Using Routine Outcome Measures to Provide Feedback at the Service Agency Level

Roe, David; Lapid, Liron; Baloush-Kleinman, Vered; Garber-Epstein, Paula; Gornemann, Miriam Isolde; Gelkopf, Marc

doi:10.1007/s10597-016-0039-x

Cited by 7 publications

(4 citation statements)

References 50 publications

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“…10 , 11 Typically, these 6 sites treat approximately 1400 clients per year, with an average length of treatment of 3.9 months. 2 , 4…”

Section: Methodsmentioning

confidence: 99%

“…10,11 Typically, these 6 sites treat approximately 1400 clients per year, with an average length of treatment of 3.9 months. 2,4 Clients of the program routinely completed a structured interview within 14 days of intake covering demographics, treatment history, alcohol and other drug (AOD) use, criminality, and psychopathology. Clients were invited by service staff at intake to provide their data for research purposes and participate in a 3 months post discharge telephone follow-up assessment, with a potential additional phone call 2 weeks post discharge.…”

Section: Participants and Proceduresmentioning

confidence: 99%

“…One of the most pervasive problems remains locating and making contact with participants after they leave treatment. [3][4][5] This difficulty is partly a function of residential instability, movement into treatment or correctional facilities, and separation from families or social networks. 6 This can mean that contact details can change more frequently than with other service user groups, resulting in loss to follow-up.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Early Telephone Contact on 3-Month Follow-Up Rates following Residential Drug and Alcohol Treatment: A Randomized Controlled Trial

2019

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Background: Routine outcome monitoring (ROM) is an important component of service provision and qualitity assurance procedures. However, a major logistical and financial challenge for organizations is successfully following up participants once they have left residential alcohol and other drug treatment. The aim of the current study was to assess the impact and effectiveness of an “early” follow-up contact and brief interview on subsequent 3-month ROM follow-up success. Methods: Participants were 800 clients attending specialist residential alcohol and other drug treatment provided by The Salvation Army. As part of routine outcome assessment procedures, all people attending these programs are asked to complete a 3-month follow-up assessment. Participants were randomly allocated either to the early contact condition (i.e., “early” 2-week follow-up contact prior to the 3-month follow-up assessment) or to the control condition (i.e., no “early” 2-week follow-up prior to the 3-month follow-up assessment). The primary outcomes were the proportion of participants who were followed up and surveyed at 3 months. Results: There were significantly higher follow-up rates at 3 months post discharge for participants in the early contact group (55.6%) compared with the control condition (46.1%). Although there were higher rates of 3-month follow-up for participants in the early contact group, rates of successful survey completion were not significantly different between the 2 groups. Conclusions: Including an early 2-week telephone call prior to the 3-month assessment increased the number of participants we were able to follow up at 3 months post discharge but did not improve the rate of survey participation at 3 months. The additional costs associated with this activity and the modest increase in follow-up rates need to be considered prior to organizations investing in these follow-up enhancement activities.

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“…10 , 11 Typically, these 6 sites treat approximately 1400 clients per year, with an average length of treatment of 3.9 months. 2 , 4…”

Section: Methodsmentioning

confidence: 99%

Section: Participants and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Early Telephone Contact on 3-Month Follow-Up Rates following Residential Drug and Alcohol Treatment: A Randomized Controlled Trial

2019

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“…Routine outcome monitoring (ROM) pertains to the periodic assessment of treatment outcomes during everyday clinical practice (Hoenders et al, 2014; Siebum, Pijl, & de Wolf, 2015). When used appropriately, ROM has the potential to contribute to better quality of care (on an individual level), as it monitors progression of the client and provides the opportunity to adjust when being “off track.” On a group level ROM could contribute to better quality of care, as it could function as an instrument for benchmarking treatment outcomes (Boswell, Kraus, Miller, & Lambert, 2015; Delespaul, 2015; Roe et al, 2016). From a scientific viewpoint, ROM enables researchers to gain insight into the prevalence, severity and stability of clients’ problems and to enhance practice-based evidence (Delespaul, 2015; Hoenders et al, 2014).…”

mentioning

confidence: 99%

Individualized behavioral change of externalizing and internalizing problems and predicting factors in residential youth care.

Gevers¹,

Poelen²,

Otten³

et al. 2021

Psychological Services

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The present study examined individualized behavioral change of externalizing and internalizing problems of adolescents in residential youth care, divided into different change groups (improvement, no change, or deterioration), by using the reliable change index. We also identified demographic and clinical factors that may predict individual behavioral change. A naturalistic dataset was used which consisted of adolescents referred to open or compulsory residential care who had outcome measures at the beginning and end of treatment. In total 742 reports of behavior problems were included: the sample consists of 265 adolescents with self-reports, 341 adolescents with group care worker reports, and 136 adolescents with parent reports. Only 42 adolescents had three sources of report, 202 adolescents had two sources of report, and 212 adolescents had one source of report. The majority of adolescents (50 -73%) showed nonsignificant change in either externalizing or internalizing problems during their stay in residential care, regardless of informant. Higher problem severity at the beginning of treatment was a significant predictor of improvement in externalizing and internalizing problems throughout treatment, but the other factors (i.e., age, gender, ethnicity, and treatment duration) showed no effect. In conclusion, this study shows that with the current system of monitoring, more than half of the adolescents in residential care do not show significant change over time. This may indicate either that residential stay does not necessarily cause a significant change in problems for all adolescents, or that the system currently used for treatment monitoring is suboptimal in detecting such a change. Impact StatementThe present study describes that the majority of adolescents in residential care show no significant change in behavior problems and that it is difficult to identify factors that predict behavioral change. The current system to monitor treatment outcomes may benefit from more individualized measures to gain better insight into treatment progress of adolescents in residential care in order to provide personalized care.

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Behavior Problems Inventory (BPI): Psychometric characteristics of an instrument for routine assessment of persons with psychoses and related disorders

Morejón

Vázquez-Morejón

Bellido-Zanin

2018

Psychiatry Research

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Using Routine Outcome Measures to Provide Feedback at the Service Agency Level

Cited by 7 publications

References 50 publications

Impact of Early Telephone Contact on 3-Month Follow-Up Rates following Residential Drug and Alcohol Treatment: A Randomized Controlled Trial

Impact of Early Telephone Contact on 3-Month Follow-Up Rates following Residential Drug and Alcohol Treatment: A Randomized Controlled Trial

Individualized behavioral change of externalizing and internalizing problems and predicting factors in residential youth care.

Behavior Problems Inventory (BPI): Psychometric characteristics of an instrument for routine assessment of persons with psychoses and related disorders

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