The Clinical Outcomes in Routine Evaluation-Outcome Measure: A useful option for routine outcome monitoring in Latin America

Latin American mental health services are moving from the psychiatric hospital model to a community-based model. The effectiveness of these new services needs to be evaluated and that can be done through routine outcome monitoring. The present communication introduces the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM), a free instrument, supported with rigorous psychometric exploration, and which has been translated to Spanish and Brazilian Portuguese that can be used for monitoring purposes across the region.

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Clinical dilemmas of routine outcome monitoring and clinical feedback: a qualitative study of patient experiences

10.31234/osf.io/exvyw ◽

2020 ◽

Author(s):

Stig Magne Solstad ◽

Gøril Kleiven Solberg ◽

Louis George Castonguay ◽

Christian Moltu

Keyword(s):

Mental Health ◽

Clinical Skill ◽

Routine Outcome Monitoring ◽

Future Research ◽

Successful Implementation ◽

Basic Training ◽

Feedback Systems ◽

Clinical Encounters ◽

Outcome Monitoring ◽

Clinical Feedback

Purpose: Routine outcome monitoring (ROM) and clinical feedback systems (CFS) are becoming prevalent in mental health services. The field faces several challenges to successful implementation. The purpose of this study is to gain a better understanding of these challenges by exploring the patient perspective. Method: We report the findings from a qualitative, video assisted interview study of 12 patients from a Norwegian mental health outpatient clinic using ROM/CFS. Results: Our analysis resulted in three pairs of opposing experiences with using ROM/CFS: 1) Explicit vs. implicit use of CFS information, 2) CFS directing focus towards- vs. directing focus away from therapeutic topics and 3) Giving vs. receiving feedback. None of these were intrinsically helpful or hindering. Participants had vastly differing preferences for how to use ROM/CFS in clinical encounters, but all needed the information to be used in a meaningful way by their therapists. If not, ROM/CFS was at risk of becoming meaningless and hindering for therapy. Conclusion: These findings confirm and provide further nuance to previous research. We propose to consider ROM/CFS a clinical skill that should be a part of basic training for therapists. How to use and implement ROM/CFS skillfully should also be the focus of future research.

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MyCare study: protocol for a controlled trial evaluating the effect of a community-based intervention on psychosocial, clinical outcomes and hospital admission rates for adults with severe mental illness

BMJ Open ◽

10.1136/bmjopen-2020-040610 ◽

2020 ◽

Vol 10 (11) ◽

pp. e040610

Author(s):

Renée O'Donnell ◽

Melissa Savaglio ◽

Debra Fast ◽

Ash Vincent ◽

Dave Vicary ◽

...

Keyword(s):

Mental Health ◽

Mental Illness ◽

Hospital Admission ◽

Clinical Outcomes ◽

Controlled Trial ◽

Community Based ◽

Admission Rates ◽

Mental Health Support ◽

Health Support

IntroductionPeople with serious mental illness (SMI) often fail to receive adequate treatment. To provide a higher level of support, mental health systems have been reformed substantially to integrate mental healthcare into the community. MyCare is one such community-based mental health model of care. This paper describes the study protocol of a controlled trial examining the effect of MyCare on psychosocial and clinical outcomes and hospital admission and duration rates for adults with SMI.Methods and analysisThis is a multisite non-randomised controlled trial with a 3, 6 and 12-month follow-up period. The study participants will be adults (18–64 years of age) with SMI recruited from Hobart, Launceston and the North-West of Tasmania. The treatment group will include adults who receive both the MyCare intervention and standard mental health support; the control group will include adults who receive only standard mental health support. The primary outcome includes psychosocial and clinical functioning and the secondary outcome will examine hospital admission rates and duration of stay. Mixed-effects models will be used to examine outcome improvements between intake and follow-up. This trial will generate the evidence needed to evaluate the effect of a community mental health support programme delivered in Tasmania, Australia. If MyCare results in sustained positive outcomes for adults with SMI, it could potentially be scaled up more broadly across Australia, addressing the inequity and lack of comprehensive treatment that many individuals with SMI experience.Ethics and disseminationThis study has been approved by the Tasmanian Health and Medical Human Research Ethics Committee. The findings will be disseminated to participants and staff who delivered the intervention, submitted for publication in a peer-reviewed journal and shared at academic conferences.Trial registration numberACTRN12620000673943.

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Evaluation of an Online System for Routine Outcome Monitoring: A Cross-Sectional Survey (Preprint)

10.2196/preprints.29243 ◽

2021 ◽

Author(s):

Deanna Wiebe ◽

Pria Nippak ◽

Julien Meyer ◽

Shannon Remers

Keyword(s):

Mental Health ◽

Outcome Measures ◽

Service Providers ◽

Routine Outcome Monitoring ◽

Completion Rates ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Online System ◽

Health Service Providers ◽

Outcome Monitoring

BACKGROUND The use of Routine Outcome Monitoring (ROM) in the treatment of mental health has emerged as a method of improving psychotherapy treatment outcomes. Despite this, very few clinicians regularly use ROM in clinical practice. Online ROM has been suggested as a solution to increase adoption. OBJECTIVE To identify the influence of moving ROM online on client completion rates of self-reported outcome measures and to identify implementation and utilization barriers to online ROM by assessing clinicians’ views on their experience utilizing the online system over previous paper-based methods. METHODS Client completion rates of self-reported outcome measures were compared pre and post implementation of an online system of ROM. In addition, a survey questionnaire was administered to 340 mental health service providers regarding their perception of benefits with an online system of ROM. RESULTS Client completion rates of self-reported measures increased from 15% to 54% after moving online. Fifty-eight% of service providers found the new system less time consuming than previous paper-based ROM and 64% found that it helped monitor clients. However, the perceived value of the system remains in doubt as only 23% found it helped them identify clients at risk for treatment failure, and only 18% found it strengthened the therapeutic alliance. CONCLUSIONS Although the current study suggests mixed results regarding service providers’ views on their experience using an online system for ROM, it has identified barriers and challenges that are actionable for improvement.

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La versión española del CORE-OM: Clinical Outcomes in Routine Evaluation - Outcome Measure

Revista de Psicoterapia ◽

10.33898/rdp.v23i89.641 ◽

2012 ◽

Vol 23 (89) ◽

pp. 109-135

Author(s):

Guillem Feixas ◽

Chris Evans ◽

Adriana Trujillo ◽

Luis Ángel Saúl ◽

Lluís Botella ◽

...

Keyword(s):

Clinical Outcomes ◽

Outcome Measure ◽

Core System ◽

Evaluation Outcome

Se presenta la versión en español del Clinical Outcomes in Routine Evaluation- Outcome Measure (CORE-OM), un instrumento creado por el Core System Group para la evaluación del cambio terapéutico. El CORE-OM es un cuestionario que evalúa el malestar psicológico a partir de cuatro dimensiones: Bienestar subjetivo, Problemas/Síntomas, Funcionamiento general y Riesgo. Se describe el cuestionario y se exponen los estudios psicométricos realizados, los cuales indican que el instrumento posee un nivel de validez y fiabilidad adecuadas, así como una excelente aceptación y sensibilidad al cambio terapéutico. Con la supervisión y guía de miembros del equipo creador del CORE-OM, se realizó el proceso de traducción de la versión original en inglés. Colaboraron 12 personas competentes en ambas lenguas de diferentes lugares de España; posteriormente 64 castellano-parlantes de distintas condiciones y orígenes lingüísticos participaron en la revisión del instrumento. Así se obtuvo una versión definitiva en español del CORE-OM, de la que se derivaron las versiones más breves resultantes (CORE-SFA, CORE-SFB, CORE-10 y CORE-5) y todas ellas en versión femenina y masculina. Ahora que el CORE-OM está disponible para todos los psicoterapeutas de habla hispana (www.ub.edu/terdep/core), se hace necesario continuar con el estudio de validación con el objetivo de disponer de las propiedades psicométricas del instrumento en su versión en español.

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Routine Outcome Monitoring in Child and Adolescent Mental Health in the United Kingdom at the Individual and Systems Levels

The Cycle of Excellence ◽

10.1002/9781119165590.ch7 ◽

2017 ◽

pp. 145-160 ◽

Cited By ~ 1

Author(s):

Miranda Wolpert ◽

Kate Dalzell ◽

Jenna Jacob ◽

Jenny Bloxham ◽

Matt Barnard ◽

...

Keyword(s):

Mental Health ◽

United Kingdom ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Routine Outcome Monitoring ◽

The United Kingdom ◽

Outcome Monitoring ◽

The Individual

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Clinical Outcomes in Routine Evaluation-Outcome Measure--Spanish Version

PsycTESTS Dataset ◽

10.1037/t56232-000 ◽

2016 ◽

Author(s):

Adriana Trujillo ◽

Guillem Feixas ◽

Arturo Bados ◽

Eugeni García-Grau ◽

Marta Salla ◽

...

Keyword(s):

Clinical Outcomes ◽

Outcome Measure ◽

Spanish Version ◽

Evaluation Outcome

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Clinical Outcomes in Routine Evaluation-Outcome Measure--British Sign Language Version

PsycTESTS Dataset ◽

10.1037/t70548-000 ◽

2014 ◽

Author(s):

Katherine Rogers ◽

Chris Evans ◽

Malcolm Campbell ◽

Alys Young ◽

Karina Lovell

Keyword(s):

Sign Language ◽

Clinical Outcomes ◽

Outcome Measure ◽

Language Version ◽

British Sign Language ◽

Evaluation Outcome ◽

British Sign

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Challenges in Investigating the Effective Components of Feedback from Routine Outcome Monitoring (ROM) in Youth Mental Health Care

Child & Youth Care Forum ◽

10.1007/s10566-020-09574-1 ◽

2020 ◽

Author(s):

Maartje A. M. S. van Sonsbeek ◽

Giel J. M. Hutschemaekers ◽

Jan W. Veerman ◽

Ad Vermulst ◽

Marloes Kleinjan ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Symptom Severity ◽

Youth Mental Health ◽

Routine Outcome Monitoring ◽

Effective Components ◽

Outcome Monitoring

Abstract BackGround Studies on feedback in youth mental health care are scarce and implementation of feedback into clinical practice is problematic. Objective To investigate potentially effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care in the Netherlands through a three-arm, parallel-group, randomized controlled trial in which a literature-based, multi-faceted implementation strategy was used. Method Participants were randomly allocated to three conditions (basic feedback about symptoms and quality of life; basic feedback supplemented with clinical support tools; discussion of the feedback of the second condition with a colleague while following a standardized format for case consultation) using a block randomization procedure, stratified by location and participants’ age. The youth sample consisted of 225 participants (mean age = 15.08 years; 61.8% female) and the parent sample of 234 mothers and 54 fathers (mean age of children = 12.50 years; 47.2% female). Primary outcome was symptom severity. Secondary outcomes were quality of life and end-of-treatment variables. Additionally, we evaluated whether being Not On Track (NOT) moderated the association between condition and changes in symptom severity. Results No significant differences between conditions and no moderating effect of being NOT were found. This outcome can probably be attributed to limited power and implementation difficulties, such as infrequent ROM, unknown levels of viewing and sharing of feedback, and clinicians’ poor adherence to feedback conditions. Conclusions The study contributes to our limited knowledge about feedback from ROM and underscores the complexity of research on and implementation of ROM within youth mental health care. Trial registration Dutch Trial Register NTR4234 .

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