Service user and clinician perspectives on the use of outcome measures in psychological therapy

Thew, Graham R.; Fountain, Louise; Šalkovskis, Paul M.

doi:10.1017/s1754470x15000598

Cited by 10 publications

(5 citation statements)

References 21 publications

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“…Interestingly, the findings indicated that there was a trend towards stronger positive beliefs in both those who do and do not currently use this practice. These findings fit with recent research (Thew et al 2015) in secondary care adult mental health services which found that clinicians generally endorsed positive beliefs about measures more strongly than negative ones.…”

Section: Discussionsupporting

confidence: 91%

“…Only one previous study (Moran et al 2012) has explored this, highlighting the importance of their involvement in the process of outcome measurement. Similarly, recent research in adult services (Thew et al 2015) has suggested that service users perceptions of how well measures were used and integrated into therapy were strongly associated with how helpful they found measures as part of therapy overall. Future research further exploring young people's views of session-by-session ROM, the acceptability of this clinical practice and individual measures, and service user experience in relation to clinician's beliefs will be of value.…”

Section: Discussionmentioning

confidence: 89%

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Session-by-session outcome monitoring in CAMHS: clinicians’ beliefs

James

Elgie²,

Adams

et al. 2015

Cogn Behav Therap

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Session-by-session ROM in CAMHS 1 Session-by-session outcome monitoring in CAMHS: Clinicians beliefs. AbstractThe CYP-IAPT programme emphasises the meaningful contribution session-by-session routine outcome monitoring (ROM) can make to clinical practice and its importance in highlighting services' effectiveness. Two studies on issues related to the implementation of ROM in children's services were conducted. Study one was qualitative; twelve CAMHS professionals participated in focus groups. Themes identified included the idea that ROM could provide objectivity, could be collaborative and empowering. Concerns included how measures may adversely influence therapeutic sessions and how the information may be used by the service. These themes were used to develop a questionnaire about professional's experience of and views on session-by-session ROM. In study two, 59 professionals from four CAMHS teams completed the questionnaire. It was found that only 6.8% reported "almost always" utilising session-by-session ROM. Detailed analysis of questionnaire responses suggested two factors reflecting the perceived negative and positive impact of session-by-session ROM. It was found that clinicians who currently use session-by-session ROM hold stronger positive and negative beliefs than clinicians who do not. This study suggests that session-by-session ROM is not currently routine practice within CAMHS and highlights the importance of considering how this practice can be best implemented within this setting with reference to clinician attitudes. Session-by-session ROM in CAMHS 2 Learning Objectives 1) To understand CAMHS clinician's attitudes and beliefs about the use of session-bysession routine outcome monitoring (ROM) in clinical practice 2) To explore clinicians views about session-by-session ROM through focus groups 3) To assess the characteristics of a questionnaire developed to elicit information about professionals demographic characteristics, attitudes towards, and current use of, session-by-session ROM 4) To consider the impact clinicians beliefs may have on the implementation of ROM

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 89%

Session-by-session outcome monitoring in CAMHS: clinicians’ beliefs

James

Elgie²,

Adams

et al. 2015

Cogn Behav Therap

View full text Add to dashboard Cite

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“…OCD-experts reported using measures of beliefs, such as the RAS and RIQ (Salkovskis et al, 2000), whereas non-OCD-expert clinicians reported using the OCI (Foa et al ., 1998) to measure outcome. Several studies report that service users find completing questionnaires helpful when their responses were discussed in therapy and felt this strengthened the therapeutic relationship (Lambert et al ., 2002; Unsworth et al ., 2012; Thew et al ., 2015). There is also some evidence that questionnaire use can improve identification of psychological difficulties (Greenhalgh and Meadows, 1999) and potentially improve therapeutic outcomes (Lambert et al ., 2001, 2003; Hawkins et al ., 2004; Harmon et al ., 2005).…”

Section: Discussionmentioning

confidence: 99%

Working with interpretations in cognitive behavioural therapy for obsessive compulsive disorder

Jones

Wroe

Jezard

et al. 2018

tCBT

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Cognitive behavioural therapy (CBT) is a highly effective treatment for obsessive compulsive disorder (OCD). Identifying, challenging and monitoring interpretations of intrusions is considered a key element of CBT for OCD but preliminary research suggests that treatment does not always include identification and modification of misinterpretations. The present investigation explored ‘OCD-expert’ and ‘non-OCD-expert’ clinicians’ views on key elements of CBT for OCD to determine whether identifying and modifying key interpretations were considered important in therapy and whether clinicians who do not have specific expertise in OCD found working with interpretations difficult. Study 1 used a qualitative approach to investigate OCD-expert and non-OCD-expert clinician's views on key elements of CBT for OCD. Study 2 used a questionnaire to investigate what non-OCD-expert clinicians viewed as important and difficult aspects of CBT for OCD. Study 1 results showed that OCD-expert and non-OCD-expert clinicians reported working with interpretations was a key element of CBT for OCD. However, OCD-expert clinicians linked interpretations more closely to a formulation and intervention plan and reported using more techniques and questionnaires when working with interpretations compared with non-OCD-expert clinicians. Study 2 results showed that non-OCD-expert clinicians rated interpretations as both important and difficult to work with but no more important or difficult than other key elements of CBT for OCD. OCD-expert and non-OCD-expert clinicians identify working with interpretations as a key element of CBT for OCD. Non-OCD-expert clinicians may benefit from additional training on formulation tools that help identify, monitor and challenge interpretations of intrusions.

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“…First, it is important not to presume that ROM will be a burden for clients as there is evidence that they support the use of measures provided they see practitioners using the information (Thew et al, 2015). And for practitioners, having a positive attitude towards the use of ROM is related to it being a success (Rye et al, 2019).…”

Section: Themementioning

confidence: 99%

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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Service user and clinician perspectives on the use of outcome measures in psychological therapy

Cited by 10 publications

References 21 publications

Session-by-session outcome monitoring in CAMHS: clinicians’ beliefs

Session-by-session outcome monitoring in CAMHS: clinicians’ beliefs

Working with interpretations in cognitive behavioural therapy for obsessive compulsive disorder

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

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