Use of measures and measurement-based care in child and youth mental health: a survey of Australian practitioners.

IF 1.6 4区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Australian Journal of Psychology Pub Date : 2024-11-18 eCollection Date: 2024-01-01 DOI:10.1080/00049530.2024.2426662

Lucy A Tully, Janice Kan, Adrienne Turnell, Rebecca McLean, Trisha Nowland, Olivia Liew, Lindsay McFarlane, David J Hawes, Mark R Dadds

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引用次数: 0

Abstract

Objective: Use of measures by practitioners in mental health (MH) is a cornerstone of evidence-based practice and essential to high-quality service provision. Session-by-session measure use, known as Measurement-Based Care (MBC), has been shown to improve treatment engagement and outcomes, yet little is known about the use of measures or MBC in Australian child and youth MH practitioners. This study surveyed Australian child and youth MH practitioners to examine the frequency of measure use, what outcomes are measured, and what facilitates measure use.

Method: This survey included Australian practitioners (N = 205) working in child and youth MH.

Results: Most practitioners reported using measures at some stage during treatment, but around 1 in 7 did not use measures at all. Only 10% used measures for every session or most sessions, which is characteristic of MBC. Symptom severity was measured by 84.3% of practitioners but only 35.6% measured goal attainment and 16.7% therapeutic alliance. The top facilitators of measure use endorsed by practitioners included free measures, better platforms to administer measures, and briefer measures.

Conclusions: There is room for improvement in the use of outcome measures by Australian child and youth MH practitioners, and specifically in the use of MBC, which may improve client engagement and outcomes. Implications for the implementation of MBC are discussed.

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在儿童和青少年心理健康方面使用措施和基于措施的护理：对澳大利亚从业人员的调查。

目的：心理健康（MH）从业人员使用措施是循证实践的基石，也是提供高质量服务的必要条件。被称为基于测量的护理（MBC），已被证明可以改善治疗的参与和结果，但对澳大利亚儿童和青少年MH从业人员使用的措施或MBC知之甚少。本研究调查了澳大利亚儿童和青少年MH从业人员，以检查测量使用的频率，测量的结果，以及促进测量使用的因素。方法：本调查包括澳大利亚从事儿童和青少年mh工作的从业人员（N = 205）。结果：大多数从业人员报告在治疗的某个阶段使用措施，但约七分之一的人根本不使用措施。只有10%的人采用了MBC的特点，即每次或大部分时段都采用了措施。84.3%的从业人员测量了症状严重程度，但只有35.6%的从业人员测量了目标实现程度，16.7%的从业人员测量了治疗依从性。从业人员认可的度量使用的主要促进因素包括免费度量、更好的管理度量的平台和更简短的度量。结论：澳大利亚儿童和青少年医院从业人员在使用结果测量方面有改进的空间，特别是在使用MBC方面，这可能会提高客户参与度和结果。讨论了实施MBC的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

5.50

自引率

0.00%

发文量

期刊介绍： Australian Journal of Psychology is the premier scientific journal of the Australian Psychological Society. It covers the entire spectrum of psychological research and receives articles on all topics within the broad scope of the discipline. The journal publishes high quality peer-reviewed articles with reviewers and associate editors providing detailed assistance to authors to reach publication. The journal publishes reports of experimental and survey studies, including reports of qualitative investigations, on pure and applied topics in the field of psychology. Articles on clinical psychology or on the professional concerns of applied psychology should be submitted to our sister journals, Australian Psychologist or Clinical Psychologist. The journal publishes occasional reviews of specific topics, theoretical pieces and commentaries on methodological issues. There are also solicited book reviews and comments Annual special issues devoted to a single topic, and guest edited by a specialist editor, are published. The journal regards itself as international in vision and will accept submissions from psychologists in all countries.