Boswell James F, Kraus David R, Miller Scott D, Lambert Michael J
a Department of Psychology , University at Albany, State University of New York , Albany , NY , USA.
Psychother Res. 2015;25(1):6-19. doi: 10.1080/10503307.2013.817696. Epub 2013 Jul 26.
This article reviews the benefits, obstacles, and challenges that can hinder (and have hindered) implementation of routine outcome monitoring in clinical practice. Recommendations for future routine outcome assessment efforts are also provided. Spanning three generations, as well as multiple developed tools and approaches, the four authors of this article have spent much of their careers working to address these issues and attempt to consolidate this learning and experience briefly here. Potential "elephants in the room" are brought into the discussion wherever relevant, rather than leaving them to obstruct silently the field's efforts. Some of these topics have been largely ignored, yet must be addressed if we are to fulfill our promise of integrating science and practice. This article is an attempt to identify these important issues and start an honest and open dialogue.
本文回顾了在临床实践中可能阻碍(以及已经阻碍)常规结果监测实施的益处、障碍和挑战。还提供了对未来常规结果评估工作的建议。本文的四位作者跨越了三代人,涉及多种已开发的工具和方法,他们职业生涯的大部分时间都致力于解决这些问题,并试图在此简要整合这些知识和经验。只要相关,文中就会讨论潜在的“棘手问题”,而不是任由它们默默阻碍该领域的努力。其中一些主题在很大程度上被忽视了,但如果我们要兑现整合科学与实践的承诺,就必须加以解决。本文旨在识别这些重要问题并开启一场坦诚开放的对话。