title: [Outcome quality in the mental health rehabilitation of children and adolescents ].
abstract: The range of mental health rehabilitation (MHR) available to children and adolescents with mental health disorders differs internationally. While MHR programs have been already implemented for this target group in Germany, in Austria such services are still in the planning phase. With regard to the quality assurance of potential MHR programs, however, ongoing evaluation approaches are needed already in the course of program design. This review focuses on indicators and measurement methods used in MHR program evaluations. Through a systematic literature search, we identified six studies providing information on five evaluation indicators (clinical symptoms, quality of life, functionality, rehabilitation progress, and rehabilitation satisfaction). By measuring these endpoints, the studies included mainly reported on instruments that had been used throughout different indication groups ("generic tools"). In addition to children and adolescents with mental-health disorders, the parents were usually also included in the evaluations. Thus, the self-assessments of the children and adolescents (e.g., regarding the development of behavioral problems and strengths) were complemented by external assessments. Most evaluation studies included several subsequent time-points of measurement ("longitudinal studies"). The indicators may play a central role in future evaluation projects, since their range of topics provides comprehensive insights into rehabilitation results. However, with regard to the measurement methods, the psychometric quality criteria require proper reviews and consideration.
authors.affiliation: Ludwig Boltzmann Institut für Health Technology Assessment, <location>Wien</location>
authors.forename: Roman
authors.initials: R
authors.lastname: Winkler
authors.affiliation: Ludwig Boltzmann Institut für Health Technology Assessment, <location>Wien</location>
authors.forename: Brigitte
authors.initials: B
authors.lastname: Piso
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000458:organization & administration*; D001317:Austria; D002648:Child; D002665:Child Psychiatry / Q000458:organization & administration*; D003431:Cross-Cultural Comparison; D006801:Humans; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D063868:Patient Outcome Assessment; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care / Q000458:organization & administration*
keywords: Ergebnisqualität; Evaluierungsindikatoren; Evaluierungsinstrumente; Kinder und Jugendliche; Mental Health Rehabilitation; children and adolescents; evaluation indicators; evaluation instruments; mental health rehabilitation; quality of patient care