The article below may contain offensive and/or incorrect content.
A fundamental part of professional practice is to monitor case progress to inform basic clinical decisions about when to discontinue interventions, when to adjust interventions, and when to proceed as planned. When interpreting observed change, there are at least five distinct types of clinical difference that can occur independently, and mistaking one for another can lead to misinformed clinical decisions. We introduce a distinction between observed difference, detected difference, predicted difference, attainment difference, and induced difference, and use these to analyze current systems for routine outcome monitoring (ROM) in clinical practice. Contrary to what supporting evidence of current ROM systems suggests, we find that—by design—these systems fail to detect and predict potentially harmful treatment and fail to detect and predict likely treatment responders. We discuss implications of the presented classification for professional practice and further development of ROM systems. We argue that clinical practice would benefit from monitoring difference instead of change, as these are not equivalent. We further argue that future research and development efforts should focus on the development of a working approach to monitoring induced difference, improving how to monitor predicted difference, exploring statistical models that better discriminate between various types of clinical cases, and better communicate what can and cannot be interpreted from the clinical differences that are actually monitored, as guided by the presented classification of clinical differences to monitor in practice. (PsycINFO Database Record (c) 2018 APA, all rights reserved)





Parent Site

Departments
Authors
Libraries
Current Articles
- Article Correctness Is Author's Responsibility: Video » The NIMH Director’s Innovation Speaker Series: Advancing Therapies for Central Nervous System Disorders
- Article Correctness Is Author's Responsibility: Scientific Meeting » The NIMH Director’s Innovation Speaker Series: Advancing Therapies for Central Nervous System Disorders
- Article Correctness Is Author's Responsibility: How schools meet the needs of students crushed by stress, depression
- Article Correctness Is Author's Responsibility: Losing a long-term spouse can be deadly
- Article Correctness Is Author's Responsibility: Blog Post » One Year In: COVID-19 and Mental Health
- Article Correctness Is Author's Responsibility: Is COVID-19 the rock in David’s slingshot that will bring down Goliath?
- Article Correctness Is Author's Responsibility: CDC says racism is a 'serious threat' to public health
- Article Correctness Is Author's Responsibility: Challenges and innovations in Guatemala’s psychology
- Article Correctness Is Author's Responsibility: Group therapy can provide meaningful connection during COVID-19 loneliness
- Article Correctness Is Author's Responsibility: Covid-19 linked to depression and dementia
- Article Correctness Is Author's Responsibility: Stress on the front lines of Covid-19
- Article Correctness Is Author's Responsibility: Scientific Meeting » Virtual Workshop: Integrating Genomics with Dimensional and Transdiagnostic Approaches to Advance Mental Health Research
- Article Correctness Is Author's Responsibility: Augmenting exposure therapy: International collaboration and technological innovation for specific phobia
- Article Correctness Is Author's Responsibility: What are the 3 levels of autism?
- Article Correctness Is Author's Responsibility: How to reach out when someone you know may be at risk of suicide
- Article Correctness Is Author's Responsibility: Five questions for Michael Kraus
- Article Correctness Is Author's Responsibility: Meeting the demand for services
- Article Correctness Is Author's Responsibility: Preparing for leadership
- Article Correctness Is Author's Responsibility: Benefits of virtual psychotherapy groups for students during COVID-19
- Article Correctness Is Author's Responsibility: Airbnb launches inclusive virtual experiences for neurodiverse guests