Background An acceptable, standardised outcome measure to assess efficacy and effectiveness is needed across multiple disciplines offering psychological therapies. Aims To present psychometric data on reliability, validity sensitivity change for the CORE–OM (Clinical Outcomes in Routine Evaluation – Outcome Measure). Method A 34-item self-report instrument was developed, with domains of subjective well-being, symptoms, function risk. Analysis includes internal test–retest socio-demographic...

Can different therapists, motivated by theories and working in settings, find a single measure - 'core' for monitoring their work? This paper introduces the Clinical Outcome...

To complement the evidence-based practice paradigm, authors argued for a core outcome measure to provide practice-based evidence psychological therapies. Utility requires instruments that are acceptable scientifically, as well service users, and coordinated implementation of at national level. The development Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is summarized. Data presented across 39 secondary-care services (n = 2,710) within an intensively evaluated single...

Abstract Background : There is a need for generic, short, and easy‐to‐use assessment measure common presentations of psychological distress in UK primary care mental health settings. This paper sets out the development CORE‐10 response to this need. Method Items were drawn from CORE‐OM 10 items selected according combination usefulness, coverage item clusters, statistical procedures. Three datasets employed phase: (1) sample, (2) sample an MRC platform trial enhanced collaborative depression...

Service user involvement in instrument development is increasingly recognised as important, but often not done and seldom reported. This has adverse implications for the content validity of a measure. The aim this paper to identify types items that service users felt were important be included or excluded from new Recovering Quality Life measure people with mental health difficulties.Potential presented face-to-face structured individual interviews focus groups. primarily taken adapted...

Background Outcome measures for mental health services need to adopt a service-user recovery focus. Aims To develop and validate 10- 20-item self-report recovery-focused quality of life outcome measure named Recovering Quality Life (ReQoL). Method Qualitative methods item development initial testing, quantitative reduction scale construction were used. Data from >6500 service users factor analysed response theory models employed inform selection. The tested reliability, validity...

Background Measurement is the foundation of evidence-based practice. Advances in measurement procedures should extend to psychotherapy Aims To review developments relevant psychotherapy. Method Domains reviewed are: (a) interventions; (b) case formulation; (c) treatment integrity; (d) performance (including adherence, competence and skilfulness); (e) definitions; (f) therapeutic alliance; (g) routine outcome measurement. Results Modern methods can support ‘evidence-based practice’ for...

This study examined rates of improvement in psychotherapy as a function the number sessions attended. The clients (N=1,868; 73.1% female; 92.4% White; average age=40), who were seen for variety problems routine primary care mental health practices, attended 1 to 12 sessions, had planned endings, and completed Clinical Outcomes Routine Evaluation-Outcome Measure (CORE-OM) at beginning end their treatment. percentage achieving reliable clinically significant (RCSI) on CORE-OM did not increase...

Background Psychotherapy's equivalence paradox is that treatments tend to have equivalently positive outcomes despite non-equivalent theories and techniques. We replicated an earlier comparison of treatment approaches in a sample four times larger restricted primary-care mental health. Method Patients ( n =5613) who received cognitive–behavioural therapy (CBT), person-centred (PCT) or psychodynamic (PDT) at one 32 NHS services during 3-year period (2002–2005) completed the Clinical Outcomes...

Background There is a need for reliable assessment tools that are suitable the counselling and psychological therapy services in primary secondary care settings. Aims To test suitability utility of Clinical Outcomes Routine Evaluation – Outcome Measure (CORE–OM) CORE–Assessment (CORE–A) tools. Method Service intake data were analysed from 32 settings 17 Results Completion rates exceeded 98% both sampled. Intake severity levels similar but patients more likely to score above risk cut-off...

Although measures of psychopathology are designed for use in clinical populations, their meaning derives from comparison with normal populations.To compare the distribution scores on Clinical Outcomes Routine Evaluation-Outcome Measure (CORE-OM) a general population sample an aggregated to derive recommended cut-off points determining significance.The CORE-OM was based weighted subsample participants psychiatric morbidity follow-up survey who completed valid forms following interview...

Abstract This article reviews the development of CORE‐OM and CORE System from 1995 to 2005 in context need measure, monitor, manage delivery counselling psychological therapies service providing best quality care for clients. The origins philosophy these tools are summarised practical aspects how use them routine settings set out, including an easy look‐up table differing ways presenting scores their associated meaning. wider family outcome measures is briefly outlined show relationship...

Measuring quality-adjusted-life years using generic preference-based quality of life measures is common practice when evaluating health interventions. However, there are concerns that in use, such as the EQ-5D and SF-6D, focus overly on physical therefore may not be appropriate for measuring people with mental problems. The aim this research was to identify domains important problems order assess content validity these measures. Qualitative semi-structured interviews were conducted 19...

Abstract Background: There is a need for user‐friendly measure of change use in school and youth counselling services which easy practitioners to administer score, appropriate brief interventions. Aims: To develop such present psychometric data on reliability, validity sensitivity the measure. Method: We employed three‐stage approach: first, creating pool potential items; second, developing an 18‐item version; third, refining final version comprising 10 items. called Young Person's CORE...

To complement the evidence-based practice paradigm, authors argued for a core outcome measure to provide practice-based evidence psychological therapies. Utility requires instruments that are acceptable scientifically, as well service users, and coordinated implementation of at national level. The development Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is summarized. Data presented across 39 secondary-care services (n = 2,710) within an intensively evaluated single...

Effective psychological therapies have been recommended for common mental health problems, such as depression and anxiety, but provision has poor. Improving Access to Psychological Therapies (IAPT) may provide a cost-effective solution this problem.To determine the cost-effectiveness of IAPT at Doncaster demonstration site (2007-2009).An economic evaluation comparing costs outcomes patients with those comparator sites, including separate assessment lost productivity. Sensitivity analyses...

Abstract There are a number of problems for evidence‐based practice (EBP) including limited generalizability efficacy research results, the consequent lack confidence in relevance such research, and conceptual distance most practitioners from process. The result is that EBP, although sound principle, often fails to achieve its aim improving practice. Practice‐based evidence (PBE) provides complementary bridge gap between offset some these problems, promoting collaboration mental health...

ABSTRACT Whilst concern has been expressed at the increasing severity of mental health students, there very little research on this growing population outside small, single institution studies. The aims paper are to provide CORE Outcome Measure (CORE-OM) norms for psychological students across multiple sites receiving university counselling, and benchmark these against an age-matched sample people treatment in NHS primary care settings. Results indicate that using counselling services show...

ABSTRACT Despite concern surrounding the mental health of students, brought about by government's policy widening participation and increasing demands upon effectiveness student counselling has been a neglected research area. This study examines data from seven UK services using CORE System in routine evaluation their services. Results indicate that is effective, with 70% (service range 67% to 83%) clients outcome measures available showing reliable improvement on CORE-OM pre- post-therapy....

Background: It is estimated that between 3% and 15% of patients have a negative experience psychotherapy, but little understood about this. Aims: The aim this study was to investigate the factors associated with patients' therapy experiences. Method: data comprised 185 patient 304 therapist questionnaires, 20 interviews. Patients reported on an unhelpful or harmful therapy, therapists where they thought were working had poor experience. These transcribed analysed using thematic analysis....