Over the past decade there have been important advances in the field of ROM: significant growth in the evidence base unpinning outcome use, a growing body of practical experience as teams across the UK become more knowledgeable and skilful and, through CORC and CYP IAPT, more agreement and clarity at a national level about what the most appropriate measures and informative datasets are for the purposes of good clinical practice, standardisation, benchmarking and policy-making.
The current national funding for the CYP IAPT will end in 2015, however the focus on the use of ROM and PROM will not. Services who have taken part in this transformation project should have embedded the use of outcome and session by session measures within their practice. It is important to remember that all change takes time.
Groark & McCall (2008) estimate three years to embed a new practice and research evidence (e.g. Balas & Boren, 2000) suggests 17 years from research finding to practice. CORC has and will continue to support services and share learning at all stages of their transformational journey.
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REFERENCES
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Kingsbury S., York A., (2014) CAPA – the Choice and Partnership Approach, and service user feedback tools and outcomes measures. In: Law D., Wolpert M., (Eds), Guide to using outcomes and feedback tools with children, young people and families. CAMHS Press, London.
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Lambert M. J., Shimokawa K., (2011) Collecting Client Feedback. Psychotherapy, 48(1), 72–79.
Lambert M. J., Whipple J. L., Hawkins E. J., Vermeersch D. A., Nielsen S. L., Smart D. W., (2003) Is It Time for Clinicians to Routinely Track Patient Outcome? A Meta-Analysis. Clin Psychol Sci Prac, 10, 288–301.
Law D., (2011) Shared decision making: clear focus and shared goals. Retrieved from:
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Law D., (Ed) (2012) A practical guide to using service user feedback and outcome tools to inform clinical practice in child and adolescent mental health. Some initial guidance from the Children and Young Peoples’ Improving Access to Psychological Therapies Outcomes-Orientated Practice (CO-OP) Group.Department of Health, London.
Law D., Wolpert M., (Eds) (2014) Guide to Using Outcomes and Feedback Tools With Children, Young People and Families (2nd edition). CAMHS Press, London.
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Wolpert M. (2013) Do patient reported outcome measures do more harm than good? BMJ, 346.
Wolpert M., Deighton J., De Francesco D., Martin P., Fonagy P., & Ford T. (2014) From ‘reckless’ to ‘mindful’ in the use of outcome data to inform service-level performance management: perspectives from child mental health. BMJ Quality & Safety, 23(4), 272-276.
Wolpert M., Ford T., Law D., Trustam E., Deighton J., Flannery H., Fugard A. J. B., (2012) Patient reported outcomes in child and adolescent mental health services (CAMHS): Use of idiographic and standardized measures. Journal of Mental Health, 21, 165–173.
Section One – General issues 75
Worthen V. E., Lambert M. J., (2007) Outcome oriented supervision: Advantages of adding systematic client tracking to supportive consultations.
Counselling and Psychotherapy Research, 7(1), 48-53.
York A., Kingsbury S., (2013) The Choice and Partnership Approach: a service transformation model. CAPA Systems Limited; Surrey. Retrieved from:
www.capa.co.uk
FURTHER READING
CYP IAPT Outcomes and Evaluation Task and Finish Group, (2011). Children & Young People’s IAPT Routine Outcome Monitoring Briefing Note. Retrieved from:
www.iapt.nhs.uk/silo/files/rom-dec11-03.pdf
Meltzer H., Gatward R., Goodman R., Ford T., (2000) Mental Health of Children and Adolescents in Great Britain. The Stationery Office, London.
Moran P., Kelesidi K., Guglani S., Davidson S., Ford, T. (2012) What do parents and carers think about routine outcome measures and their use? A focus group study of CAMHS attenders. Clinical Child Psychology and Psychiatry, 17 (1), 65-79.
The Tavistock and Portman NHS Trust, (2014) Goals for 2012/2013. Retrieved from: www.tavistockandportman.nhs.uk/cquins201213 .
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