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Outcome Assessment

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

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Outcome Assessment

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  1. Outcome Assessment

  2. Purposes of Outcome Assessment • Treatment planning • Treatment monitoring • Accountability to others

  3. Outcome Assessment: Content • Symptoms • Specific • Global • Functioning/Quality of Life • Satisfaction with Services

  4. 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

  5. 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?

  6. 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?

  7. 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.

  8. 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)

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

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