Outcome Assessment. Purposes of Outcome Assessment  Treatment planning  Treatment monitoring  Accountability to others.

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Presentation transcript:

Outcome Assessment

Purposes of Outcome Assessment  Treatment planning  Treatment monitoring  Accountability to others

Outcome Assessment: Content  Symptoms Specific Global  Functioning/Quality of Life  Satisfaction with Services

Outcome Assessment: Sources and Time Intervals  Sources Self-report Significant other Therapist Trained observer Archival  Time intervals Pre-treatment Mid-treatment Post-treatment Follow-up

Beck Depression Inventory II (BDI-II)  One of several instruments designed by Beck  Assesses specific symptoms of depression, especially cognitive symptoms  21 items scored on 0 (no symptom) to 3 (severe symptom) scale  Cut-offs provided for different levels of depression  Lots of research, good psychometrics, convenient  What do your scores mean?

State Trait Anxiety Inventory (STAI)  Assesses specific symptoms of trait and state anxiety  40 total items: 20 trait and 20 state  Good psychometrics, convenient to use  What do your scores mean?

SCL-90  Symptom Checklist-90 is a checklist of symptoms rated from 0 (not present) to 4 (extremely distressed by symptom)  Good psychometrics, convenient  Normed on non-patients (adult and adolescent), psychiatric outpatients and inpatients  Brief Symptom Inventory is a 53-item version with similar psychometrics.

SCL-90 (continued)  Symptom dimensions include Somatization Obsessive-Compulsive Interpersonal Sensitivity Depression Anxiety Hostility Phobic Anxiety Paranoid Ideation Psychoticism Additional Items  Global Indexes Global Severity Index (GSI) Positive Symptom Distress Index (PSDI) Positive Symptom Total (PST)

Other Brief Measures  Symptoms Hamilton Rating Sale for Depression Hamilton Anxiety Rating Scale Fear Questionnaire Addiction Severity Index  Function/Impairment GAF SOFAR