Abstract

Objective: Measurement feedback systems provide clinicians with regular snapshots of a client’s mental health status, which can be used in treatment planning and client feedback. There are numerous barriers to clinicians using outcome measures routinely. This study aimed to investigate factors affecting the use of a measurement feedback system across youth mental health settings. Methods: The participants were 210 clinicians from headspace youth mental health services across Australia. They were surveyed on predictors and use of MyLifeTracker, a routine outcome measure. This was explored through three processes: looking at MyLifeTracker before session, using MyLifeTracker in treatment planning, and providing feedback of MyLifeTracker scores to clients. Results: Clinicians were more likely to look at MyLifeTracker before session, less likely to use it in treatment planning, and least likely to provide MyLifeTracker scores to clients. Each measurement feedback system process had a distinct group of predictors. Perceptions of MyLifeTracker’s practicality was the only significant predictor of all three processes. Conclusion: Practically, organisations and supervisors can increase the use of measurement feedback systems through targeted supports.

摘要

目的：测量反馈系统可为临床医生定期提供客户心理健康状况的快照，这些快照可用于治疗计划和客户反馈。临床医生常规使用结果指标存在许多障碍。这项研究旨在调查影响青年心理健康环境中使用测量反馈系统的因素。方法：参与者是来自澳大利亚顶空青年心理健康服务的210名临床医生。他们接受了关于预测指标和MyLifeTracker（一种常规结果指标）的使用的调查。这是通过三个过程进行探索的：在会议前查看MyLifeTracker，在治疗计划中使用MyLifeTracker以及向客户提供MyLifeTracker分数的反馈。结果：临床医生在会议前看MyLifeTracker的可能性更高，在治疗计划中使用它的可能性较小，并且向客户提供MyLifeTracker分数的可能性最小。每个测量反馈系统过程都有一组不同的预测变量。MyLifeTracker实用性的感知是所有三个过程的唯一重要预测指标。结论：实际上，组织和主管可以通过有针对性的支持来增加对测量反馈系统的使用。