Measuring Goal Progress Using the Goal‐Based Outcome Measure in Youth Wellness Hubs Ontario—An Integrated Youth Services Network

Bibliographic Data

ID19508679
AuthorsDebbie Chiodo (0000-0002-4179-2871, Youth Wellness Hubs Ontario (YWHO) Toronto Ontario Canada), Deb Chiodo (Ontario Centre of Excellence for Child and Youth Mental Health, corresponding author), Aaron Turpin (0000-0003-1752-8410, Department of Human Services and Early Learning MacEwan Univesity Edmonton Alberta Canada), Janis Wolfe (Youth Wellness Hubs Ontario (YWHO) Toronto Ontario Canada), Karleigh Darnay (0000-0002-0395-8674, Youth Wellness Hubs Ontario (YWHO) Toronto Ontario Canada), Jo Henderson (Youth Wellness Hubs Ontario (YWHO) Toronto Ontario Canada), Joanna Henderson (0000-0002-9387-5193, Youth Wellness Hubs Ontario (YWHO) Toronto Ontario Canada)
Year2025
Volume28
Issue2
Pagese70240-e70240
Publication date2025-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.70240
PMID40135421
OpenAlexW4408885086
LanguageEN
References cited39

BACKGROUND: Goal-based outcomes (GBOs) are a tool for youth-directed care and have been successfully used in a small number of community youth mental health settings. Youth Wellness Hubs Ontario (YWHO) uses GBO data provided by youth to deliver care that amplifies youth voice in decision-making about supports that are important and meaningful to them. OBJECTIVE: This article summarizes GBO data from youth receiving clinical and nonclinical services at YWHO hubs to develop a more nuanced understanding of the type of goals set by young people when accessing services. DESIGN: A quantitative design utilizing content analysis was adopted to organize goal data into descriptive categories, which were further analysed by goal distribution and mean rating scores. PARTICIPANTS: Youth (n = 1851) from 22 YWHO networks provided GBO and demographic data. Data were collected across 7348 service visits and youth provided 19,290 goals. Consent for service was obtained, which included the use of personal health information to monitor progress, quality improvement and for evaluation purposes. VARIABLES: GBO data included a written goal and scaled goal rating component. Service visits and demographic variables were tabulated, whereas a mean score for goal achievement (i.e., goal rating) was generated. RESULTS: Six themes emerged from the analysis, including improve mental health (42.7% coverage, mean rating 3.9), connect to services (20.9% coverage, mean rating 4.4), intrapersonal development (15.3% coverage, mean rating 3.1), interpersonal development (12.0% coverage, mean rating 3.5), improve physical health (5.4% coverage, mean rating 2.9) and address substance use/other addiction (3.0% coverage, mean rating 3.1). CONCLUSION: The GBO tool allows youth to actively participate in setting their own assessment and outcome criteria, indicate which areas they require support and wish to improve and personalize shared decision-making. PATIENT OR PUBLIC CONTRIBUTION: The YWHO model was co-developed by youth, families, service providers and researchers. Youth and families informed the data measures and collection processes described within this article

Business · Developmental psychology · Goal setting · Interpersonal communication · Intrapersonal communication · Medical education · Mental health · Psychiatry · Rating scale · Adolescent and Pediatric Healthcare · Applied Psychology · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Psychology · Social Psychology · Marketing

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