Borntrager Cameo F, Chorpita Bruce F, Orimoto Trina, Love Allison, Mueller Charles W
Department of Psychology, University of Montana, 32 Campus Dr., Skaggs Bldg. 143, Missoula, MT, 59812, USA,
J Behav Health Serv Res. 2015 Jul;42(3):367-82. doi: 10.1007/s11414-013-9363-x.
An increased demand for accountability in community mental health systems has resulted in a need for valid, reliable measures of therapeutic practice. The Monthly Treatment and Progress Summary (MTPS), developed through the Hawaii Child and Adolescent Mental Health Division, is a clinician-report measure that describes therapeutic practices, treatment targets, and progress ratings for each treatment case. The current study evaluated the validity of the therapeutic strategies reported on the MTPS by comparing coder- and clinician-reported use of practices. Using 47 audio recordings from 19 youths' therapy sessions, trained observers reliably coded 12 discrete practices. Four of the 12 practices were found to be valid according to clinician-coder agreement (intraclass correlations ≥0.60). The coding system was revised, utilizing extensiveness and experiential scales, and 100 % of practices were valid according to clinician-coder agreement. Practical use of the MTPS, implications for service systems, and future directions for research on the MTPS are discussed.
社区心理健康系统对问责制的需求增加，导致需要有效、可靠的治疗实践衡量标准。通过夏威夷儿童和青少年心理健康部门开发的月度治疗与进展总结（MTPS），是一种由临床医生报告的衡量标准，用于描述每个治疗案例的治疗实践、治疗目标和进展评级。本研究通过比较编码员和临床医生报告的实践使用情况，评估了MTPS上报告的治疗策略的有效性。使用来自19名青少年治疗会话的47段音频记录，经过培训的观察员对12种不同的实践进行了可靠编码。根据临床医生与编码员的一致性（组内相关系数≥0.60），发现12种实践中的4种是有效的。利用广泛性和经验量表对编码系统进行了修订，根据临床医生与编码员的一致性，100%的实践都是有效的。讨论了MTPS的实际应用、对服务系统的影响以及MTPS未来的研究方向。
