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A case study of lessons learnt from implementing a routine outcome monitoring system for psychotherapy in a South African community clinic

Bibliographic Data

ID11011973
AuthorsJason Bantjes (0000-0002-3626-9883, Stellenbosch University, corresponding author), Xanthe Hunt (0000-0001-7531-6665, Stellenbosch University), Mark Tomlinson (0000-0001-5846-3444, Stellenbosch University), Anja Smit (Stellenbosch University)
Year2018
Volume48
Issue2
Pages193-205
Publication date2018-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSouth African Journal of Psychology (JOURNAL)
Journal identifiersISSN: 0081-2463 • E-ISSN: 2078-208X
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0081246317720853
OpenAlexW2736508681
LanguageEN
Citations received2
References cited35

Monitoring outcomes in psychotherapy is important for advancing research into empirically supported treatments, collecting data to inform practice-based evidence and for monitoring patient treatment responses during routine care. We implemented two routine outcome monitoring measures in a community psychology clinic in South Africa, namely, the Outcome Rating Scale and Kessler Psychological Distress Scale. In this article, we adopt a case study methodology to describe and critically reflect on the implementation process and evaluate the utility of the outcome data collected during the first year of implementation. Our findings suggest that the measures have some utility but that there were significant problems with implementation. We found that Outcome Rating Scale and Kessler Psychological Distress Scale scores correlated in the expected direction; however, Outcome Rating Scale intake scores for the present population were at odds with the measure’s norms. The findings highlight the care that needs to be taken to change routine clinical practice when outcome measures are implemented in local settings and the need for research to validate the use of these ROM measures in South African clinical settings

Developmental psychology · Distress · Logistic regression · Odds · Outcome (game theory) · Population · Psychiatry · Rating scale · Scale (ratio) · Clinical Psychology · Medicine · Psychiatric care and mental health services · Psychology · Psychotherapy Techniques and Applications · Schizophrenia research and treatment

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Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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