Suitability and utility of the CORE-OM and CORE-A for assessing severity of presenting problems in psychological therapy services based in primary and secondary care settings

被引:143
作者
Barkham, M [1 ]
Gilbert, N [1 ]
Connell, J [1 ]
Marshall, C [1 ]
Twigg, E [1 ]
机构
[1] Univ Leeds, Psychol Therapies Res Ctr, Leeds LS2 9JT, W Yorkshire, England
关键词
D O I
10.1192/bjp.186.3.239
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background There is a need for reliable assessment tools that are suitable for the counselling and the psychological therapy services in primary and secondary care settings. Aims To test the suitability and utility of the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) and CORE-Assessment (CORE-A) assessment tools. Method Service intake data were analysed from counselling and psychological therapy services in 32 primary care settings and 17 secondary care settings. Results Completion rates exceeded 98% in both of the settings sampled. Intake severity levels ware similar but secondary care patients were more likely to score above the risk cut-off and the severe threshold and to have experienced their problems for a greater duration. Conclusions The CORE-OM and CORE-A are suitable assessment tools that show small but logical differences between psychological therapy services in primary- and secondary-based care. Declaration of interest M.B. received funding from the Mental Health Foundation and the Artemis Trust to support the development of the CORE-OM and CORE-A, respectively.
引用
收藏
页码:239 / 246
页数:8
相关论文
共 17 条
[1]  
[Anonymous], 1993, Handbook of effective psychotherapy
[2]  
[Anonymous], 2001, MENT HLTH POL IMPL G
[3]  
[Anonymous], 1999, EUROPEAN J PSYCHOTHE
[4]   Service profiling and outcomes benchmarking using the CORE-OM: Toward practice-based evidence in the psychological therapies [J].
Barkham, M ;
Margison, F ;
Leach, C ;
Lucock, M ;
Mellor-Clark, J ;
Evans, C ;
Benson, L ;
Connell, J ;
Audin, K ;
McGrath, G .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2001, 69 (02) :184-196
[5]  
Barkham M., 1998, J MENT HEALTH, V7, P35, DOI DOI 10.1080/09638239818328
[6]   Rated casemix of general practitioner referrals to practice counsellors and clinical psychologists: A retrospective survey of a year's caseload [J].
Cape, J ;
Parham, A .
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY, 2001, 74 :237-246
[7]  
Cohen J., 1988, STAT POWER ANAL BEHA
[8]  
Cronbach LJ, 1951, PSYCHOMETRIKA, V16, P297
[9]   Towards a standardised brief outcome measure: psychometric properties and utility of the CORE-OM [J].
Evans, C ;
Connell, J ;
Barkham, M ;
Margison, F ;
McGrath, G ;
Mellor-Clark, J ;
Audin, K .
BRITISH JOURNAL OF PSYCHIATRY, 2002, 180 :51-60
[10]   CONFIDENCE-INTERVALS RATHER THAN P-VALUES - ESTIMATION RATHER THAN HYPOTHESIS-TESTING [J].
GARDNER, MJ ;
ALTMAN, DG .
BMJ-BRITISH MEDICAL JOURNAL, 1986, 292 (6522) :746-750