Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 1-2/2008

01-03-2008 | Original Paper

Driving with Roadmaps and Dashboards: Using Information Resources to Structure the Decision Models in Service Organizations

Authors: Bruce F. Chorpita, Adam Bernstein, Eric L. Daleiden, The Research Network on Youth Mental Health

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 1-2/2008

Login to get access

Abstract

This paper illustrates the application of design principles for tools that structure clinical decision-making. If the effort to implement evidence-based practices in community services organizations is to be effective, attention must be paid to the decision-making context in which such treatments are delivered. Clinical research trials commonly occur in an environment characterized by structured decision making and expert supports. Technology has great potential to serve mental health organizations by supporting these potentially important contextual features of the research environment, through organization and reporting of clinical data into interpretable information to support decisions and anchor decision-making procedures. This article describes one example of a behavioral health reporting system designed to facilitate clinical and administrative use of evidence-based practices. The design processes underlying this system—mapping of decision points and distillation of performance information at the individual, caseload, and organizational levels—can be implemented to support clinical practice in a wide variety of settings.
Literature
go back to reference Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339.PubMedCrossRef Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339.PubMedCrossRef
go back to reference Chambers, D., Ringeisen, H., & Hickman, E. (2005). Federal, state, and foundation initiatives around evidence-based practices child and adolescent mental health. Child and Adolescent Psychiatric Clinics of North America, 14, 307–327.PubMedCrossRef Chambers, D., Ringeisen, H., & Hickman, E. (2005). Federal, state, and foundation initiatives around evidence-based practices child and adolescent mental health. Child and Adolescent Psychiatric Clinics of North America, 14, 307–327.PubMedCrossRef
go back to reference Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford. Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford.
go back to reference Daleiden, E., & Chorpita, B. F. (2005). From data to wisdom: Quality improvement strategies supporting large-scale implementation of evidence based services. Child and Adolescent Psychiatric Clinics of North America, 14, 329–349.PubMedCrossRef Daleiden, E., & Chorpita, B. F. (2005). From data to wisdom: Quality improvement strategies supporting large-scale implementation of evidence based services. Child and Adolescent Psychiatric Clinics of North America, 14, 329–349.PubMedCrossRef
go back to reference Edmondson, A. C., Bohmer, R. M., & Pisano, G. P. (2001). Disrupted routines: Team learning and new technology implementation in hospitals. Administrative Science Quarterly, 46, 685–716.CrossRef Edmondson, A. C., Bohmer, R. M., & Pisano, G. P. (2001). Disrupted routines: Team learning and new technology implementation in hospitals. Administrative Science Quarterly, 46, 685–716.CrossRef
go back to reference Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. A., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Research Institute, The National Implementation Research Network (FMHI Publication #231). Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. A., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Research Institute, The National Implementation Research Network (FMHI Publication #231).
go back to reference Hemmelgarn, A. L., Glisson, C., James, L. R. (2006). Organizational culture and climate: Implications for services and interventions research. Clinical Psychology: Science and Practice, 13(1), 73–89.CrossRef Hemmelgarn, A. L., Glisson, C., James, L. R. (2006). Organizational culture and climate: Implications for services and interventions research. Clinical Psychology: Science and Practice, 13(1), 73–89.CrossRef
go back to reference Kluger, A., & DeNisi A. (1996). The effects of feedback interventions on performance: A historical review, a meta-analysis, and a preliminary feedback intervention theory. Psychological Bulletin, 119, 254–284.CrossRef Kluger, A., & DeNisi A. (1996). The effects of feedback interventions on performance: A historical review, a meta-analysis, and a preliminary feedback intervention theory. Psychological Bulletin, 119, 254–284.CrossRef
go back to reference Lambert, M. J. (2001). Psychotherapy outcome and quality improvement: Introduction to the special section on patient-focused research. Journal of Consulting and Clinical Psychology, 69, 147–149.PubMedCrossRef Lambert, M. J. (2001). Psychotherapy outcome and quality improvement: Introduction to the special section on patient-focused research. Journal of Consulting and Clinical Psychology, 69, 147–149.PubMedCrossRef
go back to reference Lambert, M. (2005). Emerging methods for providing clinicians with timely feedback on treatment effectiveness: An introduction. Journal of Clinical Psychology, 61, 141–144.CrossRef Lambert, M. (2005). Emerging methods for providing clinicians with timely feedback on treatment effectiveness: An introduction. Journal of Clinical Psychology, 61, 141–144.CrossRef
go back to reference Lambert, M., Harmon, C., Slade, K., Whipple, J., & Hawkins, E. (2005). Providing feedback to psychotherapists on their patients’ progress: Clinical results and practice suggestions. Journal of Clinical Psychology, 61, 165–174.PubMedCrossRef Lambert, M., Harmon, C., Slade, K., Whipple, J., & Hawkins, E. (2005). Providing feedback to psychotherapists on their patients’ progress: Clinical results and practice suggestions. Journal of Clinical Psychology, 61, 165–174.PubMedCrossRef
go back to reference Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2003). Is it time for clinicians to routinely track patient outcome? A meta analysis. Clinical Psychology: Science and Practice, 10, 288–301.CrossRef Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2003). Is it time for clinicians to routinely track patient outcome? A meta analysis. Clinical Psychology: Science and Practice, 10, 288–301.CrossRef
go back to reference Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22, 197–209.PubMedCrossRef Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22, 197–209.PubMedCrossRef
go back to reference Lonigan, C. J., Elbert, J. C., & Bennett Johnson, S. (1998). Empirically supported psychosocial interventions for children: An overview. Journal of Clinical Child Psychology, 27, 138–145.PubMedCrossRef Lonigan, C. J., Elbert, J. C., & Bennett Johnson, S. (1998). Empirically supported psychosocial interventions for children: An overview. Journal of Clinical Child Psychology, 27, 138–145.PubMedCrossRef
go back to reference National Advisory Mental Health Council Workgroup on Child, Adolescent Mental Health Intervention Development and Deployment. (2001). Blueprint for change: Research on child and adolescent mental health. Washington, DC: Author. National Advisory Mental Health Council Workgroup on Child, Adolescent Mental Health Intervention Development and Deployment. (2001). Blueprint for change: Research on child and adolescent mental health. Washington, DC: Author.
go back to reference O’Donohue, W. T., Ferguson, K. E., & Cummings, N. A. (2002). Introduction: Reflections on the medical cost offset effect. In N. A. Cummings, W. T. O’Donohue, & K. E. Ferguson (Eds.), The impact of medical cost offset on practice and research: Making it work for you (pp. 11–25). Reno, NV: Context Press. O’Donohue, W. T., Ferguson, K. E., & Cummings, N. A. (2002). Introduction: Reflections on the medical cost offset effect. In N. A. Cummings, W. T. O’Donohue, & K. E. Ferguson (Eds.), The impact of medical cost offset on practice and research: Making it work for you (pp. 11–25). Reno, NV: Context Press.
go back to reference Persevic, R., Lambert, M. J., & Kordy, H. (2004). Computer-supported monitoring of patient treatment response. Journal of Clinical Psychology, 60, 285–299.CrossRef Persevic, R., Lambert, M. J., & Kordy, H. (2004). Computer-supported monitoring of patient treatment response. Journal of Clinical Psychology, 60, 285–299.CrossRef
go back to reference Persons, J. B. (1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy: A proposed remedy. American Psychologist, 46, 99–106.PubMedCrossRef Persons, J. B. (1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy: A proposed remedy. American Psychologist, 46, 99–106.PubMedCrossRef
go back to reference Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: The Free Press. Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: The Free Press.
go back to reference Sapyta, J., Riemer, M., & Bickman, L. (2005). Feedback to clinicians: Theory, research, and practice. Journal of Clinical Psychology, 61, 145–153.PubMedCrossRef Sapyta, J., Riemer, M., & Bickman, L. (2005). Feedback to clinicians: Theory, research, and practice. Journal of Clinical Psychology, 61, 145–153.PubMedCrossRef
go back to reference Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22, 171–182.PubMedCrossRef Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22, 171–182.PubMedCrossRef
go back to reference Strum, R. (1999). Cost and quality trends under managed care: Is there a learning curve in behavioural health carve-out plans? Journal of Health Economics, 18, 593–604. Strum, R. (1999). Cost and quality trends under managed care: Is there a learning curve in behavioural health carve-out plans? Journal of Health Economics, 18, 593–604.
go back to reference U.S. Department of Health, Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. U.S. Department of Health, Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
go back to reference Weisz, J., Hawley, K., Jensen-Doss, A. (2004). Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders. Child and Adolescent Psychiatric Clinics of North America, 13, 729–815.PubMedCrossRef Weisz, J., Hawley, K., Jensen-Doss, A. (2004). Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders. Child and Adolescent Psychiatric Clinics of North America, 13, 729–815.PubMedCrossRef
Metadata
Title
Driving with Roadmaps and Dashboards: Using Information Resources to Structure the Decision Models in Service Organizations
Authors
Bruce F. Chorpita
Adam Bernstein
Eric L. Daleiden
The Research Network on Youth Mental Health
Publication date
01-03-2008
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 1-2/2008
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-007-0151-x

Other articles of this Issue 1-2/2008

Administration and Policy in Mental Health and Mental Health Services Research 1-2/2008 Go to the issue