Using Youth Consumer Outcomes to Support Treatment Planning May 17, 2006 North Carolina Family Impact Seminar William O. Donnelly, Ph.D., Children’s Resource Center Leslie Brower Ph.D., RN, Ohio Department of Mental Health Includes slides adapted with permission from Ben Ogles, Ph.D., Ohio University

“If providers don’t measure outcomes, someone else will.” - M. Naditch (1994)

What are the Ohio Scales? n Brief, norm-referenced self-report measures n Behavioral rating scales n Parallel versions for parents, youth and clinicians n Administered at intake, then at 6-month intervals following first treatment plan, then annually

What do the Ohio Scales measure? n Behavior problems (20 items) n Functioning (20 items) n Hope (Stress and coping) (4 items) n Satisfaction with MH services (4 items) n Child placement n Markers of child adjustment

The Ohio Scales: parallel versions n Three types of informants: n Parents or primary caretakers (P-form, for children ages 5-18) n Youth (Y-form, ages 12-18) n Agency workers or clinicians (W–form, for clients ages 5-18)

Practical Use of Forms & Scores n Initial Assessment n Critical items (e.g., self-harm, drug use) n Treatment Planning n Tracking Change for outcome n Satisfaction with services n Aggregate Data (clinical & satisfaction)

One Example of Sensitivity to Change n Children in services n Parent, youth and agency worker ratings n Problem Severity

References n Ogles, B.M., Lunnen, K.M., Gillespie, D.K., Trout, S.C. (1996). Conceptualization and initial development of the Ohio Scales. In C. Liberton, K. Kutash & R. Friedman, (Eds.) The 8th Annual Research Conference Proceedings, A System of Care for Children’s Mental Health: Expanding the Research Base (pp ). Tampa FL: University of South Florida, Florida Mental Health Institute, Research and Training for Children’s Mental Health. n Ogles, B.M., Melendez, G., Davis, D.C., Lunnen, K.M. (1999). The Ohio Youth Problems, Functioning, and Satisfaction Scales (Short Form) User’s Manual (unpublished manuscript) n Ogles, B.M., Melendez, G., Davis, D.C., Lunnen, K.M. (2000). The Ohio Youth Problem, Functioning, and Satisfaction Scales Technical Manual (unpublished manuscript) n Ogles, B., Lambert, M., & Fields, S. (2002). Essentials of Outcome Assessment. New York: John Wiley.

Websites n Ben Ogles Ph.D., developer of Ohio Scales n n n Ohio Dept. of Mental Health Outcomes n es/outcomes.index.html es/outcomes.index.html