Abstract

This commentary on the articles published in the special section on the development and implementation of measurement feedback systems (MFSs) discusses three challenging themes in the process of MFS implementation: design and planning, organizational context, and sustainability and unintended consequences. It is argued that the implementation of MFSs is complex, but is an important step in improving outcomes in routine care for children and young persons.

Highlights

  • In the past decade, the implementation of measurement feedback systems (MFSs), referred to as progress feedback or outcome monitoring, has taken a leap worldwide

  • Sometimes scientists buy into a MFS financially as well, or get benefits from the sales of a package, or from giving trainings in the use of the MFS. These situations may lead to conflicts of interest, or situations in which shared creative ownership of the MFS can lead to problems in the continuation of a research line. The articles in this special section teach us that the implementation of MFSs is a complex process in which many challenges need to be faced

  • They show us good examples of successful implementation processes or creative solutions to challenges faced, which will be extremely helpful to future implementers of MFSs

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Summary

Keywords Outcome monitoring Á Feedback Á Implementation

The implementation of measurement feedback systems (MFSs), referred to as progress feedback or (routine) outcome monitoring, has taken a leap worldwide. Several countries have mandated the use of MFSs as part of routine care (e.g. United Kingdom, Australia, Norway, the Netherlands), and in other countries large public or private initiatives exist (e.g. United States, Germany, Chile). By using an MFS, the client’s progress in treatment is tracked by frequent administration of standardized measures. The MFS supports the clinician in deciding to adapt treatment when insufficient progress has been made. There are several feedback systems available (e.g. OQ Measures, PCOMS, TOP), and MFSs have been introduced in a variety of settings (inpatient, outpatient, group and individual therapy), populations

Design and Planning
Organizational Context
Sustainability and Unintended Consequences
Findings
Conclusion

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