Open AccessMaking a Case for Treatment Integrity as a Psychosocial Treatment Quality Indicator for Youth Mental Health Care
Author(s) -
McLeod Bryce D.,
SouthamGerow Michael A.,
Tully Carrie B.,
Rodríguez, Adriana,
Smith Meghan M.
Publication year - 2013
Publication title -
clinical psychology: science and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 105
eISSN - 1468-2850
pISSN - 0969-5893
DOI - 10.1111/cpsp.12020
Subject(s) - benchmarking , psychosocial , competence (human resources) , process management , mental health , quality (philosophy) , process (computing) , health care , psychology , medicine , knowledge management , business , computer science , psychotherapist , political science , social psychology , philosophy , epistemology , marketing , operating system , law
Measures of treatment integrity are needed to advance clinical research in general and are viewed as particularly relevant for dissemination and implementation research. Although some efforts to develop such measures are underway, a conceptual and methodological framework will help guide these efforts. The purpose of this article is to demonstrate how frameworks adapted from the psychosocial treatment, therapy process, healthcare, and business literatures can be used to address this gap. We propose that components of treatment integrity (i.e., adherence, differentiation, competence, alliance, client involvement) pulled from the treatment technology and process literatures can be used as quality indicators of treatment implementation and thereby guide quality improvement efforts in practice settings. Further, we discuss how treatment integrity indices can be used in feedback systems that utilize benchmarking to expedite the process of translating evidence‐based practices to service settings.