A new tool provides ongoing feedback to providers of teen mental health services. Researchers anticipate the constant measurement of response to treatment will help authorities make on-course therapy modifications.
The tool, developed by Vanderbilt researchers is called the Peabody Treatment Progress Battery, or PTPB.
“There are laboratory studies that show treatments are very effective with youth who have mental health concerns, but when we look in the real treatment world we are hard pressed to identify services that are effective,” says Leonard Bickman, director of the Center for Evaluation and Program Improvement.
“The PTPB offers a revolutionary opportunity to improve mental health services. Mental health professionals need to know if they are succeeding during treatment and, if they are not, they need to know what to change. The PTPB gives them that information.”
The PTPB includes 10 measures of the responses of youth aged 11-18 years to mental health interventions. All were rigorously evaluated to ensure their clinical relevance. They include factors such as a child’s sense of hopefulness, their relationship with the therapist, their expectations of treatment and their satisfaction with services.
“Providers of children’s mental health services have long expressed their frustration to the research community at the lack of a comprehensive, feasible and scientifically developed set of measures for assessing process and outcome. Existing measures have been too time consuming, too limited in the domains and perspectives assessed, too costly, or insufficient with regard to scientific validity.”
In addition to monitoring the teen’s response to treatment, the PTPB also evaluates how the child’s caregiver is managing stress and their perception of treatment progress, as well as the clinician’s own evaluation of progress. It is this comparison of what the clinician thinks is effective with what the child and his or her caregiver reports that Bickman believes makes the battery an especially powerful tool.
“Therapy isn’t carpentry – you can’t just look at your work and determine if you’ve met your goals. You can’t get accurate feedback from the task itself, so you need to collect feedback in a systematic way,” he said. “Use of the PTPB will provide feedback that is hard to disregard, and will also insert some accountability for producing results into the mental health system that currently is not there.”
The PTPB takes approximately five to eight minutes a week per patient. It was designed to apply to most types of treatment and was written at a fourth-grade reading level in English and Spanish. It is available online free of charge from Vanderbilt at http://peabody.vanderbilt.edu/PTPB.
“After years of trying to find a clinical measurement system that was both practical and valid, the PTPB is both of those and more,” Natasha S. Walsh, vice president of Clinical Services for Providence Service Corporation, said.
“Our clinicians are getting information they are able to use to inform and enhance treatment. Our supervisors are getting information they can use to help the clinicians grow into better clinicians. Our agency is getting the information on clinical outcomes and processes needed to improve the quality of our services. Our counselors have said ‘it’s giving me information I never would have gotten.'”
Source: Vanderbilt University