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Web End = Adm Policy Ment Health (2016) 43:482491 DOI 10.1007/s10488-015-0649-6
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The Expanding Relevance of Routinely Collected Outcome Data for Mental Health Care Decision Making
James F. Boswell1 Michael J. Constantino2 David R. Kraus3 Matteo Bugatti4
Jennifer M. Oswald4
Published online: 11 April 2015 Springer Science+Business Media New York 2015
Abstract Evidence shows that routine outcome monitoring (ROM) and feedback using standardized measurement tools enhances the outcomes of individual patients. When outcome data from a large number of patients and clinicians are collected, patterns can be tracked and comparisons can be made at multiple levels. Variability in skills and outcomes among clinicians and service settings has been documented, and the relevance of ROM for decision making is rapidly expanding alongside the transforming health care landscape. In this article, we highlight several developing core implications of ROM for mental health care, and frame points of future work and discussion.
& James F. Boswell [email protected]
Michael J. Constantino [email protected]
David R. Kraus [email protected]
Matteo Bugatti [email protected]
Jennifer M. Oswald [email protected]
1 Department of Psychology, Social Science 399, University atAlbany SUNY, 1400 Washington Avenue, Albany, NY 12222, USA
2 Department of Psychological and Brain Sciences, University of Massachusetts Amherst, 612 Tobin Hall - 135 Hicks Way, Amherst, MA, USA
3 Outcome Referrals, Inc., 1 Speen St., Framingham, MA 01701, USA
4 Department of Psychology, University at Albany SUNY, Albany, NY 12222, USA
Keywords Routine outcome monitoring Clinician
effects Psychotherapy Mental health care services
Introduction
In their seminal paper, Howard et al. (1996) suggested using standardized session-to-session measures of patient progress to evaluate and improve treatment outcome by using data-driven feedback. In doing so, they launched a new area of research labeled patient-focused research, which asks: Is this treatment, however constructed, delivered by this particular clinician, helpful to this patient at this point in time? Patient-focused research symbolized a paradigm shift from the more common nomothetic methods that emphasized aggregating data among patients in controlled trials conducted in formal research settings.
The signicance of this paradigm shift cannot be...