(duplicate) Incorporating Routine Outcome Measures into Clinical Supervision
Research type
Research Study
Full title
Incorporating Routine Outcome Measures into Supervision: Does it Improve Outcomes for Children and Adolescents with Symptoms of Depression and Anxiety?
IRAS ID
173326
Contact name
Sarah Dean
Contact email
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
0 years, 5 months, 29 days
Research summary
There is a drive for child and adolescent mental health services to both evidence and improve outcomes which is strongly supported by government policy. There has been an emphasis upon the provision of evidence based therapies which has been the primary focus of outcome research. Particular therapies have been identified as being more efficacious in the treatment of depression and /or anxiety. However the key to enhancing outcomes may lie in paying more attention to the therapist and their ability to engage young people and develop a repertoire of skills to draw upon in session. Routine outcome monitoring in the form of session by session monitoring has recently been implemented as part of a national commitment to improve child and adolescent mental health. This can be used collaboratively in session by the clinician and client to consider the impact of therapy in terms of assessing the strength of the therapeutic alliance and individual client symptom change.
Supervision has commonly been assumed to, amongst other things, enhance therapist competence and to ensure client welfare. However client outcomes are rarely routinely considered or consistently monitored as part of the supervisory process. ROM could play an important role in informing supervisory discussions by identifying young people who are not making progress. Supervision could be used to reflect upon possible explanations for lack of progression and to consider changes to the treatment plan.
This research aims to use a mixed methods design to investigate the question of whether supervision enhances client outcomes. Quantitative analysis will be used to evaluate the differences in client reports of symptoms of depression and anxiety along with the therapeutic alliance between three groups – supervision using ROM, supervision without ROM and therapist use of ROM in session only. Qualitatively, supervisors and supervisees will also be invited to provide written feedback in supervision sessions and to participate in focus groups to gain some clinician insight into the possible benefits and challenges of incorporating ROM into everyday practice.
It is hoped that the results could provide some valuable understandings which could be important in the process of embedding ROM into routine clinical practice, particularly in supervision, in child and adolescent community mental health settings.
REC name
South West - Cornwall & Plymouth Research Ethics Committee
REC reference
15/SW/0123
Date of REC Opinion
26 May 2015
REC opinion
Further Information Favourable Opinion