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Using Outcome Data to Create Clinical Change: Foundations and Example

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Abstract

This paper discusses the value of using self-report strength and symptomology outcome data from three informants to guide clinical decisions for troubled youth. We discuss the theoretical and scientific foundation for an outcome system where data can be used to make programmatic changes in the delivery of care for youth. We discuss the design requirements for the development of outcome instrumentation. Finally, we present predictive modeling data that show the importance of collecting information from multiple informants and using strengths to help youth.

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References

  • Anderson, RL, Lyons, JS, Giles, DM, Price, JA, Estes, G. (2003). Examining the Reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale from two perspectives: A comparison of clinician and researcher ratings. Journal of Child and Family Studies, 12, 279-289.

    Google Scholar 

  • Bruner, C., & Rapp, R. C. (2001). Strength-based case management: Individuals' perspectives on strengths and the case manager relationship. Social Work, 46(3), 278-288.

    Google Scholar 

  • Bruns, E., Burchard, J., & Yoe, J. (1995). Evaluating the Vermont system of care: Outcomes associated with community-based wraparound services. Journal of Child and Family Studies, 4, 321-339.

    Google Scholar 

  • Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical Linear Models: Applications and Data Analysis Methods. Newbury Park, CA: Sage.

    Google Scholar 

  • Burchard, J., Burchard, S., Sewell, R., & VanDenBerg, J. (1993). One Kid at a Time: Evaluative Case Studies and Description of the Alaska Youth Initiative Demonstration Project. Washington DC: Georgetown University Child Development Center.

    Google Scholar 

  • Burns, B. J. & Goldman, S. K. (Eds). (1999). Promising practices in wraparound for children with serious emotional disturbance and their families (1998 Series, Vol 4). Washington, DC: Center for Effective Collaboration and Practice, American Institute for Research.

    Google Scholar 

  • Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child Family Psychology Review, 2, 199-254.

    Google Scholar 

  • Clark, M. (1999). Interviewing for solutions: A strength-based method for juvenile justice. Corrections Today, 59(3), 98-118.

    Google Scholar 

  • Cowger, C. D. (1994). Assessing client strengths: Clinical assessment for client empowerment. Social Work, 39(3), 262-268.

    Google Scholar 

  • DeJong, P., & Miller, S. D. (1995). How to interview for client strengths. Social Work, 40(6), 729-736.

    Google Scholar 

  • Dennis, K., VanDenBerg, J., & Burchard, D. (1992). The Wraparound Process. Presented at the First National Wraparound Conference, Pittsburgh, PA.

  • Friesen, B. J., Kruzich, J., Robinson, A., Jivanjee, P., Pullman, M. (2002). Parent-child contact during residential treatment: Findings from the Family Participation Survey. Proceedings from the 9th Annual Building on Family Strengths Conference. Portland, OR, May 3–June 1, 2002.

  • Garmezy, N. (1991). Resiliency and vulnerability to adverse developmental outcomes associated with poverty. American Behavioral Scientist, 34(4), 416-430.

    Google Scholar 

  • Grissom, G. R. (2000). The Advent of Outcomes Management and the Culture of Measurement. In K. M. Coughlin (Ed.), 2000 Behavioral Outcomes and Guidelines Sourcebook. New York: Faulkner & Grey.

    Google Scholar 

  • Grotberg, E. (1995). The International Resilience Project: Promoting resilience in children. Alabama University, Birmingham: Civitan International Research Center. (ERIC Document Reproduction Service No. ED383424)

    Google Scholar 

  • Hodges, K., McKnew, D., Cytryn, L., Stern, L., & Klein, J. (1982). The Child Assessment Schedule (CAS) diagnostic interview: A report on reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 21, 468-473.

    Google Scholar 

  • Howard, K. I., Kopta, S. M., Krause, M. S. & Orlinsky, D. E. (1986). The dose response relationship in psychotherapy. American Psychologist, 41, 159-164.

    Google Scholar 

  • King, A., Boyce, W. F., King, M. A., (1999). Trends in the health of Canadian youth. Catalog Number H39498/1999E. Ottawa, ON: Health Canada.

    Google Scholar 

  • Klohnen, E. C. (1996). Conceptual analysis and measurement of the construct of ego-resiliency. Journal of Personality and Social Psychology, 70(5), 1067-1079.

    Google Scholar 

  • Kobak, K. A., Griest, J. H., Jefferson, J. W., & Katzelnick, D. J. (1996). Computer-administered clinical rating scales: A review. Psychopharmcology, 127, 291-301.

    Google Scholar 

  • Laursen, E. (2000). Strength-based practice with children in trouble. Reclaiming Children and Youth, 9, 70-75.

    Google Scholar 

  • Leon, S. C., Uziel-Miller, N, Lyons, J. S, Tracy, P (1998). Psychiatric hospital service utilization of children and adolescents in state custody. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 305-310.

    Google Scholar 

  • Loeber, R. (1990). Development and risk factors of juvenile antisocial behavior and delinquency. Clinical Psychology Review, 10, 1-41.

    Google Scholar 

  • Lutz, W. (2002). Patient focused psychotherapy research and individual treatment progress as scientific groundwork for an empirically based clinical practice. Psychotherapy Research, 12, 251-272.

    Google Scholar 

  • Lyons, J. S. (1998). The Severity and Acuity of Psychiatric Scales: An Outcomes-Management and Decision-Support System. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Lyons, J. S. (1999). Child and Adolescent Needs and Strengths: An Information Integration Tool for Children and Adolescent with Mental Health Challenges. Chicago, IL: Buddin Praed Foundation.

    Google Scholar 

  • Lyons, J. S. (2000). Strengths of children and adolescents in residential settings: Prevalence and associations with psychopathology and discharge placement. Journal of the American Academy of Child and Adolescent Psychiatry, 39(2), 176-181.

    Google Scholar 

  • Lyons, JS, Howard, KI, O'Mahoney, MI, Lish, J (1997). The measurement and management of clinical outcomes in mental health. New York: John Wiley & Sons.

    Google Scholar 

  • Lyons, J. S., Kisiel, C. L., Dulcan, M., Cohen, R., Chesler, P. (1997). Crisis assessment and psychiatric hospitalization of children and adolescents in state custody. Journal of Child and Family Studies, 6, 311-320.

    Google Scholar 

  • Lyons, J. S., Mintzer, L. L., Kisiel, C. L., Shallcross, H. (1998). Understanding the mental health needs of children and adolescents in residential treatment. Professional Psychology: Research and Practice, 29, 582-587.

    Google Scholar 

  • Lyons, J. S., Uziel-Miller, N. D., Reyes, F., Sokol, P. T. (2000). The strengths of children and adolescents in residential settings: Prevalence and associations with psychopathology and discharge placement. Journal of the Academy of Child and Adolescent Psychiatry, 39, 176-181.

    Google Scholar 

  • Masten, A. S. (1994). Resilience in individual development: Successful adaptation despite risk and adversity. In M Wang & E Gordon (Eds), Risk and resilience in inner city America: Challenges and prospect (pp 3-25). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227-238.

    Google Scholar 

  • Offord, D. R., Boyle, M. H., Campbell, D. (1996). Mental health in Ontario: Selected findings from the mental health supplement to the Ontario health survey: Methodology. Canadian Journal of Psychiatry, 41, 549-58.

    Google Scholar 

  • Rosenblatt, A. (1996). Bows and ribbons, tape and twine: Wrapping the wraparound process for children with multisystem needs. Journal of Child and Family Studies, 5, 101-17.

    Google Scholar 

  • Slaton, E., Koroloff, N., Schutte, K., Robinson, A., Jivanjee, P. (2002). Family members as evaluators: Preliminary results of a training curriculum. Proceedings from the 9th Annual Building on Family Strengths Conference. Portland, OR, May 30–June 1, 2002.

  • Sperry, Brill, Howard & Grissom (1996). Treatment Outcomes in Psychotherapy and Psychiatric Interventions. New York: Brunner/Mazel.

    Google Scholar 

  • Stephens, T., & Joubert, N. (2001). The economic burden of mental health problems in Canada. Chronic Diseases in Canada, 22(1), 18-23.

    Google Scholar 

  • Stroul, B. A., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.

    Google Scholar 

  • Stroul, B. A., & Goldman, S. K. (1990). Study of community-based services for children and adolescents who are severely emotionally disturbed. Journal of Mental Health Administration, 17, 61-77.

    Google Scholar 

  • Tabachnick, B. G. & Fidell, L. S. (1983). Using Multivariate Statistics. New York: Harper & Row.

    Google Scholar 

  • U. S. National Institute of Mental Health (2001). The National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment. Blueprint for Change: Research on Child and Adolescent Mental Health. Washington: DC.

  • U. S. Public Health Service (2000). Report of Surgeon General's Conference on Children's Mental Health: A National Action Agenda. Washington, DC: Department of Health and Human Services.

    Google Scholar 

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Correspondence to Linda Toche-Manley.

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Toche-Manley, L., Nankin, M. & Dietzen, L. Using Outcome Data to Create Clinical Change: Foundations and Example. Child & Youth Care Forum 33, 51–67 (2004). https://doi.org/10.1023/B:CCAR.0000013757.52354.b7

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