Understanding therapists' use of routine outcome monitoring in a low-embedded context. A qualitative study in Italian public health services.

IF 3.8 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-10-15 DOI:10.1080/10503307.2026.2744366

Arianna Teti, Omar Carlo Gioacchino Gelo, Human-Friedrich Unterrainer, Chiara Urone, Gloria Lagetto, Salvatore Gullo

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Abstract

Objective: Routine Outcome Monitoring (ROM) improves psychotherapy outcomes, yet its integration into routine clinical practice remains limited in settings where it is not structurally embedded. This study examines how psychotherapists engage with and make sense of ROM in such low-implementation contexts, using Italian public mental health services as an empirical case.

Methods: Fifteen psychotherapists who used ROM for 12 to 36 months within a larger clinical trial were interviewed about their experiences. Interviews were audio-recorded, transcribed, and analyzed using Constructivist Grounded Theory.

Results: Therapists described ROM as a flexible resource rather than a fixed tool, articulated along two dimensions: as a clinical technique within the therapeutic dyad and as an organizational device supporting supervision and service processes. Its usefulness depended on clinicians' ability to integrate these dimensions. ROM supported patient engagement, clinical decision-making, and monitoring of treatment progress, while also enabling organizational and supervisory functions. However, insufficient training limited its consistent use.

Conclusions: In non-mandatory contexts, ROM integration depends on clinicians' capacity to construct its clinical meaning and extend its use across professional domains, highlighting the role of contextual and training factors.

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.