Personalized Assessment of Client Experiences

Study Overview
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Brief Summary
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The purpose of this study is to compare two clinical approaches to youth mental health care.

Official Title
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Improving Measurement-Based Care in Youth Mental Health: A Comparison of Unidimensional and Multidimensional Approaches

Conditions
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Mental Disorder in Adolescence

Intervention / Treatment
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* Behavioral: Measurement-Based Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female youth between the ages of 11-17 years receiving mental health services at the participating clinics. The treating clinician is participating in the study and determines that Measurement-Based Care (MBC) is appropriate for the youth. If the family consents to complete additional research measures, one parent and/or primary caregiver must be available and willing to participate in all study assessments. Adolescent and at least one parent/guardian are able to complete all study procedures in English or Spanish. Exclusion Criteria: no other exclusion criteria

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Unidimensional Measurement-Based Care<br>Youth and caregivers will complete a symptom rating scale every session. Clinicians will receive feedback reports summarizing these data, including alerts indicating if the youth is on track for positive treatment outcomes. These feedback reports will be used to support clinical decision-making. | Behavioral: Measurement-Based Care<br>* Both study conditions will receive measurement-based care, which is the systematic, ongoing administration of assessment measures to support clinical decision-making.<br>|
| Experimental: Multidimensional Measurement-Based Care<br>Youth and caregivers will complete battery of questionnaires covering multiple process and outcome domains every session. Clinicians will receive feedback reports summarizing these data, including alerts indicating if the youth is on track for positive treatment outcomes. These feedback reports will be used to support clinical decision-making. | Behavioral: Measurement-Based Care<br>* Both study conditions will receive measurement-based care, which is the systematic, ongoing administration of assessment measures to support clinical decision-making.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in The Ohio Scales Problem Severity Scale Youth Report | A youth-report measure of youth symptoms ranging from 0 to 100, with higher scores indicating higher general mental health symptoms. | baseline, 12 weeks | 
| Change in The Ohio Scales Problem Severity Scale Caregiver Report | A caregiver-report measure of youth symptoms ranging from 0 to 100, with higher scores indicating higher general mental health symptoms. | baseline, 12 weeks | 
| Change in The Ohio Scales Problem Functioning Scale Youth Report | A youth-report measure of youth functioning in a variety of areas of daily living ranging from 0 to 80, with higher scores indicating better functioning. | baseline, 12 weeks | 
| Change in The Ohio Scales Problem Functioning Scale Caregiver Report | A caregiver-report measure of youth functioning in a variety of areas of daily living ranging from 0 to 80, with higher scores indicating better functioning. | baseline, 12 weeks | 
| Change in Symptoms & Functioning Severity Scale- Youth Report | A youth-report measure of youth mental health symptoms. Scores are reported as a total score, ranging from 33 to 86, with higher scores indicating higher symptoms. | baseline, up to 18 months | 
| Change in Symptoms & Functioning Severity Scale- Caregiver Report | A caregiver-report measure of youth mental health symptoms. Scores are reported as a total score, ranging from 30 to 82, with higher scores indicating higher symptoms. | baseline, up to 18 months |