Edbrooke-Childs, J; Jacob, J; Law, D; Deighton, J; Wolpert, MR; (2015) Interpreting standardized and idiographic outcome measures in CAMHS: What does change mean and how does it relate to functioning and experience? Child and Adolescent Mental Health , 20 (3) pp. 142-148. 10.1111/camh.12107.

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Abstract

Patient Reported Outcome Measures (PROMs) are increasingly being used in Child and Adolescent Mental Health Services (CAMHS). The aim of the present research was to explore change in standardized and idiographic outcome measures in CAMHS using naturalistic, routinely collected data. We explored change in psychosocial difficulties and impact on daily life as evaluated by a broad standardised measure, the Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997), and progress toward goals as evaluated by a personalised idiographic measure, the Goal Based Outcomes tool (GBO) (Law, 2011) in a sample of N = 137 CAMHS attenders. Psychosocial difficulties and impact on daily life showed less change over the course of treatment than progress toward goals in the present study. Change in psychosocial difficulties and impact on daily life also showed fewer significant associations with change in clinician-reported functioning and satisfaction with care at time two than change in progress toward goals. Findings of the present research may support previous studies in which service users and clinicians report that idiographic measures are more capable than standardised measures of capturing relevant change for individuals.

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