title: Implementing a Measurement Feedback System: A Tale of Two Sites.
abstract: A randomized experiment was conducted in two outpatient clinics evaluating a measurement feedback system called contextualized feedback systems. The clinicians of 257 Youth 11-18 received feedback on progress in mental health symptoms and functioning either every 6 months or as soon as the youth's, clinician's or caregiver's data were entered into the system. The ITT analysis showed that only one of the two participating clinics (Clinic R) had an enhanced outcome because of feedback, and only for the clinicians' ratings of youth symptom severity on the SFSS. A dose-response effect was found only for Clinic R for both the client and clinician ratings. Implementation analyses showed that Clinic R had better implementation of the feedback intervention. Clinicians' questionnaire completion rate and feedback viewing at Clinic R were 50 % higher than clinicians at Clinic U. The discussion focused on the differences in implementation at each site and how these differences may have contributed to the different outcomes of the experiment.
authors: Vanderbilt University, Nashville, USA. leonard.bickman@vanderbilt.edu.
authors: Leonard
authors: L
authors: Bickman
authors: Vanderbilt University, Nashville, USA.
authors: Susan R
authors: SR
authors: Douglas
authors: Vanderbilt University, Nashville, USA.
authors: Ana Regina Vides
authors: AR
authors: De Andrade
authors: Hope Network, Grand Rapids, MI, USA.
authors: Michele
authors: M
authors: Tomlinson
authors: New York University, New York, USA.
authors: Alissa
authors: A
authors: Gleacher
authors: New York University, New York, USA.
authors: Serene
authors: S
authors: Olin
authors: New York University, New York, USA.
authors: Kimberly
authors: K
authors: Hoagwood
mesh_terms: D000293:Adolescent; D002648:Child; D005246:Feedback; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D017063:Outcome Assessment, Health Care; D017064:Process Assessment, Health Care; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Contextualized feedback systems (CFS); Implementation analysis; Measurement feedback system (MFS); Peabody treatment progress battery (PTPB); Routine outcome measurement (ROM); Symptoms and functioning severity scale (SFSS); Youth mental health services outcomes