The Quality of Assessments for Childhood Psychopathology Within a Regional Medical Center

Adam F. Sattler, Jarrod M. Leffler, Nicole L. Harrison, Ewa D. Bieber, Joseph J. Kosmach, Leslie A. Sim, Stephen Perry Whiteside

Research output: Contribution to journalArticle

Abstract

Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev., DSM-IV-TR, American Psychiatric Association, 2000) criteria. Use of these practices was evaluated via analysis of documentation contained within a regional medical center's medical records. This analysis was limited to 2,499 session notes from patient appointments associated with psychiatric disorders newly diagnosed during 2013. In total, session notes were linked to 694 children aged 7 to 17. Results indicated that EBA use was low overall, although self-report measures were utilized relatively frequently versus structured interviews. Diagnostic specificity was also low overall and clinicians rarely documented full diagnostic criteria; however, EBA use was associated with increased diagnostic specificity. Further, clinicians practicing in psychological, psychiatric, and primary care settings were more likely to use self-report measures as compared to those practicing in an integrated behavioral health social work setting. In addition, structured interviews were most likely to be utilized by clinicians practicing in a psychological services setting. Finally, clinicians were more likely to use self-report measures when the identified primary concern was a mood disorder or attention-deficit/hyperactivity disorder (ADHD). Based on these results, we provide suggestions and references to resources for clinicians seeking to improve the quality of their assessments via implementation of EBA.

Original languageEnglish (US)
JournalPsychological Services
DOIs
StateAccepted/In press - May 17 2018

Fingerprint

Psychopathology
Self Report
Interviews
Diagnostic and Statistical Manual of Mental Disorders
Documentation
Psychiatry
Psychology
Adjustment Disorders
Attention Deficit Disorder with Hyperactivity
Social Work
Mood Disorders
Medical Records
Primary Health Care
Appointments and Schedules
Mental Health
Health
Research
Therapeutics

Keywords

  • Child
  • Community care
  • Evidenced-based assessment
  • Health system data
  • Psychiatric disorders

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology

Cite this

Sattler, A. F., Leffler, J. M., Harrison, N. L., Bieber, E. D., Kosmach, J. J., Sim, L. A., & Whiteside, S. P. (Accepted/In press). The Quality of Assessments for Childhood Psychopathology Within a Regional Medical Center. Psychological Services. https://doi.org/10.1037/ser0000241

The Quality of Assessments for Childhood Psychopathology Within a Regional Medical Center. / Sattler, Adam F.; Leffler, Jarrod M.; Harrison, Nicole L.; Bieber, Ewa D.; Kosmach, Joseph J.; Sim, Leslie A.; Whiteside, Stephen Perry.

In: Psychological Services, 17.05.2018.

Research output: Contribution to journalArticle

Sattler, Adam F. ; Leffler, Jarrod M. ; Harrison, Nicole L. ; Bieber, Ewa D. ; Kosmach, Joseph J. ; Sim, Leslie A. ; Whiteside, Stephen Perry. / The Quality of Assessments for Childhood Psychopathology Within a Regional Medical Center. In: Psychological Services. 2018.
@article{f2631d22904b4f5b8ebdde9202347639,
title = "The Quality of Assessments for Childhood Psychopathology Within a Regional Medical Center",
abstract = "Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev., DSM-IV-TR, American Psychiatric Association, 2000) criteria. Use of these practices was evaluated via analysis of documentation contained within a regional medical center's medical records. This analysis was limited to 2,499 session notes from patient appointments associated with psychiatric disorders newly diagnosed during 2013. In total, session notes were linked to 694 children aged 7 to 17. Results indicated that EBA use was low overall, although self-report measures were utilized relatively frequently versus structured interviews. Diagnostic specificity was also low overall and clinicians rarely documented full diagnostic criteria; however, EBA use was associated with increased diagnostic specificity. Further, clinicians practicing in psychological, psychiatric, and primary care settings were more likely to use self-report measures as compared to those practicing in an integrated behavioral health social work setting. In addition, structured interviews were most likely to be utilized by clinicians practicing in a psychological services setting. Finally, clinicians were more likely to use self-report measures when the identified primary concern was a mood disorder or attention-deficit/hyperactivity disorder (ADHD). Based on these results, we provide suggestions and references to resources for clinicians seeking to improve the quality of their assessments via implementation of EBA.",
keywords = "Child, Community care, Evidenced-based assessment, Health system data, Psychiatric disorders",
author = "Sattler, {Adam F.} and Leffler, {Jarrod M.} and Harrison, {Nicole L.} and Bieber, {Ewa D.} and Kosmach, {Joseph J.} and Sim, {Leslie A.} and Whiteside, {Stephen Perry}",
year = "2018",
month = "5",
day = "17",
doi = "10.1037/ser0000241",
language = "English (US)",
journal = "Psychological Services",
issn = "1541-1559",
publisher = "American Psychological Association Inc.",

}

TY - JOUR

T1 - The Quality of Assessments for Childhood Psychopathology Within a Regional Medical Center

AU - Sattler, Adam F.

AU - Leffler, Jarrod M.

AU - Harrison, Nicole L.

AU - Bieber, Ewa D.

AU - Kosmach, Joseph J.

AU - Sim, Leslie A.

AU - Whiteside, Stephen Perry

PY - 2018/5/17

Y1 - 2018/5/17

N2 - Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev., DSM-IV-TR, American Psychiatric Association, 2000) criteria. Use of these practices was evaluated via analysis of documentation contained within a regional medical center's medical records. This analysis was limited to 2,499 session notes from patient appointments associated with psychiatric disorders newly diagnosed during 2013. In total, session notes were linked to 694 children aged 7 to 17. Results indicated that EBA use was low overall, although self-report measures were utilized relatively frequently versus structured interviews. Diagnostic specificity was also low overall and clinicians rarely documented full diagnostic criteria; however, EBA use was associated with increased diagnostic specificity. Further, clinicians practicing in psychological, psychiatric, and primary care settings were more likely to use self-report measures as compared to those practicing in an integrated behavioral health social work setting. In addition, structured interviews were most likely to be utilized by clinicians practicing in a psychological services setting. Finally, clinicians were more likely to use self-report measures when the identified primary concern was a mood disorder or attention-deficit/hyperactivity disorder (ADHD). Based on these results, we provide suggestions and references to resources for clinicians seeking to improve the quality of their assessments via implementation of EBA.

AB - Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev., DSM-IV-TR, American Psychiatric Association, 2000) criteria. Use of these practices was evaluated via analysis of documentation contained within a regional medical center's medical records. This analysis was limited to 2,499 session notes from patient appointments associated with psychiatric disorders newly diagnosed during 2013. In total, session notes were linked to 694 children aged 7 to 17. Results indicated that EBA use was low overall, although self-report measures were utilized relatively frequently versus structured interviews. Diagnostic specificity was also low overall and clinicians rarely documented full diagnostic criteria; however, EBA use was associated with increased diagnostic specificity. Further, clinicians practicing in psychological, psychiatric, and primary care settings were more likely to use self-report measures as compared to those practicing in an integrated behavioral health social work setting. In addition, structured interviews were most likely to be utilized by clinicians practicing in a psychological services setting. Finally, clinicians were more likely to use self-report measures when the identified primary concern was a mood disorder or attention-deficit/hyperactivity disorder (ADHD). Based on these results, we provide suggestions and references to resources for clinicians seeking to improve the quality of their assessments via implementation of EBA.

KW - Child

KW - Community care

KW - Evidenced-based assessment

KW - Health system data

KW - Psychiatric disorders

UR - http://www.scopus.com/inward/record.url?scp=85046967852&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85046967852&partnerID=8YFLogxK

U2 - 10.1037/ser0000241

DO - 10.1037/ser0000241

M3 - Article

AN - SCOPUS:85046967852

JO - Psychological Services

JF - Psychological Services

SN - 1541-1559

ER -