Summary
The study describes the process of choosing a clinical outcome measure for a statewide performance outcome system for children receiving publicly funded mental health services in California. The recommendation is based on a five-phase approach, including an environmental scan of measures used by state mental health agencies; a statewide provider survey; a scientific literature review; a modified Delphi panel; and final rating of candidate measures by using nine minimum criteria informed by stakeholder priorities, scientific evidence, and state statute.
Only 10 states reported use of at least one standardized measure for outcome measurement. In California, the state Department of Health Care Services mandated use of the Pediatric Symptom Checklist (PSC) and the Child and Adolescent Needs and Strengths(CANS).
There is a lack of capacity to compare child clinical outcomes across states and California counties. Frequently used outcome measures were often not supported by scientific evidence or Delphi panel ratings. Policy action is needed to promote the selection of a common clinical outcome measure and measurement methodology for children receiving publicly funded mental health care.
Publication Authors:
- Bonnie T. Zima, MD, MPH
- Nadereh Pourat, PhD
- et al