: National Academy Press. Institue of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st Century. Washington, DC: National Academy Press.
go back to reference Jensen-Doss, A., & Hawley, K. M. (2010). Understanding barriers to evidence-based assessment: Clinician attitudes toward standardized assessment tools. Journal of Clinical Child & Adolescent Psychology, 39(6), 885–896. doi:10.1080/15374416.2010.517169.CrossRef Jensen-Doss, A., & Hawley, K. M. (2010). Understanding barriers to evidence-based assessment: Clinician attitudes toward standardized assessment tools. Journal of Clinical Child & Adolescent Psychology, 39(6), 885–896. doi:10.​1080/​15374416.​2010.​517169.CrossRef
go back to reference Knaup, C., Koesters, M., Schoefer, D., Becker, T., & Puschner, B. (2009). Effect of feedback of treatment outcome in specialist mental healthcare: Meta-analysis. The British Journal of Psychiatry, 195(1), 15–22.CrossRefPubMed Knaup, C., Koesters, M., Schoefer, D., Becker, T., & Puschner, B. (2009). Effect of feedback of treatment outcome in specialist mental healthcare: Meta-analysis. The British Journal of Psychiatry, 195(1), 15–22.CrossRefPubMed
go back to reference Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2006). Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology: Science and Practice, 10(3), 288–301. doi:10.1093/clipsy.bpg025. Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2006). Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology: Science and Practice, 10(3), 288–301. doi:10.​1093/​clipsy.​bpg025.
go back to reference Law, D. (2012). A practical guide to using service user feedback and outcome tools to inform clinical practice in child and adolescent mental health. London: IAPT National Team. Law, D. (2012). A practical guide to using service user feedback and outcome tools to inform clinical practice in child and adolescent mental health. London: IAPT National Team.
go back to reference Locke, E. A., & Latham, G. P. (1990). A theory of goal setting and task performance. Englewood Cliff, NH: Prentice-Hall. Locke, E. A., & Latham, G. P. (1990). A theory of goal setting and task performance. Englewood Cliff, NH: Prentice-Hall.
go back to reference Locke, E. A., & Latham, G. P. (2002). Buiding a practically useful theory of goal setting and task motivation: A 35 year odyssey. American Psychologist, 57, 705–717.CrossRefPubMed Locke, E. A., & Latham, G. P. (2002). Buiding a practically useful theory of goal setting and task motivation: A 35 year odyssey. American Psychologist, 57, 705–717.CrossRefPubMed
go back to reference Meehan, T., McCombes, S., Hatzipetrou, L., & Catchpoole, R. (2006). Introduction of routine outcome measures: Staff reactions and issues for consideration. Journal of Psychiatric and Mental Health Nursing, 13(5), 581–587.CrossRefPubMed Meehan, T., McCombes, S., Hatzipetrou, L., & Catchpoole, R. (2006). Introduction of routine outcome measures: Staff reactions and issues for consideration. Journal of Psychiatric and Mental Health Nursing, 13(5), 581–587.CrossRefPubMed
go back to reference Mellor-Clark, J., Barkham, M., Connell, J., & Evans, C. (1999). Practice-based evidence and strandardised evaluation: informing the design of the CORE system. European Journal of Psychotherapy Counselling and Health, 2, 357–374.CrossRef Mellor-Clark, J., Barkham, M., Connell, J., & Evans, C. (1999). Practice-based evidence and strandardised evaluation: informing the design of the CORE system. European Journal of Psychotherapy Counselling and Health, 2, 357–374.CrossRef
go back to reference Mellor-Clark, J., Cross, S., Macdonald, J., & Skjulsvik, T. (2014). Leading horses to water: Lessons from a decade of helping psychological therapy services use routine outcome measurement to improve practice. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-014-0587-8. Mellor-Clark, J., Cross, S., Macdonald, J., & Skjulsvik, T. (2014). Leading horses to water: Lessons from a decade of helping psychological therapy services use routine outcome measurement to improve practice. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-014-0587-8.
go back to reference Michelson, D., Rock, S., Holliday, S., Murphy, E., Myers, G., Tilki, S., et al. (2011). Improving psychiatric diagnosis in multidisciplinary child and adolescent mental health services. The Psychiatrist, 35(12), 454–459. doi:10.1192/pb.bp.111.034066.CrossRef Michelson, D., Rock, S., Holliday, S., Murphy, E., Myers, G., Tilki, S., et al. (2011). Improving psychiatric diagnosis in multidisciplinary child and adolescent mental health services. The Psychiatrist, 35(12), 454–459. doi:10.​1192/​pb.​bp.​111.​034066.CrossRef
go back to reference National Quality Forum. (2013). Patient Reported Outcomes (PROs) in performance measurement. Washington, DC: National Quality Forum. National Quality Forum. (2013). Patient Reported Outcomes (PROs) in performance measurement. Washington, DC: National Quality Forum.
go back to reference Norman, S., Dean, S., Hansford, L., & Ford, T. (2013). Clinical practitioner’s attitudes towards the use of Routine Outcome Monitoring within Child and Adolescent Mental Health Services: A qualitative study of two Child and Adolescent Mental Health Services. Clinical Child Psychology and Psychiatry. doi:10.1177/1359104513492348.PubMed Norman, S., Dean, S., Hansford, L., & Ford, T. (2013). Clinical practitioner’s attitudes towards the use of Routine Outcome Monitoring within Child and Adolescent Mental Health Services: A qualitative study of two Child and Adolescent Mental Health Services. Clinical Child Psychology and Psychiatry. doi:10.​1177/​1359104513492348​.PubMed
go back to reference Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.CrossRefPubMed Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.CrossRefPubMed
go back to reference Prochaska, J., DiClemente, C., & Norcross, J. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1002–1114.CrossRef Prochaska, J., DiClemente, C., & Norcross, J. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1002–1114.CrossRef
go back to reference Smith, S. R., Wiggins, C. M., & Gorske, T. T. (2007). A survey of psychological assessment feedback practices. Assessment, 14(3), 310–319.CrossRefPubMed Smith, S. R., Wiggins, C. M., & Gorske, T. T. (2007). A survey of psychological assessment feedback practices. Assessment, 14(3), 310–319.CrossRefPubMed
go back to reference The Health Foundation. (2012). Quality improvement training for healthcare professionals. London: The Health Foundation. The Health Foundation. (2012). Quality improvement training for healthcare professionals. London: The Health Foundation.
go back to reference Trauer, T., Pedwell, G., & Lisa, G. (2009). The effect of guidance in the use of routine outcome measures in clinical meetings. Australian Health Review, 33, 144–151.CrossRefPubMed Trauer, T., Pedwell, G., & Lisa, G. (2009). The effect of guidance in the use of routine outcome measures in clinical meetings. Australian Health Review, 33, 144–151.CrossRefPubMed
go back to reference Unsworth, G., Cowie, H., & Green, A. (2012). Therapists’ and clients’ perceptions of routine outcome measurement in the NHS: A qualitative study. Counselling and Psychotherapy Research, 12(1), 71–80. doi:10.1080/14733145.2011.565125.CrossRef Unsworth, G., Cowie, H., & Green, A. (2012). Therapists’ and clients’ perceptions of routine outcome measurement in the NHS: A qualitative study. Counselling and Psychotherapy Research, 12(1), 71–80. doi:10.​1080/​14733145.​2011.​565125.CrossRef
go back to reference Walter, G., Cleary, M., & Rey, J. M. (1998). Attitudes of mental health personnel towards rating outcome. Journal of Quality in Clinical Practice, 18(2), 109–115.PubMed Walter, G., Cleary, M., & Rey, J. M. (1998). Attitudes of mental health personnel towards rating outcome. Journal of Quality in Clinical Practice, 18(2), 109–115.PubMed
go back to reference Wolpert, M., Curtis-Tyler, K., & Edbrooke-Childs, J. (2014). A qualitative exploration of clinician and service user views on Patient Reported Outcome Measures in child mental health and diabetes services. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-014-0586-9. Wolpert, M., Curtis-Tyler, K., & Edbrooke-Childs, J. (2014). A qualitative exploration of clinician and service user views on Patient Reported Outcome Measures in child mental health and diabetes services. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.​1007/​s10488-014-0586-9.
go back to reference Wolpert, M., Ford, T., Trustam, E., Law, D., Deighton, J., Flannery, H., et al. (2012). Patient-reported outcomes in child and adolescent mental health services (CAMHS): Use of idiographic and standardized measures. Journal of Mental Health, 21(2), 165–173. doi:10.3109/09638237.2012.664304.CrossRefPubMed Wolpert, M., Ford, T., Trustam, E., Law, D., Deighton, J., Flannery, H., et al. (2012). Patient-reported outcomes in child and adolescent mental health services (CAMHS): Use of idiographic and standardized measures. Journal of Mental Health, 21(2), 165–173. doi:10.​3109/​09638237.​2012.​664304.CrossRefPubMed
Metadata
Title
Using Patient Reported Outcome Measures to Improve Service Effectiveness (UPROMISE): Training clinicians to Use Outcome Measures in Child Mental Health
Authors
Julian Edbrooke-Childs
Miranda Wolpert
Jessica Deighton
Publication date
01-05-2016
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-014-0600-2

Other articles of this Issue 3/2016

Administration and Policy in Mental Health and Mental Health Services Research 3/2016 Go to the issue