Emanuel, R; Catty, J; Anscombe, E; Cantle, A; Muller, H; (2014) Implementing an aim-based outcome measure in a psychoanalytic child psychotherapy service: Insights, experiences and evidence. Clinical Child Psychology and Psychiatry , 19 (2) pp. 169-183. 10.1177/1359104513485081.

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Abstract

In this paper, we describe the use of an aim-based outcome measure used in routine outcome monitoring of child and adolescent psychotherapy within a child and adolescent mental health service. We present empirical evidence drawn from a cohort of 34 child and adolescent patients which demonstrates a statistically significant and clinically meaningful improvement in ratings of the Goal-Based Outcomes Measure. In the context of this empirical evidence, the paper aims to explore the clinical feasibility and implications of the routine use of an aim-based measure in child psychotherapy. We argue that it provides a simple and useful way of clarifying the focus of the clinical work and reflecting its progress, while also having the potential to illuminate the clinical picture by contributing an additional source of clinical information from a collaborative process with the patient, parents or both. We argue that, while there are some cases where use of the measure may be impossible or even perverse, in general it enhances rather than detracts from the clinical work.

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