Perth Clinic, West Perth, Western Australia, Australia.
School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia.
J Clin Psychol. 2022 Oct;78(10):2041-2053. doi: 10.1002/jclp.23426. Epub 2022 Aug 1.
Routine outcomes monitoring (ROM), combined with a psychotherapeutic intervention, can improve outcomes by assisting therapists in supporting patients who are off track to achieve a better treatment endpoint. While many ROM systems are suitable for particular clinical contexts, psychotherapy delivered in a hospital setting presents unique challenges. People can be treated as inpatients and daypatients, and psychotherapy may be delivered in multiple formats (e.g., closed and open groups; group and individual). The present case study will illustrate the adaptation of ROM to this environment with an 18-year-old woman with Borderline Personality Disorder. The patient was successfully treated with Dialectical Behavior Therapy as both an inpatient and daypatient. The case demonstrates the use of ROM systems and illustrate they are sufficiently flexible to accommodate these complexities of routine care.
常规结果监测（ROM）结合心理治疗干预，可以通过帮助治疗师支持那些偏离实现更好治疗终点的患者，从而改善治疗结果。虽然许多 ROM 系统适用于特定的临床环境，但医院环境中的心理治疗提出了独特的挑战。患者可以作为住院患者和日间患者接受治疗，心理治疗也可以采用多种形式（例如，封闭和开放小组；团体和个体）进行。本案例研究将通过一位患有边缘型人格障碍的 18 岁女性患者来说明 ROM 在这种环境下的适应性。该患者通过接受辩证行为疗法治疗成功地成为了住院患者和日间患者。该案例展示了 ROM 系统的使用，并说明了其具有足够的灵活性，可以适应常规护理的这些复杂性。
