Clinical Outcome, Consumer Satisfaction, and Ad Hoc Ratings of Improvement in Children's Mental Health
Mental health clinics and managed care organizations assess treatment effectiveness with consumer satisfaction measures and ad hoc measures of improvement obtained from a single informant; some of these measures are as simple as asking clients whether they improved during treatment. In the present c...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 1998-04, Vol.66 (2), p.270-279 |
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| container_end_page | 279 |
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| container_title | Journal of consulting and clinical psychology |
| container_volume | 66 |
| creator | Lambert, Warren Salzer, Mark S Bickman, Leonard |
| description | Mental health clinics and managed care organizations assess treatment effectiveness with consumer satisfaction measures and ad hoc measures of improvement obtained from a single informant; some of these measures are as simple as asking clients whether they improved during treatment. In the present correlational study of 199 treated adolescents, we used a multitrait-multimethod analysis to examine psychometrically measured pathology change (pre- and postassessment of symptoms and functioning), consumer satisfaction, and perceived improvement reported by multiple informants. Confirmatory factor-analytic results indicate that (a) outcome variance due to multiple informants cannot be ignored, (b) consumer satisfaction is unrelated to pathology change, and (c) parent-reported perceived improvement ratings are more akin to satisfaction than to pathology change. |
| doi_str_mv | 10.1037/0022-006X.66.2.270 |
| format | Article |
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In the present correlational study of 199 treated adolescents, we used a multitrait-multimethod analysis to examine psychometrically measured pathology change (pre- and postassessment of symptoms and functioning), consumer satisfaction, and perceived improvement reported by multiple informants. Confirmatory factor-analytic results indicate that (a) outcome variance due to multiple informants cannot be ignored, (b) consumer satisfaction is unrelated to pathology change, and (c) parent-reported perceived improvement ratings are more akin to satisfaction than to pathology change.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.66.2.270</identifier><identifier>PMID: 9583330</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adolescent ; Adolescents ; Affective Symptoms - psychology ; Affective Symptoms - therapy ; Behavioural problems ; Biological and medical sciences ; Child ; Child Behavior Disorders - psychology ; Child Behavior Disorders - therapy ; Child, Preschool ; Children & youth ; Client Attitudes ; Client Satisfaction ; Clinical outcomes ; Consumer Behavior ; Customer satisfaction ; Factor Analysis, Statistical ; Female ; Human ; Humans ; Internal-External Control ; Male ; Medical sciences ; Mental health ; Mental Health Services ; Multitrait-Multimethod analysis ; Organization of mental health. Health systems ; Outcomes ; Parental Attitudes ; Personality Assessment - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology ; Psychopathology. Psychiatry ; Quality Assurance, Health Care ; Social psychiatry. Ethnopsychiatry ; Treatment ; Treatment Effectiveness Evaluation ; Treatment Outcome</subject><ispartof>Journal of consulting and clinical psychology, 1998-04, Vol.66 (2), p.270-279</ispartof><rights>1998 American Psychological Association</rights><rights>1998 INIST-CNRS</rights><rights>Copyright American Psychological Association Apr 1998</rights><rights>1998, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a505t-9cc1f546326600be5e30be641f63ee46e0047db94817a59d6174e7a0114652533</citedby><orcidid>0000-0002-0746-3791</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27869,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2227398$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9583330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kendall, Philip C</contributor><creatorcontrib>Lambert, Warren</creatorcontrib><creatorcontrib>Salzer, Mark S</creatorcontrib><creatorcontrib>Bickman, Leonard</creatorcontrib><title>Clinical Outcome, Consumer Satisfaction, and Ad Hoc Ratings of Improvement in Children's Mental Health</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Mental health clinics and managed care organizations assess treatment effectiveness with consumer satisfaction measures and ad hoc measures of improvement obtained from a single informant; some of these measures are as simple as asking clients whether they improved during treatment. In the present correlational study of 199 treated adolescents, we used a multitrait-multimethod analysis to examine psychometrically measured pathology change (pre- and postassessment of symptoms and functioning), consumer satisfaction, and perceived improvement reported by multiple informants. Confirmatory factor-analytic results indicate that (a) outcome variance due to multiple informants cannot be ignored, (b) consumer satisfaction is unrelated to pathology change, and (c) parent-reported perceived improvement ratings are more akin to satisfaction than to pathology change.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Affective Symptoms - psychology</subject><subject>Affective Symptoms - therapy</subject><subject>Behavioural problems</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Behavior Disorders - psychology</subject><subject>Child Behavior Disorders - therapy</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Client Attitudes</subject><subject>Client Satisfaction</subject><subject>Clinical outcomes</subject><subject>Consumer Behavior</subject><subject>Customer satisfaction</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Mental Health Services</subject><subject>Multitrait-Multimethod analysis</subject><subject>Organization of mental health. Health systems</subject><subject>Outcomes</subject><subject>Parental Attitudes</subject><subject>Personality Assessment - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality Assurance, Health Care</subject><subject>Social psychiatry. 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| ispartof | Journal of consulting and clinical psychology, 1998-04, Vol.66 (2), p.270-279 |
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| language | eng |
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| source | MEDLINE; EBSCOhost APA PsycARTICLES; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Adolescents Affective Symptoms - psychology Affective Symptoms - therapy Behavioural problems Biological and medical sciences Child Child Behavior Disorders - psychology Child Behavior Disorders - therapy Child, Preschool Children & youth Client Attitudes Client Satisfaction Clinical outcomes Consumer Behavior Customer satisfaction Factor Analysis, Statistical Female Human Humans Internal-External Control Male Medical sciences Mental health Mental Health Services Multitrait-Multimethod analysis Organization of mental health. Health systems Outcomes Parental Attitudes Personality Assessment - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology Psychopathology. Psychiatry Quality Assurance, Health Care Social psychiatry. Ethnopsychiatry Treatment Treatment Effectiveness Evaluation Treatment Outcome |
| title | Clinical Outcome, Consumer Satisfaction, and Ad Hoc Ratings of Improvement in Children's Mental Health |
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