Cho Evelyn, Tugendrajch Siena K, Marriott Brigid R, Hawley Kristin M
Department of Psychological Sciences, University of Missouri, Columbia.
Psychiatr Serv. 2021 Mar 1;72(3):325-328. doi: 10.1176/appi.ps.201900537. Epub 2020 Nov 3.
Evidence-based assessment (EBA) plays a critical role in the delivery of effective treatments. However, little is known about the assessment practices of mental health clinicians who treat youths and the factors that support EBA. The authors examined when, how, and under what conditions clinicians conduct EBA.
In two multidisciplinary surveys (combined N=2,575), clinicians reported how frequently they conducted pretreatment, ongoing, and posttreatment assessments and how frequently they used standardized measures in usual care of youths.
Although clinicians reported frequent pretreatment, ongoing, and posttreatment assessments, use of standardized measures was rare. Clinician and practice setting characteristics predicted standardized measure use, and a lack of practical assessment tools appears to be a barrier to use of standardized measures in EBA of youths.
Many clinicians conduct assessments during treatment, but more practical measures and clinician training may improve the integration of standardized measures into routine practice.
循证评估（EBA）在提供有效治疗方面发挥着关键作用。然而，对于治疗青少年的心理健康临床医生的评估实践以及支持循证评估的因素，我们知之甚少。作者研究了临床医生何时、如何以及在何种情况下进行循证评估。
在两项多学科调查（样本量总计N = 2575）中，临床医生报告了他们在青少年常规护理中进行治疗前、治疗期间和治疗后评估的频率，以及使用标准化测量工具的频率。
尽管临床医生报告了频繁进行治疗前、治疗期间和治疗后评估，但标准化测量工具的使用却很少见。临床医生和执业环境特征可预测标准化测量工具的使用情况，而缺乏实用的评估工具似乎是在青少年循证评估中使用标准化测量工具的一个障碍。
许多临床医生在治疗期间进行评估，但更多实用的测量工具和临床医生培训可能会改善标准化测量工具在常规实践中的整合。
