title: Goal formulation and tracking in child mental health settings: when is it more likely and is it associated with satisfaction with care?
abstract: Goal formulation and tracking may support preference-based care. Little is known about the likelihood of goal formulation and tracking and associations with care satisfaction. Logistic and Poisson stepwise regressions were performed on clinical data for N = 3757 children from 32 services in the UK (Mage= 11; SDage= 3.75; most common clinician-reported presenting problem was emotional problems = 55.6%). Regarding the likelihood of goal formulation, it was more likely for pre-schoolers, those with learning difficulties or those with both hyperactivity disorder and conduct disorder. Regarding the association between goal formulation and tracking and satisfaction with care, parents of children with goals information were more likely to report complete satisfaction by scoring at the maximum of the scale. Findings of the present research suggest that goal formulation and tracking may be an important part of patient satisfaction with care. Clinicians should be encouraged to consider goal formulation and tracking when it is clinically meaningful as a means of promoting collaborative practice.
authors.affiliation: Child Outcomes Research Consortium, Evidence Based Practice Unit, University College London and the Anna Freud Centre, 21 Maresfield Gardens, NW3 5SD, London, UK.
authors.forename: Jenna
authors.initials: J
authors.lastname: Jacob
authors.affiliation: Evidence Based Practice Unit, University College London and the Anna Freud Centre, London, UK.
authors.forename: Davide
authors.initials: D
authors.lastname: De Francesco
authors.affiliation: Evidence Based Practice Unit, University College London and the Anna Freud Centre, London, UK.
authors.forename: Jessica
authors.initials: J
authors.lastname: Deighton
authors.affiliation: London and South East CYP-IAPT Learning Collaborative, Hosted by the Anna Freud Centre, London, UK.
authors.forename: Duncan
authors.initials: D
authors.lastname: Law
authors.affiliation: Child Outcomes Research Consortium, Evidence Based Practice Unit, University College London and the Anna Freud Centre, 21 Maresfield Gardens, NW3 5SD, London, UK. ebpu@annafreud.org.
authors.forename: Miranda
authors.initials: M
authors.lastname: Wolpert
authors.affiliation: Evidence Based Practice Unit, University College London and the Anna Freud Centre, London, UK.
authors.forename: Julian
authors.initials: J
authors.lastname: Edbrooke-Childs
mesh_terms: D002648:Child; D003657:Decision Making; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008603:Mental Health / Q000639:trends*; D017060:Patient Satisfaction
keywords: CAMHS; Collaborative practice; GBOs; Goals; Satisfaction; Shared decision-making