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Publication: The Clinician's Handbook on Measurement-Based Care: The How, the What, and the Why Bother

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Page numbers printed in boldface type refer to tables and figures.
A-B-A-C-A design,
39–41, 41
A-B-A design,
38–39, 39, 40
Alcohol, Smoking and Substance Involvement Screening Test,
92
Alcohol Use Disorders Identification Test,
92
Altman Self-Rating Mania Scale,
84
American Psychiatric Association
DSM-5 online assessment measures,
74
mental health performance measures,
74
open-source resources,
74
American Psychological Association, Guidelines for Test User Qualifications,
71
Analysis of variance (ANOVA),
118
Analysis of variance, repeated measures (RM-ANOVA),
119–120
Anxiety, symptom scales for,
8182
Attention-deficit/hyperactivity disorder (ADHD), symptom scales for,
8283
Autism, symptom scales for,
83
Autism-Spectrum Quotient Test,
83
Bech-Rafaelsen Mania Scale,
84
Behavioral problems, symptom scales for,
8384
Behavior and Symptoms Identification System Scale (BASIS; BASIS-24; BASIS-32),
77–78
Better Outcomes Now,
78
Bipolar/mania, symptom scales for,
8485
Blueprint,
57
Brief Addiction Monitor,
92
Brief Impairment Scale,
91
Brief Problem Checklist,
91
California Psychotherapy Alliance Scales (CALPAS),
93
CARF
.See Commission on Accreditation of Rehabilitation Facilities
CBT
.See Cognitive-behavioral therapy
Center for Epidemiologic Studies Depression Scale (CES-D),
85
Center for Epidemiologic Studies Depression Scale for Children (CES-DC),
86
Center for Quality Assessment and Improvement in Mental Health,
74
Chart Abstracted Measure Specifications Manuals,
75–76
Child Eating Attitudes Test,
87
Child Mania Rating Scale–Parent,
85
Child PTSD Symptom Scale,
89
Children’s Revised Impact of Event Scale,
86
Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS),
88
Client Satisfaction Questionnaire (CSQ-18),
93
Clinically Useful Anxiety Outcome Scale (CUXOS),
81
Clinically Useful Depression Outcome Scale (CUDOS),
85
Clinical practice,
127–129.See also Clinician; Therapeutic alliance
Clinician,
126–127.See also Clinical practice; Therapeutic alliance
Code Technology,
57
Cognitive-behavioral therapy (CBT),
24
mission statements comparison,
24–25
progress with,
24
Collective standard protocols,
53–55
Columbia Impairment Scale (CIS),
91
Columbia Suicide Severity Rating Scale (C-SSRS),
92
Commission on Accreditation of Rehabilitation Facilities (CARF),
3, 28
Confidentiality, in testing,
71
Consent, revisions to,
36–37
Copyright
infringement,
69–70
protection of,
70
Cronbach’s a coefficient,
64
Current Procedural Terminology (CPT) codes,
15, 16
Customized individual protocols,
52–53
Daily Living Activities Scale (DLA-20),
90
Data
acquisition,
107
analysis
effect size,
119
regression,
120–121
RM-ANOVA,
119–120
statistics to describe MBC,
116–117, 118
statistics to estimate change,
117–119
calculating,
102–103, 104, 105, 106
cleaning,
106–107
coding,
100, 102, 103
sample dictionary,
103
demographic,
108
item mean substitution,
110–111
legitimacy,
106
Likert-type scaled data,
121
management guidelines,
98–99
missing,
107–113, 109, 112, 113, color plate 4
resources,
113
types of,
108
organizing,
99–100, 101
outliers and erroneous data,
113–115
person mean substitution,
110–111
securing,
115
variables,
108
Depression, symptom scales for,
8587
Depression Self-Rating Scale for Children,
86
Disruptive Behavior Child and Adolescent Inventory–Parent and Teacher,
83
Disruptive Behavior Disorders Rating Scale,
84
Do-it-yourself (DIY) approach
to building a data bank,
99
to MBC,
23, 30
psychometrics and,
67
Drug Abuse Screening Test (DAST-10),
92
DSM-5 online assessment measures,
74
Duncan, Barry L.,
78
Eating Attitudes Test–26,
87
Eating disorders, symptom scales for,
87
Effect size,
119
Emotion-focused therapy,
25–27, 26
“Emotion schemes,”
24
Empathy Quotient,
83
Evidence-based practice studies,
35, 129–130
Expected mean,
65–66
Fear Questionnaire,
81
Feedback,
8.See also Therapeutic alliance
Frequency, Intensity, Burden of Side Effects Rating Scale,
88
Functional Outcomes Survey–20,
90
Generalized Anxiety Disorder–7 (GAD-7),
81
Glasgow Antipsychotics Side Effect Scale (GASS),
88
Greenspace,
57
Group for the Advancement of Psychiatry,
10
Guidelines for Test User Qualifications,
71
Hamilton Rating Scale for Anxiety (HAM-A),
81
Hamilton Rating Scale for Depression (HAM-D),
44, 85
Health Care Surveys,
75
HIPAA, compliance,
115
Impact of Event Scale–Revised,
89
Institute of Medicine,
61
Inventory of Depressive Symptoms,
85
Item mean substitution,
110–111
Jacobson, Neal,
47
Jain, Saundra,
76
Kennedy Forum,
3, 23
Kessler Psychiatric Distress Scale,
85
Kutcher Adolescent Depression Scale,
87
Lambert, Michael,
47
La Rossa, James,
76
Legal issues, copyright infringement and,
69–70
LibreOffice Calc,
99–100
Liebowitz Social Anxiety Scale,
81
Likert-type scaled data,
121
Liverpool University Neuroleptic Side-Effect Rating Scale,
88
Los Angeles Symptom Checklist,
89
Major Depression Inventory,
86
Measurement-based care (MBC)
.See also Clinician; Therapeutic alliance
application approaches,
52–55
benefits of implementation of,
12
benefits versus barriers to, x
“best practice” and,
129
biases and misconceptions about psychometric measures,
12–19
case-by-case review of,
108–109
codes for reimbursement,
15, 16
commercial platforms,
54, 56, 57, 67
data,
99–115
defining program,
25
definitions of,
4–5
description of,
4
do-it-yourself approach,
23, 30, 67
effects of,
9–10
goals of,
11
integrating into clinical practice,
7–12
iterations of outcomes measurement,
3–4
methodology for clinical practice
A-B-A-C-A design,
39–41, 41
A-B-A design,
38–39, 39, 40
revisions to consent,
36–37
single-subject designs,
37–38
using metrics to substantiate treatment progress,
42–51, 45, 46, 47, 49, color plate 2
misconceptions about outcomes research,
16–17
progress evaluation that indicates failure,
18–19
misconceptions about time and expense,
14–16, 16
online platforms for,
23
overview of operations infrastructure,
35
quality assurance,
97–98
role in practice-based evidence,
129–130
therapeutic alliance and,
8
use in behavioral health and human services, vii
Measure of Mental Health Vital Signs for Private Practices,
78–79
Medication side effects and adherence, symptom scales for,
88
MedWorks Media, Psychiatric Rating Scales,
76
Michener, William,
115
Microsoft Excel,
99–100
conditioning format example,
109, color plate 4
data bank formatting example,
101
data record example,
118
person mean substitution method example,
112
Mindstrong,
57
Mindyra,
57
Mini-Mental State Examination (MMSE),
69–70
Mirah,
57
Missing at random (MAR) data,
108, 110
Missing not at random (MNAR) data,
108, 110
Modified Checklist for Autism in Toddlers,
83
Mood and Feelings Questionnaire–Adolescent,
87
Mood Disorder Questionnaire,
84
Multidimensional Scale of Perceived Social Support (MSPSS),
93
Multitrait Multimethod Matrix (MTMM),
63
Multivariate analysis of variance (MANOVA),
120
MyOutcomes,
57
National Institutes of Health
PROMIS,
74, 75
Roadmap for Medical Research initiative,
75
National Quality Forum,
74
National Quality Measures Clearing House,
74
NeuroFlow,
57
N-O-I-R categories,
100
Obsessive-compulsive disorder (OCD), symptom scales for,
88
“Ockham’s razor,”
67
Ohio Scale for Youth (OSY),
91
Opeeka,
57
Operationalization,
62
choosing measures to match mission,
27
clinical mission into measurable components,
26
cognitive-behavioral therapy,
24
description of,
24
emotion-focused therapy,
25–27, 26
worksheet sample,
131
Outcome Measures Standard CTS 03.01.09,
3, 12, 75–76
Outcome Questionnaire,
47–48
Measure of Mental Health Vital Signs for Private Practices,
78–79
Outcome referrals, The Treatment Outcome Package,
79–80
Owl Insights,
57
Panic Disorder Severity Scale (PDSSSR),
81
Parent Version of the Young Mania Rating Scale (P-YMRS),
85
Partners for Change Outcome Management System, Better Outcomes Now,
78
Patient-centered care,
52, 127–129
Patient Health Questionnaire–9 (PHQ-9),
65–67, 45, 47, 49, 66, 86, 100, 118, color plates 2, 3
Patient-Reported Outcomes Measurement Information System (PROMIS),
74, 75, 103
Anxiety Short-Form Version 1.2,
103, 105, 106
Patients
.See also Therapeutic alliance
insight into MBC,
10
management of data,
36–37
mental health status of,
50–51
noncompliance with MBC,
9
treatment response and remission,
50
Peabody Treatment Progress Battery,
91
Pearson,
18, 71
Pearson’s correlation,
63–64
Pediatric Emotional Distress Scale,
90
Pediatric Symptom Checklist–Youth,
91
Penn State Worry Questionnaire,
81
Penn State Worry Questionnaire for Children,
82
Persistent depressive disorder,
26
Person mean substitution,
110–111, 112
Physicians Consortium for Performance Improvement,
74
Platforms
.See also individual platforms
commercial,
54, 56, 57, 67
online,
23
Posttraumatic stress disorder (PTSD), symptom scales for,
8990
Post-Traumatic Stress Disorder Checklist–Civilian Version,
89
Practice-based evidence,
129–130
Practice fidelity, ix
Protocols
collective standard,
53–55
comprehensive standard,
55
customized individual,
52–53
Psych Congress Network, Saundra’s Corner,
76
Psychiatric Rating Scales,
76
Psychological testing, misconceptions about,
17–18
Psychology Tools,
76–77
Psychometrically sound scales
.See also individual scales
commercial packages,
77–80
open-access resources,
73–77
overview,
73
psychiatric symptom,
80, 8193
Psychometric measures
biases and misconceptions about,
12–19, 16
effective reporting,
28–34
Psychometrics
ease of administration,
67
evaluations,
129
Institute of Medicine definition of,
61
measurement error and interpretation,
64–67, 66, color plate 3
normative group data,
64
overview,
61
parsimony,
67
reliability of,
63–64
internal consistency,
63
test-retest reliability,
63–64
validity of,
62–63
concurrent validity,
62–63
confirmatory factor analysis,
63
construct validity,
62
testing,
62–63
Psychometric tests
copyright infringement,
69–70
in the public domain,
69–70
restricted use of,
70–71, 71
Psychotherapy, termination of,
39
Qualification Levels,
18
Qualitative report, sample,
33
Quality assurance (QA),
97–98
Quality of life,
76
symptom scales for,
9091
Quick Inventory of Depressive Symptomatology,
44, 86
RAND Corporation, Health Care Surveys,
75
Randomized controlled trials,
129–130
Reliable change index (RCI),
45–47, 46, 47, 50, 117–118
Reporting
identifying stakeholders,
28, 29
overview,
28
qualitative reporting,
32–34, 33
tailored stakeholder reporting,
29–32, 31, 32, color plate 1
Revised Children’s Anxiety and Depression Scale Youth,
82
Revised Helping Alliance Questionnaire,
93
Roadmap for Medical Research initiative,
75
Saundra’s Corner,
76
Screen for Child Anxiety Related Emotion Disorders,
82
Self-assessment, bias toward,
12–13
Self-esteem, poor,
26
Self-reporting
response bias,
13–14
symptom scales,
13, 14
Sequenced Treatment Alternatives to Relieve Depression (STAR*D),
40, 44
Short Mood and Feelings Questionnaire,
87
Signal alarm system,
47–48
Single-subject design (SSD)
A-B-A-C-A design,
39–41, 41
A-B-A design,
38–39, 39, 40
interpretation,
41–42, 43
prospective design,
37
repeated measures,
37–38
“Small-N” studies,
37–38
Social anxiety,
26
Social Phobia Inventory,
81
Spence Children’s Anxiety Scale,
82
Stages of Change Scale,
93
Stakeholders
examples of,
31, 32, color plate 1
graphic example,
133
identifying,
28, 29
reporting,
29–32
Standards for Educational and Psychological Testing,
17–18
Strengths and Difficulties Questionnaire,
84
Strengths and Weaknesses of Attention-Deficit/Hyperactivity Symptoms and Normal Behaviors,
82
Substance use, symptom scales for,
92
Suicidality, symptom scales for,
92
Suicide Behaviors Questionnaire–Revised,
92
Swanson Nolan and Pelham questionnaire (SNAP-IV),
82
Systematic Monitoring of Adverse Events Related to Treatments,
88
The Joint Commission (TJC),
28, 127
Chart Abstracted Measure Specifications Manuals,
75–76
mandate for MBC implementation,
12, vii
Therapeutic alliance,
8, 126.See also Clinical practice; Clinician
Total Brain,
57
Trauma History Questionnaire,
89
Trauma History Screen,
89
Treatment
alliance, symptom scales for,
93
effectiveness of,
127
fidelity,
98, 127
progress and satisfaction, symptom scales for,
93
Treatment Outcome Package (TOP),
9, 79–80
Tridiuum,
57
Trochim, William,
62
“True score,”
64–65
University of Rhode Island Change Assessment,
93
Valant,
57
Vanderbilt ADHD Rating Scale,
83
Vista Research Group,
57
Well-adjusted life,
26
“Why-What-How Operationalization Worksheet,”
25, 27
World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0),
90
World Health Organization Quality of Life (WHOQOL),
90
Yale-Brown Obsessive Compulsive Scale (Y-BOCS),
88
Youth Mania Rating Scale (YMRS),
84
Youth Top Problems,
84

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Go to The Clinician's Handbook on Measurement-Based Care
The Clinician's Handbook on Measurement-Based Care: The How, the What, and the Why Bother
Pages: 147 - 152

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Published in print: 26 September 2022
Published online: 5 December 2024
© American Psychiatric Association Publishing

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