Self-Report Rating Scales to Guide Measurement-Based Care in Child and Adolescent Psychiatry - 02/09/20

Doi : 10.1016/j.chc.2020.06.002

Jessica Jeffrey, MD, MPH, MBA ^a,^⁎ , Alexandra Klomhaus, MS ^a,^b, Michael Enenbach, MD ^a,^c, Patricia Lester, MD ^a, Rajeev Krishna, MD, PhD ^d
^a Department of Psychiatry and Biobehavioral Sciences, Division of Population Behavioral Health, Nathanson Family Resilience Center, Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, 760 Westwood Plaza, A8-153, Los Angeles, CA 90095, USA
^b Department of Biostatistics, UCLA Fielding School of Public Health, 650 Charles E. Young Dr. South, Los Angeles, CA 90095, USA
^c Department of Psychiatry & Biobehavioral Sciences, Division of Child and Adolescent Psychiatry, Jane and Terry Semel Institute of Neuroscience and Human Behavior at UCLA, 760 Westwood Plaza, 48-270, Los Angeles, CA 90095, USA
^d Psychiatry and Behavioral Health, Nationwide Children's Hospital, Psychiatry T5, 700 Children's Drive, Columbus, OH 43205, USA

^∗Corresponding author.

Résumé

Measurement-based care involves the practice of systematically administrating rating scales to patients in order to use the collected information to enhance clinical evaluation, monitor treatment progress, and directly inform decisions relating to each patient’s treatment. Rating scales must be psychometrically validated and efficiently administered within the practice setting. Brief rating scales that are available within the public domain may help to optimize workflows and prevent response fatigue. Clinicians should also have a sufficient understanding of the underlying psychometric properties of rating scales to accurately interpret changes in scores over time and use these results to appropriately direct care.

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Keywords : Measurement-based care, Rating scales, Self-report, Depression, Anxiety