Data-gathering tools for "real world" clinical settings: a multisite feasibility study.
OBJECTIVE
To determine the mental health needs and optimal treatments for children and families in "real world" settings, data-gathering strategies are needed that can be easily implemented across a variety of clinical settings. To address this need, the authors developed and piloted a "clinician-friendly" questionnaire that includes demographic, psychosocial, medical, and family history variables, such as those routinely gathered in standard clinical evaluations.


METHODS
Optical scanning technology was used to encode data from more than 1,900 children, including 1,458 consecutive referrals in four military child psychiatry clinics, 285 consecutive admissions to a civilian psychiatric state hospital, 71 pediatric patients, and a community sample of 113 children.


RESULTS
Despite geographic and logistic obstacles, clinical data were reliably obtained across multiple settings. Data analyses revealed meaningful differences across samples in subjects' presenting complaints, and a range of psychosocial, demographic, and background variables. Data were characterized by an apparently high degree of accuracy and completeness.


CONCLUSIONS
Findings illustrate the importance and feasibility of standardized data-gathering approaches in routine clinical settings and clarify the hazards as well as the opportunities afforded by these research approaches. Such data-gathering tools appear to have significant merit and deserve further implementation and testing across a range of clinical and research settings.
Jensen
P S
PS
Child and Adolescent Disorders Research Branch, NIMH, Rockville, MD 20857, USA.
Irwin
R A
RA
Josephson
A M
AM
Davis
H
H
Xenakis
S N
SN
Bloedau
L
L
Ness
R
R
Mabe
A
A
Lee
B
B
Traylor
J
J
Clawson
L
L
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D001330:Electronic Data Processing; D005196:Family Therapy / Q000706:statistics & numerical data*; D005240:Feasibility Studies; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008487:Medical History Taking / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000523:psychology / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000706:statistics & numerical data*; D010552:Personality Assessment / Q000706:statistics & numerical data*; D011379:Prognosis; D012931:Social Environment; D014481:United States