Outcome Assessment

1
Outcome Assessment
2
Purposes of Outcome Assessment

• Treatment planning
• Treatment monitoring
• Accountability to others

3
Outcome Assessment Content

• Symptoms
• Specific
• Global
• Functioning/Quality of Life
• Satisfaction with Services

4
Outcome Assessment Sources and Time Intervals

• Sources
• Self-report
• Significant other
• Therapist
• Trained observer
• Archival
• Time intervals
• Pre-treatment
• Mid-treatment
• Post-treatment
• Follow-up

5
Beck Depression Inventory II (BDI-II)

• One of several instruments designed by Beck
• Assesses specific symptoms of depression,
  especially cognitive symptoms
• 21 items scored on 0 (no symptom) to 3 (severe
  symptom) scale
• Cut-offs provided for different levels of
  depression
• Lots of research, good psychometrics, convenient
• What do your scores mean?

6
State Trait Anxiety Inventory (STAI)

• Assesses specific symptoms of trait and state
  anxiety
• 40 total items 20 trait and 20 state
• Good psychometrics, convenient to use
• What do your scores mean?

7
SCL-90

• Symptom Checklist-90 is a checklist of symptoms
  rated from 0 (not present) to 4 (extremely
  distressed by symptom)
• Good psychometrics, convenient
• Normed on non-patients (adult and adolescent),
  psychiatric outpatients and inpatients
• Brief Symptom Inventory is a 53-item version with
  similar psychometrics.

8
SCL-90 (continued)

• Symptom dimensions include
• Somatization
• Obsessive-Compulsive
• Interpersonal Sensitivity
• Depression
• Anxiety
• Hostility
• Phobic Anxiety
• Paranoid Ideation
• Psychoticism
• Additional Items
• Global Indexes
• Global Severity Index (GSI)
• Positive Symptom Distress Index (PSDI)
• Positive Symptom Total (PST)

9
Other Brief Measures

• Symptoms
• Hamilton Rating Sale for Depression
• Hamilton Anxiety Rating Scale
• Fear Questionnaire
• Addiction Severity Index
• Function/Impairment
• GAF
• SOFAR