Issue

I.P.M. Keet, M.A. Nugter, A. Hafkenscheid, F. Van Den Eede, M.M. Thunnissen

Review article

Background and possible use of ROM in mental health care

M.A. Nugter, V.J.A. Buwalda

background Routine outcome measurement or monitoring (rom) has attracted worldwide attention largely as a result of developments in the field of quality care and scientific research.
aim To provide insight into the significance of rom for Dutch m...

Review article

Empirical evidence for the effectiveness of Routine Outcome Monitoring. A study of the literature

I.V.E. Carlier, D. Meuldijk, I.M. van Vliet, E.M. van Fenema, N.J.A. van der Wee, F.G. Zitman

Summary
background Routine Outcome Monitoring (rom) is an important instrument for measuring the effectiveness of treatment and has been implemented in the Dutch mental health care system.
aim To review the effectiveness of rom with regard to di...

Routine monitoring: the interpretation of graphical feedback inevitably involves subjectivity

A. Hafkenscheid

summary
background Most systems for routine monitoring provide therapists with graphical feedback. Many therapists, however, find it extremely difficult to interpret graphs.
aim To increase therapists’ awareness that the interpretation of graphic...

ROM and the position of the health insurance companies

R. Laane, R. Luijk

Summary
background Up till 2008 the Dutch mental health services came under the Dutch General Law on Special Medical Costs (awbz). Health insurers regarded the mental health services as ‘black box’. In 2008 the mental health services were transfer...

Routine outcome monitoring and benchmarking: how can treatment results be compared in a responsible manner?

M.J. Noom, K. de Jong, B. Tiemens, F. Kamsteeg, M.T. Markus, A.M. Pot, G.M. Schippers, W. Swildens, S. Sytema, J. Theunissen, H.P. van der Vlist, J. Vuyk, J. Zondervan

Summary
background The structural measurement of the results of treatment under the Dutch mental health services and a comparison of these results between mental health centres help to provide insight into the effectiveness of treatment in genera...

ROM in adult psychiatry: an evaluation of measurement instruments

V.J.A. Buwalda, M.A. Nugter, S.Y. van de Brug, S. Draisma, J.H. Smit, J.A. Swinkels, W. van Tilburg

summary
background An evaluation of the most commonly used rom measures in Dutch psychiatry is lacking, both for severe mental illnesses and for common psychiatric disorders.
aim To provide an overview of the characteristics and quality of outcome ...

The use of HoNOS in the treatment of patients

M.A. Nugter, V.J.A. Buwalda, A.D.F. Dhondt, S. Draisma

Summary
background In order to use outcome scores for making decisions about treatment, practitioners need to know the course of scores of several groups of patients.
aim To test the applicability of methods for computing cut-off scores and indiv...

Meaningful ‘romming’ (routine outcome monitoring): seeking a balance between userfriendliness and clinical relevance

N. Stinckens, D. Smits, L. Claes, S. Soenen

Summary
Background In the course of the last few years several rom systems have been developed in which the measurements and feedback are restricted to the therapy outcome in terms of symptom reduction. In these ROM systems the emphasis is on the ...

Don’t say: Stand still, or I can’t measure you! Routine outcome measurement in child- and adolescent psychiatry

F. Boer, M. Th. Markus, R.R.J.M. Vermeiren

Summary
background In psychiatry rom is more difficult to use with children and adolescents than with other subject groups. In 2008 a Dutch consortium was set up to study the use of rom with children and adolescents (romckap).
aim To investigate...

ROM in mood, anxiety and somatoform disorders: a promising technique with pleasing results

F.G. Zitman

Summary
background Since 2002 the Leiden University Medical Center and the psychiatric hospital Rivierduinen have been using routine outcome monitoring in patients suffering from mood, anxiety and somatoform disorders (rom-mas).
aim To describe t...

Routine outcome monitoring in forensic psychiatry: a long story cut short

K. Goethals, H.J.C. van Marle

Summary
background It is difficult to do research relating to forensic psychiatric patients because there are a number of methodological problems inherent in systematic measurements in forensic psychiatry.
aim To give readers an overview of the ro...

Five years of ROM in substance abuse treatment centres in the Netherlands

S.C.C. Oudejans, G.M. Schippers, M.E. Spits, M. Stollenga, W. van den Brink

summary
background Three substance abuse treatment centres set up a benchmarking project for routine outcome management (rom) of structured cognitive behavioral treatments for outpatients with a substance use disorder.
aim To present the results of...

Effects of treatment duration on the interpretation of ROM data in ACT patients

C.L. Mulder, H.E. Kortrijk

Summary
background Patients with severe mental illness (smi) generally receive long-term treatment. Interrupting treatment or leaving treatment early can lead to problems with the interpretation of routine outcome monitoring (rom) data.
aim To d...

The role of the therapist: the ‘forgotten’ factor in ROM