The effect of technical support on clinician attitudes toward an outcome assessment instrument

Close-Goedjen, Jennifer L.; Saunders, Stephen M.

doi:10.1007/bf02287837

Cited by 19 publications

(16 citation statements)

References 18 publications

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“…Collectively, results of a series of studies suggest that implementation of MBC in mental health may be facilitated by initial training – and can be sustained with additional consultation – but that a “decline effect” is apparent without continued contact (e.g., Close-Goedjen and Saunders, 2002; De Rond, De Wit, & Van Dam, 2001). A recent evaluation of a state-wide training and consultation program for child and family mental health clinicians found early increases in positive assessment attitudes, with more gradual increases in self-reported skill and use(Lyon, Dorsey, Pullmann, Silbaugh-Cowdin, & Berliner, 2014).…”

Section: Introductionmentioning

confidence: 99%

A Digital Feedback System to Support Implementation of Measurement-Based Care by School-Based Mental Health Clinicians

Lyon

Pullmann

Whitaker

et al. 2017

Journal of Clinical Child & Adolescent Psychology

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Objective. Evidence supports the utility of measurement-based care (MBC) to improve youth mental health outcomes, but clinicians rarely engage in MBC practices. Digital measurement feedback systems (MFS) may reflect a feasible strategy to support MBC adoption and sustainment. This pilot study was initiated to evaluate the impact of a MFS and brief consultation supports to facilitate MBC uptake and sustainment among mental health clinicians in the education sector, the most common mental health service delivery setting for youth. Method. Following an initial training in MBC, 14 clinicians were randomized to either: (1) a digital MFS and brief consultation supports, or (2) control. Baseline ratings of MBC attitudes, skill, and use were collected. In addition, daily assessment ratings tracked two core MBC practices (i.e., assessment tool administration, provision of feedback) over a six-month follow-up period. Results. Clinicians in the MFS condition demonstrated rapid increases in both MBC practices while the control group did not significantly change. For clinicians in the MFS group, consultation effects were significant for feedback and approached significance for administration. Over the follow-up period, average decreases in the current study were moderate with only one of the two outcome variables (administration) decreasing significantly. Inspection of individual clinician trajectories revealed substantial within-group trend variation. Conclusions. MFS may represent an effective MBC implementation strategy beyond initial training, although individual clinician response is variable. Identifying feasible and impactful implementation strategies is critical given the ability of MBC to support precision healthcare.

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Section: Introductionmentioning

confidence: 99%

A Digital Feedback System to Support Implementation of Measurement-Based Care by School-Based Mental Health Clinicians

Lyon

Pullmann

Whitaker

et al. 2017

Journal of Clinical Child & Adolescent Psychology

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“…Generally positive attitudes to OM but uncertainty as to how to use the results were found by Meadows et al (1998) in relation to diabetes care. In a mental health setting, Close-Goedjen and Saunders (2002) found that provision of technical support improved clinicians' attitudes. Worryingly, however, attitudes remained high but behaviour returned to initial levels after support was withdrawn, leading them to conclude that ''.…”

Section: Discussionmentioning

confidence: 98%

Attitudes of mental health staff to routine outcome measurement

Trauer

Callaly

Herrman

2009

Journal of Mental Health

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Background: Routine outcome measurement is mandated in public mental health services in Australia, but uptake and compliance are variable. This may be because of uncertainties and resistances among clinicians. Aims: To survey attitudes and practices to routine outcome measurement among staff in adult area mental health services and to elucidate their correlates. Method: As part of a larger study, a specifically designed questionnaire was distributed to all staff. Results: A high return rate was achieved. A wide range of opinion was found. Staff who had attended training reported the measures as easier to use than those who had not. Staff who had recently seen feedback rated outcome measures as more valuable but less easy to use than those who had not seen feedback. Compared to other disciplines, medical staff and psychologists tended to rate outcome measures as less useful. Conclusions: The results have implications for the implementation and sustainability of routine outcome measurement. They highlight the need for staff to receive targeted training and usable reports, and to have access to resources to extract meaning and value from outcome measures.

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“…These findings are consistent with previous research findings where the provision of technical support led to more positive attitudes toward outcome measures among clinicians. 5 Questionnaire results also revealed that most staff preferred information presented in graphical format over text or numbers. The fact that many of the changes were maintained, and even in some cases extended, at follow-up, suggests that the intervention was not simply effective while it lasted.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research found that provision of technical support enhanced the use of data by clinicians. 5 The QUATRO North East project team wanted to learn more about whether the provision of further guidance to mental health clinicians and team leaders improved their understanding of what ROM results mean and of how these results could be used to inform clinical practice. Of particular interest would be the information pertaining to changes in a consumer' s health over time and at different collection occasions.…”

Section: What Are the Implications?mentioning

confidence: 99%

The effect of guidance in the use of routine outcome measures in clinical meetings

Trauer

Pedwell²,

Gill

2009

Aust. Health Review

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Routine outcome measures (ROM) have now been introduced into all Australian public mental health services, but experience suggests that many clinical staff lack expertise in using them. In 2005 under the Quality Through Outcomes Network (QUATRO), the Victorian Department of Human Services set up three teams aimed at consolidating the use of ROM and furthering sustainability through a variety of peer-support activities. We report on an initiative undertaken by one of these teams. QUATRO team members attended team meetings of four adult community teams (three metropolitan and one rural) fortnightly over about 3 months. QUATRO staff contributed to discussion of outcome measures during routine clinical review, using local and national outcome measurement data and tools, and their own expertise. Attitudes of clinicians toward ROM in general and the specific instruments were assessed at the beginning and end of the period, and again after about 5 months. Qualitative findings consist of observations of factors that assist and hinder use of ROM. The initiative identified steps that staff can take to ROUTINE OUTCOME MEASUREMENT (ROM), comprising both provider-and consumer-completed instruments, was implemented in all public mental health services in Australia in 2003. In adult services the instruments used are the Health of the Nation Outcome Scales (HoNOS), 1 the sixteen-item version of the Life Skills Profile (LSP-16), 2 and in Victoria, the Behaviour and Symptom Identification Scale (BASIS-32).3 (In some other states and territories the Kessler 10 or the Mental Health Inventory were chosen to be the adult consumer-rated measure). The first two of these are completed by clinicians and the third is intended to be offered to consumers for voluntary, but encouraged, completion. In preparation for implementation, the majority of mental health clinicians in Victoria were trained in rating and collecting the suite of outcome measures. Signifi- What is known about the topic? Routine outcome measurement (ROM) is mandated in public mental health services in Australia, but early experience shows that attitudes are mixed. This may be due in part to clinicians being unfamiliar with how to use and interpret ROM data. What does this paper add?This project, aimed specifically at improving clinicians' understanding and confidence in using ROM in their regular weekly clinical meetings, found significant positive change in attitudes toward outcome measures. Most staff preferred information presented in graphical format over text or numbers and most respondents considered the consumer self-rating measure to be more useful than the two clinician-completed measures. What are the implications? Services should invest in suitable technology to make ROM easier for clinicians. Senior clinical and management staff can promote ROM through personal example. Training in ROM needs to pay as much attention to practical utility in the workplace as to theory and principles.

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The effect of technical support on clinician attitudes toward an outcome assessment instrument

Cited by 19 publications

References 18 publications

A Digital Feedback System to Support Implementation of Measurement-Based Care by School-Based Mental Health Clinicians

A Digital Feedback System to Support Implementation of Measurement-Based Care by School-Based Mental Health Clinicians

Attitudes of mental health staff to routine outcome measurement

The effect of guidance in the use of routine outcome measures in clinical meetings

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