Fluent Essays

To complete this assignment, review the prompt and grading rubric in the Final Project Guidelines and Rubric document. When you have finished your work, submit the assignment here for grading and instructor feedback. 2 MAT-133-T6555: Final Project A qualitative exploration of attitudes towards the use of outcome measures in child and adolescent mental health services Angelica De Hoyos Southern New Hampshire University MAT-133-T6555 Focus The research project that I selected is “A qualitative exploration of attitudes towards the use of outcome measures in child and adolescent mental health services” written by Evelyn Sharples, Chuan Qin, Vinita Goveas, Dawid Gondek, Jessica Deighton, Miranda Wolpert and Julian Edbrooke-Childs which I will give credit to in the reference page below. The purpose of the research was to explore clinician attitudes regarding recent policies on the implementation of outcome measures in child and adolescent mental health services. This research study was conducted because evidence has suggested that there is a disparity between policy recommendations and outcome measures in clinical practices that arent being implemented. As the research paper suggests, outcome monitoring has resulted in the belief that policy recommendations are not lining up to the services provided by clinicians in practice. Semi-structured interviews were conducted with several CAMHS clinicians from a Mental Health Trust in South London providing researchers with further insight of their practices and setting a comparison of what is being recommended as to what is being practiced (Deighton et al., 2017). Population There was a sum of nine Child and Adolescent Mental Health (CAMHS) clinicians from a Mental Health Trust in South London was developed in this research. Each clinician had seven distinct jobs and, on several occasions, had diverse ways in practicing their modalities. These clinicians were gathered to be interviewed and recorded for 17 to 41 minutes each individually. Three of the clinicians reported using outcome measures regularly in every session as a result of CYP IAPT training; four clinicians reported using measures at assessment, review and discharged. Two clinicians did not use outcome measures regularly but worked in special services, with more higher intensity cases (Deighton et al., 2017). Authorization was obtained from these clinicians before being interviewed and before being recorded. Research Questions The researchers wanted to explore the clinician’s attitudes to outcome measures, the disparity between policy recommendations and if they were implementing the outcome measures in their services. The researchers used extensive interviews with all nine clinicians derived from a Mental Health Trust in South London. This research is fundamental to the clients that are receiving the treatment from these clinicians. The main focus should be on identifying and reducing the barriers and making sure clinicians are using outcome measures regularly. Analysis Research Methods This research has been classified mainly as “service level or service evaluation” to all nine clinicians. Researchers had four superordinate themes emerged from the analysis, standardization, training, practical experience and resources each in which it was discussed in detail. In addition, two levels of implementation of outcome measures emerged in the analysis, the service level which measures across a service to inform service improvement and the session level which it measures the outcome of each individual clinical session (Deighton et al., 2017). The interviewer, co-author (VG) working within the same trust used four initial phases for an overall analysis critical realist approach, these four phases were as follows: Phase 1: familiarization with data through transcribing and rereading. Phase 2: NVivo was used to code interesting aspects of the data in a systematic way. Phase 3: similar codes were then grouped into themes. Phase 4: section data was then checked by interviewer to ensure consistency of coding (Deighton et al., 2017). Outcome Since there was no graphical representation of data used in this research study, an inductive thematic analysis was used with the objective of allowing emerging patterns in the data to inform the themes. The data was labeled, assigning words of codes, creating themes from the interview. This allowed to identify important information in the data to stand out related to the research question. Clinician’s training and practical experience in service and session level developed a support system for clinicians through learning collaboration. Clinicians who struggled with the outcome measured showed that they had no experience and created a barrier in sessions which would make them change their attitudes in a negative way. Clinicians who had the appropriate training and knew how to use outcome measures in their clinical sessions were very positive when it came to their attitudes. When clinicians gather the proper information and have the proper resources, this will help them in their daily lifes. These types of resources will help not only the clinician but also the patient and family members in being able to use their session time and provide better service to all patients providing them with a better treatment. Conclusion Overall, I do not believe it was a big enough research, with only nine employees from Mental Health Trust participating in it. It would have been a more detailed research if they would have included more clinicians, to have a less bias vision when writing about the clinician’s negative and positive attitudes. I believe if the interviewer would have collected more information to reinforce, the interviewer would have had a more solid result regarding clinician’s outcome measures during their clinical sessions and service. But with this small research there was enough information and evidence to support the research hypothesis. Reference Sharples, E., Qin, C., Goveas, V., Gondek, D., Deighton, J., Wolpert, M., & Edbrooke-Childs, J. (2017). A qualitative exploration of attitudes towards the use of outcome measures in child and adolescent mental health services. Clinical Child Psychology and Psychiatry, 22(2), 219–228. https://doi.org/10.1177/1359104516652929