title: Leading Horses to Water: Lessons from a Decade of Helping Psychological Therapy Services Use Routine Outcome Measurement to Improve Practice.
abstract: We summarise the recent reflections of five thought leaders in the field of routine outcome measurement (ROM) for psychological therapy, and then add our own experience of introducing a national ROM system in the UK. We highlight, in particular, the post-implementation challenge of securing data of sufficient reliability to help inform service quality improvements. We ground our conclusions and recommendations in the rapidly evolving discipline of implementation science, and offer a best practice model for applying research recommendations in practice settings. In this context we portray ROM implementation as significant organizational change that benefits from rigorous process and clearly defined, well-communicated targets.
authors.affiliation: CORE Information Systems Ltd. (IMS), Valiant Office Suites, Lumonics House, Valley Drive, Swift Valley, Rugby, CV21 1TQ, UK. john.mellor-clark@coreims.co.uk.
authors.forename: John
authors.initials: J
authors.lastname: Mellor-Clark
authors.affiliation: CORE Information Systems Ltd. (IMS), Valiant Office Suites, Lumonics House, Valley Drive, Swift Valley, Rugby, CV21 1TQ, UK.
authors.forename: Simone
authors.initials: S
authors.lastname: Cross
authors.affiliation: CORE Information Systems Ltd. (IMS), Valiant Office Suites, Lumonics House, Valley Drive, Swift Valley, Rugby, CV21 1TQ, UK.
authors.forename: James
authors.initials: J
authors.lastname: Macdonald
authors.affiliation: Linköping University, Linköping, Sweden.
authors.forename: Tommy
authors.initials: T
authors.lastname: Skjulsvik
mesh_terms: D005246:Feedback; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D011613:Psychotherapy / Q000458:organization & administration / Q000592:standards*; D058996:Quality Improvement; D015203:Reproducibility of Results
keywords: Feedback systems; Implementation; Psychological therapies; Routine outcome measurement (ROM)