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.
Similar content being viewed by others
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.
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.
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.
Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical Linear Models: Applications and Data Analysis Methods. Newbury Park, CA: Sage.
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.
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.
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.
Clark, M. (1999). Interviewing for solutions: A strength-based method for juvenile justice. Corrections Today, 59(3), 98-118.
Cowger, C. D. (1994). Assessing client strengths: Clinical assessment for client empowerment. Social Work, 39(3), 262-268.
DeJong, P., & Miller, S. D. (1995). How to interview for client strengths. Social Work, 40(6), 729-736.
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.
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.
Grotberg, E. (1995). The International Resilience Project: Promoting resilience in children. Alabama University, Birmingham: Civitan International Research Center. (ERIC Document Reproduction Service No. ED383424)
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.
Howard, K. I., Kopta, S. M., Krause, M. S. & Orlinsky, D. E. (1986). The dose response relationship in psychotherapy. American Psychologist, 41, 159-164.
King, A., Boyce, W. F., King, M. A., (1999). Trends in the health of Canadian youth. Catalog Number H39498/1999E. Ottawa, ON: Health Canada.
Klohnen, E. C. (1996). Conceptual analysis and measurement of the construct of ego-resiliency. Journal of Personality and Social Psychology, 70(5), 1067-1079.
Kobak, K. A., Griest, J. H., Jefferson, J. W., & Katzelnick, D. J. (1996). Computer-administered clinical rating scales: A review. Psychopharmcology, 127, 291-301.
Laursen, E. (2000). Strength-based practice with children in trouble. Reclaiming Children and Youth, 9, 70-75.
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.
Loeber, R. (1990). Development and risk factors of juvenile antisocial behavior and delinquency. Clinical Psychology Review, 10, 1-41.
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.
Lyons, J. S. (1998). The Severity and Acuity of Psychiatric Scales: An Outcomes-Management and Decision-Support System. San Antonio, TX: The Psychological Corporation.
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.
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.
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.
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.
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.
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.
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.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227-238.
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.
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.
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.
Stephens, T., & Joubert, N. (2001). The economic burden of mental health problems in Canada. Chronic Diseases in Canada, 22(1), 18-23.
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.
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.
Tabachnick, B. G. & Fidell, L. S. (1983). Using Multivariate Statistics. New York: Harper & Row.
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.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Issue Date:
DOI: https://doi.org/10.1023/B:CCAR.0000013757.52354.b7