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The use of routine outcome measures in two child and adolescent mental health services: a completed audit cycle

Hall, Charlotte L.; Moldavsky, Maria; Baldwin, Laurence; Marriott, Michael; Newell, Karen; Taylor, John; Sayal, Kapil; Hollis, Chris

Authors

Maria Moldavsky

Laurence Baldwin

Michael Marriott

Karen Newell

John Taylor

KAPIL SAYAL kapil.sayal@nottingham.ac.uk
Professor of Child and Adolescentpsychiatry

CHRIS HOLLIS chris.hollis@nottingham.ac.uk
Professor of Child and Adolescent Psychiatry and Digital Mental Health



Abstract

Background:
Routine outcome measurement (ROM) is important for assessing the clinical effectiveness of health services and for monitoring patient outcomes. Within Child and Adolescent Mental Health Services (CAMHS) in the UK the adoption of ROM in CAMHS has been supported by both national and local initiatives (such as government strategies, local commissioning policy, and research).

Methods:
With the aim of assessing how these policies and initiatives may have influenced the uptake of ROM within two different CAMHS we report the findings of two case-note audits: a baseline audit conducted in January 2011 and a re-audit conducted two years later in December 2012-February 2013.

Results:
The findings show an increase in both the single and repeated use of outcome measures from the time of the original audit, with repeated use (baseline and follow-up) of the Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) scale increasing from 10% to 50% of cases. Re-audited case-notes contained more combined use of different outcome measures, with greater consensus on which measures to use. Outcome measures that were applicable across a wide range of clinical conditions were more likely to be used than symptom-specific measures, and measures that were completed by the clinician were found more often than measures completed by the service user.

Conclusions:
The findings show a substantial improvement in the use of outcome measures within CAMHS. These increases in use were found across different service organisations which were subject to different types of local service priorities and drivers.

Citation

Hall, C. L., Moldavsky, M., Baldwin, L., Marriott, M., Newell, K., Taylor, J., …Hollis, C. (2013). The use of routine outcome measures in two child and adolescent mental health services: a completed audit cycle. BMC Psychiatry, 13(270), doi:10.1186/1471-244X-13-270

Journal Article Type Article
Publication Date Oct 1, 2013
Deposit Date Apr 3, 2014
Publicly Available Date Apr 3, 2014
Journal BMC Psychiatry
Electronic ISSN 1471-244X
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 13
Issue 270
DOI https://doi.org/10.1186/1471-244X-13-270
Keywords Routine Outcome Measurement (ROM), Child and Adolescent Mental Health Services (CAMHS), Audit
Public URL http://eprints.nottingham.ac.uk/id/eprint/2668
Publisher URL http://link.springer.com/article/10.1186%2F1471-244X-13-270
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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