The study, published in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP), published by Elsevier, found that providing clinicians with frequent feedback from youth and families and guiding instructors to support clinician psychiatry , report that it can improve the effectiveness of youth mental health services. Use feedback effectively. Improving the use of treatment feedback is a top priority for policy makers, funders, researchers, clinicians, and family advocates. Because feedback can significantly reduce the high treatment failure rates (50%) observed in youth mental health services.
Dozens of studies have shown that mental health services are more effective when clinicians receive frequent (e.g., weekly) feedback on how patients are responding to treatment using standardized symptom rating scales. shown in clinical trials. Yet, few clinicians use treatment feedback instruments with young people, and even when instrument use is mandated by policy makers, clinicians often do not review or use feedback. . To address this research-practice gap, faculty from Boise State University, University of California, San Diego, University of Pennsylvania, and University of Central Florida collaborate to test strategies to train mental health clinic leaders and create organizational culture. I did. Support the use of therapeutic feedback.
The research team received funding from the National Institute of Mental Health to test implementation strategies with clinic leaders to improve the use of treatment feedback and outcomes in youth mental health services. Researchers enrolled 21 community mental health clinics that provide psychotherapy to youth in Idaho, Oregon, and Nevada. Clinicians treating youth at these clinics were provided training and technical assistance to use an empirically based, web-based treatment feedback system. Half of the clinics were randomly assigned to a strategy that provided specialized training and coaching to leaders. The other half served as the control group.
Trial results showed that this strategy improved clinician implementation of the feedback measure by 3.5 times, improved clinician perception of the measure by 6.9 times, and improved the proportion of young people with meaningful improvement in mental health symptoms by almost 2 times. It was shown that
Developing strategies that enable mental health clinicians and leaders to effectively use research-based tools such as therapeutic feedback is a defining challenge of our time. The results of this trial are interesting because they show that it is possible to make real and tangible improvements in the quality and outcomes of mental health care for young people. ”
Dr. Nate Williams, Associate Professor of Social Work, Boise State University, Principal Investigator
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Reference magazines:
Williams, N.J., et al. (2023). A randomized trial of a systematic implementation strategy to improve measurement-based care fidelity and youth outcomes in community mental health. Journal of the American Academy of Child and Adolescent Psychiatry. doi.org/10.1016/j.jaac.2023.11.010.
