What are Change Metrics?
What is the Reliable Change Index?
|Y-OQ® SR 2.0||18|
What are the adult subscales?
Symptom Distress (SD)
- Anxiety disorders
- Affective disorders
- Stress related iIllnesses
Interpersonal Relations (IR)
- Conflict with others
- Family difficulties
Social Role Performance (SR)
- Conflicts at work
- Interaction with parents, adults, and peers
What are the youth subscales?
Intrapersonal Distress (ID)
- Pain or weakness in joints
Interpersonal Relations (IR)
- Attitude towards others
- Communication and interaction with friends
- Aggressiveness, arguing, and defiance.
Critical Items (CI)
- Delusions, suicide, eating disorder issues.
Social Problems (SP)
- Sexual problems
- Substance abuse
Behavioral Dysfunction (BD)
- Times of inattention
How can we handle non readers or cognitively impaired clients?
You can have a staff read it to the client but training and supervision are necessary to ensure that we do not introduce bias into the answers. It is important if someone does not understand what you asked them to clarify the question if they have not gotten the point. Some of the questions are intentionally vague and a subjective response is desired, ie., the clients perception of what is being asked. How you phrase a question is very critical to creating an atmosphere where the client wants to present the most accurate impression of how they are doing.
Scoring and alerts
Client information from scores
Interpret the data
Scores are on the reports
Explaining the OQ
The therapist should take the opportunity to explain to the patient, parent, or guardian that the OQ is a routine questionnaire that monitors the patient’s sense of well being, just like a lab test.
- The patient, parent, or guardian should be informed that completing the OQ is encouraged, but voluntary.
- Patients should be told that completing the OQ is becoming a routine part of treatment for all psychotherapy patients and that they are not being singled out.
- The clinician can describe how reviewing the scores together can be both interesting and helpful.
- Experience with the instrument shows that the attitude, and of patients toward completing the measures, and ultimately their willingness to do so is highly dependent on therapists’ positive or negative attitudes.
- Few patients reject the measures if clinicians suggest they will be valuable and helpful to the patient.
The OQ provides a very early, statistically validated read on how the client is doing and whether they are having the desired or expected response to treatment.
- Results can be used to provide encouragement for clients who are doing well and to have a focused discussion about what is working and what is not if clients are not having the expected or desired improvement.
- The subscale scores can be used to identify and target particularly problematic areas as a focus of treatment.
- Client responses to particular items can draw provider attention to areas that need investigation during the current session.
- The results allow the provider and client to jointly monitor the client’s progress from a shared point of reference, allowing the client to participate more fully in assuring that their treatment is as effective and efficient as possible.