Implementing routine outcome monitoring in a psychodynamic training clinic: it’s complicated

Doorn, Katie Aafjes‐van; Meisel, Jordan

doi:10.1080/09515070.2022.2110451

Cited by 9 publications

(8 citation statements)

References 68 publications

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“…However, it is important to realize that these case studies took place within the context of an existing clinic, a larger frame that facilitated the implementation of ROM. Many have written about the difficulties with implementation of ROM in a therapy or training clinic (e.g., Aafjes‐Van Doorn & Meisel, 2022; Cooper et al, 2019; de Jong, 2016; Mellor‐Clark et al, 2014; Minieri et al, 2015; Peterson & Fagan, 2017). It requires an organizational change that includes an intensive process of training, engagement, monitoring, and service support, in which common problems are preempted as much as possible, and genuine feedback on the implementation process is provided.…”

Section: The Implementation Of Rom: a Concerted Effortmentioning

confidence: 99%

“…It may also be helpful to become aware of ambivalent feelings around its implementation, especially since research suggests that therapists' attitude toward ROM is predictive of their active use of the measures in treatment (de Jong et al, 2016). Open reflections on the pushes and pulls toward the implementation of a ROM system are few and far between (for an exception, see Aafjes‐Van Doorn & Meisel, 2022). Just like with other new advancements in the field (video‐recording of therapy sessions; Aafjes van‐Doorn et al, 2022; teletherapy; Békés et al, 2022) therapists' experience of using ROM over time likely will reduce their anxiety and discomfort.…”

Section: The Implementation Of Rom: a Concerted Effortmentioning

confidence: 99%

“…Many have written about the difficulties with implementation of ROM in a therapy or training clinic (e.g., Aafjes-Van Doorn & Meisel, 2022;Cooper et al, 2019;de Jong, 2016;Mellor-Clark et al, 2014;Minieri et al, 2015;Peterson & Fagan, 2017).…”

Section: Implementing Rom: a Multitude Of Clinical Decisionsmentioning

confidence: 99%

“…It is likely that psychodynamically oriented therapists and their supervisors are more skeptical of ROM, and symptom measurement more generally. The idea of measurement and quantifiable answers may be seen as contradicting the psychodynamic goal of creating space and tolerance for the unknown (Aafjes‐Van Doorn & Meisel, 2022). However, ROM does not need to be restricted to symptom measurement, as several ROM systems also measure treatment processes, and these types of ROM systems might fit better with a psychoanalytic way of working than symptom measurement alone.…”

Section: Introductionmentioning

confidence: 99%

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How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn

Jong

2022

J Clin Psychol

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Routine outcome monitoring (ROM) involves the use of patient-reported standardized outcome measures to monitor progress throughout the course of treatment, followed by feedback of the patient's scores to the therapist. The How to cite this article: Aafjes-van Doorn, K., & de Jong, K. (2022). How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider.

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Section: The Implementation Of Rom: a Concerted Effortmentioning

confidence: 99%

Section: The Implementation Of Rom: a Concerted Effortmentioning

confidence: 99%

Section: Implementing Rom: a Multitude Of Clinical Decisionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn

Jong

2022

J Clin Psychol

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“…Even though ROM has been found to have the potential to improve treatment outcomes for patients, its uptake has been a far from a smooth process. Several authors have discussed barriers to the implementation and effective use of ROM (Aafjes‐Van Doorn & Meisel, 2022; Boswell et al, 2015; De Jong, 2016; Lewis et al, 2019). In addition, several studies have demonstrated that the effects of ROM are dependent on implementation issues such as therapists' behaviors, attitudes, and commitment to ROM (e.g., Bickman et al, 2016; Bovendeerd et al, 2022; Brattland et al, 2018; Lutz et al, 2015; Simon et al, 2012).…”

Section: Methodsmentioning

confidence: 99%

Routine outcome monitoring: The need for case examples

Jong

Doorn

2022

J Clin Psychol

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Routine outcome monitoring (ROM) involves measuring an outcome variable (e.g., symptoms and alliance) at a regular interval over time (e.g., before each session), using a standardized patient self-report measure. Several computerized ROM system exists that also provide the therapist with benchmarks for these measures based on expected treatment responses (ETRs) for a patient, and clinical support tools (CSTs) to help the therapists in making clinician decisions in the treatment. When implementing ROM into clinical practice, a therapist needs to decide what patient-self report measure to use as well as what ROM system might be most clinically helpful and cost-effective. Although the use of ROM has shown to be effective, especially in reducing dropout and reducing deterioration of patients, the implementation of ROM can be challenging. The use of ROM always requires the active involvement of the therapist, but the implementation in treatment may look different for each patient. It is thus helpful to see case illustration of exactly how ROM might be useful or not so useful in clinical practice.

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Routine outcome monitoring (ROM) and feedback in university student counselling and mental health services: Considerations for practitioners and service leads

Barkham,

Broglia

2023

Couns and Psychother Res

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AimRoutine outcome monitoring (ROM), including the use of feedback, has become a much vaunted method in psychological therapies but is little used in university/college counselling and mental health services, perhaps because its adoption raises questions for many practitioners and service leaders. There is a need for both clinical‐ and research‐based statements to clarify the reasoning and rationale for ROM. This paper aims to present and respond to common challenges of and reservations about using ROM in student counselling and/or mental health services.MethodThe article poses 15 questions and issues about the adoption of ROM drawn from the literature on this topic and further refined by practitioner‐ and researcher‐members of a consortium comprising service leads, practitioners, and researchers working in the field of student counselling in the UK. The questions address nine themes: (1) the purpose and yield of ROM; (2) the burden of measurement; (3) the impact on clients and process of therapy; (4) consistency with therapeutic theory; (5) client groups and settings; (6) concern from practitioners; (7) equality, diversity, and inclusion; (8) implementation; and (9) relationship with the paradigm of practice‐based evidence.FindingsResponses to each of the 15 questions are provided from a methodological, evidence‐based, and clinical perspective.ConclusionsThe responses provide practitioners with the necessary information to enable them to make informed decisions as to the value, or otherwise, of adopting ROM, including feedback, in the delivery of counselling interventions, and generating evidence created from clinical practice.

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Implementing routine outcome monitoring in a psychodynamic training clinic: it’s complicated

Cited by 9 publications

References 68 publications

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Routine outcome monitoring: The need for case examples

Routine outcome monitoring (ROM) and feedback in university student counselling and mental health services: Considerations for practitioners and service leads

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