Provider-Associated Measurement Error in Routine Outcome Monitoring in Community Mental Health

被引：2

作者：

Treichler, Emily B. H. ^{[1
,2
]}

Spaulding, William D. ^{[3
]}

机构：

[1] VA San Diego Healthcare Syst, VISN MIRECC 22, 3350 La Jolla Village Dr, San Diego, CA 92161 USA

[2] Univ Calif San Diego, 3350 La Jolla Village Dr, San Diego, CA 92161 USA

[3] Univ Nebraska, Lincoln, NE USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2018年 / 45卷 / 05期

关键词：

Routine outcome monitoring; Community mental health; Serious mental illness; Measurement; CLINICAL-PRACTICE; CARE; SCHIZOPHRENIA; PSYCHOTHERAPY; FEEDBACK; GENDER; CHALLENGES; ADHERENCE; ATTITUDES; CONSUMERS;

D O I：

10.1007/s10488-018-0861-2

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Despite the strengths of routine outcome monitoring (ROM) in community mental health settings, there are a number of barriers to effective implementation of ROM, including measurement error due to provider factors (e.g., training level) and non-target client factors (i.e., client characteristics which have no meaningful relationship to the outcome of interest). In this study, ROM data from 80 client-provider dyads were examined for sources of variance due to provider factors and non-target client factors. Results indicated that provider factors and non-target client factors accounted for between 9.6 and 54% of the variance in the ROM measures. Our findings supported past research that provider characteristics impact ROM, and added the novel finding that client gender, age, diagnosis, and cognition also impact ROM. Methods to increase accuracy and utility of ROM in community mental health are discussed.

引用

页码：780 / 789

页数：10

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