A chance for change : building an outcome monitoring feedback system for outpatient mental health care

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A chance for change : building an outcome monitoring feedback system for outpatient mental health care

Title: A chance for change : building an outcome monitoring feedback system for outpatient mental health care
Author: Jong, Kim de
Publisher: Clinical, Health and Neuropsychology, Faculty of Social and Behavioural Sciences, Leiden University
Issue Date: 2012-04-17
Keywords: Feedback
Multilevel modeling
Negative outcomes
Routine outcome monitoring
Therapist effects
Therapy outcomes
Abstract: The principal aim of this thesis was to develop an outcome monitoring feedback model for Dutch outpatient mental health care in the Netherlands and to test whether providing feedback to therapists and patients can improve treatment outcomes. Data on patient progress collected in outpatient centers in the Netherlands were used to predict the functioning of patients at the end of treatment and the rate of change. In addition, two feedback studies were conducted. In the first study the effect of therapist feedback was compared with no feedback. The results showed no significant effect of feedback for the full group, but did show an effect for therapists that actively used the feedback in therapy. Therapist factors mediated the effectiveness of feedback: in therapists with higher self-efficacy the feedback had a more positive effect. The second study had three treatment conditions, a control group, a group with feedba ck to therapists alone and a group in which both therapists and patients received feedback about the patient’s progress. The results showed that feedback to both therapists and patients was more effective than feedback to therapists alone. The feedback effect was strongest in short-term therapy, for cases that were not progressing well.
Description: Promotores: P. Spinhoven, W.J.Heiser, Co-promotor: M.A.Nugter
With summary in Dutch
Faculty: Faculteit der Sociale Wetenschappen
Citation: Jong, K. de, 2012, Doctoral thesis, Leiden University
ISBN: 9789053355312
Sponsor: GGZ Noord-Holland-Noord (hoofstuk 2-5) ZonMw (hoofdstuk 6) Deelnemende instellingen
Handle: http://hdl.handle.net/1887/18691
 

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application/pdf Front cover 4.545Mb View/Open
application/pdf Title page_Contents 459.9Kb View/Open
application/pdf Chapter 1 General introduction 2.510Mb View/Open
application/pdf Methods 2.411Mb View/Open
application/pdf Chapter 2 687.7Kb View/Open Full text at publisher site
application/pdf Chapter 3 1.144Mb View/Open Full text at publisher site
application/pdf Chapter 4 2.828Mb View/Open
application/pdf Feedback studies 2.411Mb View/Open
application/pdf Chapter 5 666.3Kb View/Open Full text at publisher site
application/pdf Chapter 6 917.5Kb View/Open
application/pdf Chapter 7 General discussion 586.3Kb View/Open
application/pdf Appendices 835.9Kb View/Open
application/pdf Summary in Dutch 507.4Kb View/Open
application/pdf References 564.6Kb View/Open
application/pdf Acknowledgements_Curriculum Vitae 478.1Kb View/Open
application/pdf Back cover 1.578Mb View/Open
application/pdf Propositions 454.3Kb View/Open

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