2490 - CHARACTERISTICS AND PRACTICES OF FEEDBACK INFORMED BY ROUTINE OUTCOME MONITORING FOR ADULTS AND YOUNG PEOPLE ACCESSING ALCOHOL AND OTHER DRUG TREATMENT

Session: D02S008 - Mental Health Assessment 1
AUTHORS:
Beck Alison (School of Psychology, Faculty of Arts, Social Sciences and Humanities, Northfields Ave, University of Wollongong ~ Wollongong, NSW ~ Australia) , Hides Leanne (National Centre for Youth Substance Use Research, School of Psychology, The University of Queensland ~ St Lucia, QLD ~ Australia) , Stirling Robert (Network of Alcohol and other Drugs Agencies ~ Potts Point, NSW ~ Australia) , Larance Briony (School of Psychology, Faculty of Arts, Social Sciences and Humanities, Northfields Ave, University of Wollongong ~ Wollongong, NSW ~ Australia) , Campbell Gabrielle (National Centre for Youth Substance Use Research, School of Psychology, The University of Queensland ~ St Lucia, QLD ~ Australia) , Baker Amanda (National Drug and Alcohol Research Centre, University of NSW ~ Randwick, NSW ~ Australia) , Hudson Suzie (National Drug and Alcohol Research Centre, University of NSW ~ Randwick, NSW ~ Australia) , Marsden John (Addictions Department, School of Academic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, ~ London ~ United Kingdom) , Pocuca Nina (National Centre for Youth Substance Use Research, School of Psychology, The University of Queensland ~ St Lucia, QLD ~ Australia) , Connor Jason (National Centre for Youth Substance Use Research, School of Psychology, The University of Queensland ~ St Lucia, QLD ~ Australia) , Farrell Michael (National Drug and Alcohol Research Centre, University of NSW ~ Randwick, NSW ~ Australia) , Kelly Peter (School of Psychology, Faculty of Arts, Social Sciences and Humanities, Northfields Ave, University of Wollongong ~ Wollongong, NSW ~ Australia)
Abstract text:
Introduction: Routinely monitoring therapeutic outcomes and processes, and using this data to provide clinicians and clients with progress feedback is central to evidence based practice for a range of chronic conditions, including substance use. Evidence supports the therapeutic benefits of outcome monitoring and feedback for people accessing treatment for mental health and substance use concerns (e.g. improved engagement and outcomes). However, research has largely focused on the impact of routine outcome monitoring and feedback on treatment effectiveness. Comparatively less attention has been paid to the development, characteristics, use and implementation of feedback, particularly within substance use treatment settings. To optimise the use of feedback in substance use treatment, improved understanding of feedback characteristics and practices is needed.
Method: A scoping review informed by guidelines from the Joanna Briggs Institute was conducted to describe: a) the nature and extent of evidence; b) the development, characteristics and use of feedback and c) implementation considerations. A systematic search of 11 online databases produced 796 articles. Independent title/abstract and full-text screening identified 20 evaluations of routine outcome monitoring and feedback for inclusion. Data extraction was performed independently by two researchers.
Results: Evaluations were primarily conducted in the USA (11/20), in community-based treatment settings (17/20) using non-randomised designs (14/20). Feedback characteristics and practices varied, but commonalities included technology-assisted outcome assessment to generate immediate, weekly, multi-dimensional feedback comprising a visual representation of change across time. Explicit guidance for using feedback to inform treatment was rare (1/20). Implementation considerations are discussed across fidelity and training practices; participant and provider experience; and barriers and enablers.
Conclusions: Improved attention to residential settings, diversity considerations, health literacy, provider training and fidelity are needed. To help clinicians use feedback in a meaningful way to inform treatment, improved guidance is essential. The recently developed 'Collect Share Act' framework may serve as a useful template.