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

Charlotte Hall, Maria Moldavsky, Laurence Baldwin, Mike Marriott, Karen Newell, John A. Taylor, Kapil Sayal, Chris Hollis

Research output: Contribution to journalArticle

22 Citations (Scopus)
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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.
Original languageEnglish
Article number270
Number of pages8
JournalBMC Psychiatry
Volume13
Issue number1
DOIs
Publication statusPublished - 20 Oct 2013

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Adolescent Health Services
Mental Health Services
Outcome Assessment (Health Care)
Local Government
Physiologic Monitoring
Health Services
Consensus
Organizations
Health
Research

Keywords

  • Routine Outcome Measurement (ROM)
  • Child and Adolescent Mental Health Services (CAMHS)
  • Audit

Cite this

The use of routine outcome measures in two child and adolescent mental health services : A completed audit cycle. / Hall, Charlotte; Moldavsky, Maria ; Baldwin, Laurence; Marriott, Mike; Newell, Karen; Taylor, John A.; Sayal, Kapil ; Hollis, Chris.

In: BMC Psychiatry, Vol. 13, No. 1, 270, 20.10.2013.

Research output: Contribution to journalArticle

Hall, Charlotte ; Moldavsky, Maria ; Baldwin, Laurence ; Marriott, Mike ; Newell, Karen ; Taylor, John A. ; Sayal, Kapil ; Hollis, Chris. / The use of routine outcome measures in two child and adolescent mental health services : A completed audit cycle. In: BMC Psychiatry. 2013 ; Vol. 13, No. 1.
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