57.3 Implementing Self-Rating Scales in an Adolescent Unit

Abstract

Although psychiatry recognizes the benefits of measurement-based practice (MBP), unstructured clinical evaluations are routine inpatient practice. A meta-analysis demonstrated that unstructured clinical interviews yield different diagnoses than structured interviews. Research demonstrates that unstructured clinical interviews yield fewer diagnoses, commonly miss comorbid diagnoses, and have weak clinician interrater reliability. Further, there is a paucity of treatment outcome research within inpatient psychiatry due to the lack of MBP.