Measuring Treatment Integrity: Use of and Experience with Measurements in Child and Youth Care Organizations

  • Pauline Brigitta Goense
  • Leonieke Boendermaker
  • Tom van Yperen


Performance feedback and supervision are essential to the adoption of evidence-based interventions with high treatment integrity in child and youth care organizations. Little is known about the use of treatment integrity measurements in these organizations. For this study, 12 interventions for children and young people in the Netherlands with externalizing behavioral problems were selected. For each intervention, an expert, two supervisors, and two therapists were approached for an interview. In total, 54 semi-structured interviews were conducted. The results show that almost all interventions used treatment integrity instruments (N = 11, 91.7%). Only two used measurements for both QA procedures (certification and recertification) and supervision purposes. Therapists regard treatment integrity measurements as valuable when they are used for multiple purposes and feedback is provided. The results of this study suggest the feasibility of the use of measurements for multiple purposes. Collaborative action is required to develop instruments that effectively contribute to continuous improvement.


Treatment integrity Instruments Quality assurance (QA) Interventions Supervision 



We thank Sanne Pronk, Rosan Bakker, Lianne Bertling, Inge Busschers, and Joyce Berentsen for their contribution to the data collection and analysis.

Compliance with Ethical Standards

Conflict of Interest

The authors declare no potential conflicts of interest with respect to the research, authorship, or publication of this article.


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Copyright information

© National Council for Behavioral Health 2018

Authors and Affiliations

  • Pauline Brigitta Goense
    • 1
  • Leonieke Boendermaker
    • 2
  • Tom van Yperen
    • 3
  1. 1.The Netherlands Organisation for Health Research and DevelopmentThe HagueThe Netherlands
  2. 2.Centre for Applied Research in Social Work and LawAmsterdam University of Applied SciencesAmsterdamThe Netherlands
  3. 3.Faculty of Social and Behavioural SciencesUniversity of GroningenGroningenThe Netherlands

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