Can standardized diagnostic assessment be a useful adjunct to clinical assessment in child mental health services? A randomized controlled trial of disclosure of the Development and Well-Being Assessment to practitioners

Social Psychiatry and Psychiatric Epidemiology
Tamsin FordR Goodman

Abstract

While research demands standardized diagnostic assessments as an indication of sufficient methodological rigour, there is debate about their application to clinical practice. The Development and Well-Being Assessment (DAWBA) provides a structured assessment of psychiatric disorder. Since it can be completed on-line, it could be used by Child and Adolescent Mental Health Services with few additional demands on staff. Access to the standardized diagnostic information as an adjunct to clinical assessment could reduce the number of appointments spent on assessment, free up practitioner time to work on engagement and improve clinical outcomes by increasing the accuracy of assessment and thus access to the appropriate evidence-based treatment. Randomized controlled trial of the disclosure of the DAWBA to the assessing practitioner (n = 117) versus assessment at normal (n = 118) and analysed by "intention to disclose". Exposure to the DAWBA may increase agreement between the DAWBA and practitioners about some anxiety disorders, but detected no other statistically significant increased agreement for other disorders, nor a reduced need for further assessment, the number of difficulties recognised or influence on outcomes. The results ma...Continue Reading

References

Jan 1, 1989·Journal of the American Academy of Child and Adolescent Psychiatry·S R WeinsteinM Schwab-Stone
Dec 1, 1988·Controlled Clinical Trials·J P Matts, J M Lachin
Nov 1, 1983·Archives of General Psychiatry·D ShafferS Aluwahlia
Nov 1, 1983·The British Journal of Psychiatry : the Journal of Mental Science·M E Dewey
Aug 1, 1993·Journal of Consulting and Clinical Psychology·A O Horvath, L Luborsky
May 1, 1993·Journal of the American Academy of Child and Adolescent Psychiatry·E T AronenS R Weinstein
Jun 1, 1996·Journal of Public Health Medicine·J HunterE Garralda
Sep 29, 2000·The American Journal of Psychiatry·M Ramirez BascoV Barnett
Dec 5, 2000·The British Journal of Psychiatry : the Journal of Mental Science·R GoodmanH Meltzer
Nov 9, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·R Goodman
Jun 5, 2004·Public Health·V C Rodrigues
Jan 29, 2005·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Kristin M Hawley, John R Weisz
Apr 21, 2007·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Nadine SchuurmanLisa Oliver
Nov 6, 2007·The British Journal of Psychiatry : the Journal of Mental Science·Premal Shah, Deborah Mountain
Oct 8, 2008·Journal of Consulting and Clinical Psychology·Amanda Jensen-Doss, John R Weisz
Feb 23, 2012·BMJ : British Medical Journal·Lavinia Ferrante di RuffanoJonathan J Deeks
Jun 23, 2012·European Child & Adolescent Psychiatry·Marcel AebiHans-Christoph Steinhausen
Feb 1, 2005·Child and Adolescent Mental Health·Tamsin FordHoward Meltzer

❮ Previous
Next ❯

Citations

Feb 4, 2014·Social Psychiatry and Psychiatric Epidemiology·Sandra PetrescoAlicia Matijasevich
Jul 5, 2013·European Child & Adolescent Psychiatry·Maj-Britt PosserudAstri Johansen Lundervold
Jul 2, 2016·Child Psychiatry and Human Development·Christine KuhnHans-Christoph Steinhausen
Nov 9, 2016·Archives of Disease in Childhood·Eric Taylor
May 1, 2021·International Journal of Environmental Research and Public Health·Carolina GonzálezCristian Martinich

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Epigenetics Insights from Twin Studies

Find the latest research on epigenetics and twin studies here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Related Papers

Journal of the American Academy of Child and Adolescent Psychiatry
Adrian AngoldE Jane Costello
Journal of the American Academy of Child and Adolescent Psychiatry
Bacy Fleitlich-Bilyk, Robert Goodman
Current Opinion in Psychiatry
Alean Al-Krenawi
© 2021 Meta ULC. All rights reserved