Routine outcome monitoring (ROM) involves the implementation of standardized measures, usually on a session-to-session basis to monitor treatment progress and alert clinicians when clients are not responding as expected. A growing body of research suggests that ROM is an effective method for enhancing the effectiveness of treatment (Lambert et al., 2003; Miller, Hubble, Chow, & Seidel, 2015); however, the utility of ROM data as an additional source of information in determining issues of competence have not been fully addressed. Commonly, boundaries of competence are determined based on previous education, training, and supervised experience, however these methods may be limited as experience may not equate to clinical effectiveness and therapists’ self-appraisal of their competence is often biased. In this paper, we provide a brief overview of ROM, and argue for the utility of ROM as an additional method for determining boundaries of competence and enhancing ethical decision-making. We provide a clinical example to illustrate the utility of ROM in ethical decision-making. Limitations and future recommendations for the utility of ROM in ethical decision-making are addressed.

中文翻译：

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常规结果监测在确定实践能力界限方面的伦理意义和效用。

常规结果监测 (ROM) 涉及标准化措施的实施，通常在每次治疗的基础上监测治疗进展并在客户未按预期做出反应时提醒临床医生。越来越多的研究表明，ROM 是一种提高治疗效果的有效方法（Lambert 等人，2003 年；Miller、Hubble、Chow 和 Seidel，2015 年）；然而，ROM 数据作为确定能力问题的附加信息来源的效用尚未得到充分解决。通常，能力的界限是根据以前的教育、培训和监督经验确定的，但是这些方法可能是有限的，因为经验可能并不等同于临床有效性，而且治疗师对其能力的自我评价往往有偏见。在本文中，我们简要概述了 ROM，并论证了 ROM 作为确定能力界限和增强道德决策的附加方法的效用。我们提供了一个临床例子来说明 ROM 在伦理决策中的效用。讨论了 ROM 在伦理决策中的效用的局限性和未来的建议。