A measurement feedback system (MFS) is necessary to improve mental health outcomes
A measurement feedback system (MFS) is necessary to improve mental health outcomes
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DOI:
10.1097/chi.0b013e3181825af8
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发表时间:
2008-10-01
影响因子:
13.3
通讯作者:
Bickman, Leonard
中科院分区:
文献类型:
--
作者:
Bickman, Leonard
This essay takes the position that mental health (MH) services for youth are unlikely to improve without a system of measurement that is administered frequently, is concurrent with treatment and provides feedback. The system, which I characterize as a measurement feedback system (MFS), should include clinical processes (mediators), contexts (moderators), outcomes, and feedback to clinicians and supervisors. In spite of the routine call to collect and use outcome data in real world treatment, progress has been painstakingly slow. 1–3 For example, Garland and colleagues found that even when outcome assessments were required, over 90% of the clinicians surveyed used their own judgment and paid little heed to the data. 4 A more recent national survey of MH service organizations serving children and families indicated that almost 75% reported collecting some standardized outcome data. 5 However, just collecting data on an annual basis will not result in improvement.