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The Royal College of Psychiatrists Improving the lives of people with mental illness

 name of project

QNIC Routine Outcome Measurements Service


"Reliable, routine outcome measurement and data collection is a complex task that is only just beginning to be undertaken by many services. Ultimately, improving outcomes for children and young people is what matters most."  National CAMHS Review 2008

ROM Members:

QNIC also offers alternative ways to return data. If you are a ROM member please enter your login details and access PDF copies of all tools. Hard copies of questionnaires may be posted, faxed or scanned and emailed back to us.

Measures Used
All tools are freely available to download and print on this page.

Implementation Support
If your unit would like further practical support in implementing QNIC ROM please visit our 'implementation support' page where you can access details of units who have set up a successful system. Presentations by Professor Simon Gowers and Farah Khalid are also provided alongside an up to date newsletter.


QNIC ROM

QNIC offers a routine outcome measurement service in collaboration with the CAMHS Outcome Research Consortium (CORC) at no extra cost to members. The development of Routine Outcome Monitoring is set as a target within the Children’s NSF implementation report (2006) and QNIC can offer a system that members will inform to ensure appropriate use and interpretation of outcome data at a unit level as well as across the membership. Further details are provided below.

Pilot Phase: Five general adolescent units and one specialist eating disorder participated in the pilot which began in September 2007 and ran through to the end of December 2007. The purpose of the pilot was to assess:  (a) how well the data collection system worked for unit staff, (b) the feed-back process, analysis and potential interpretation of the data and (c) the overall usefulness of the QNIC ROM service in terms of clinical practice, service evaluation and development.

 

National roll out

Training days will now be held at regular intervals to enrol more units onto the service. If you are interested in becoming a member please contact Pamela Gallagher or telephone 020 3701 2663.

 

QNIC-ROM Consultation

A majority of members expressed an interest in the QNIC ROM service and responses were from all types of units (e.g. general adolescent units; specialist eating disorder etc). The QNIC ROM service to date has been informed by this consultation, a review of the literature, and the QNIC ROM Research and Advisory Group which CORC are a part of.

 


Outcome tools and other variables

  

Multiple perspectives will be sought from the clinician, young person, parent/carer, teacher at repeated time points - admission and discharge. For those units who think it is possible, we recommend completing certain measures in between these two time points (every 6 weeks for HoNOSCA and CGAS) to gain a clearer picture of change through time.

 

  • Health of the Nation Scales for the Children and Adolescents-HoNOSCA (Gowers et al.,1999);
  • Children’s Global Assessment Scale-CGAS (Schaffer et al., 1983);
  • Strengths and Difficulties Questionnaire- (Goodman, 1998); 
  • Eating Disorders Examination Questionnaire (Fairburn et al.,1994);
  • Diagnostic specific tools (e.g. Beck Hopelessness Scale) – we encourage the use of these specific scales and will endeavour to support this data collection on request.
  • Tools specific to specialist units will be selected based on the literature and further consultation with experts in each of the specialist groups.

Variables to account for the heterogeneity within and between units will include:

  • Demographic variables comparable to CORC
  • Baseline variables: severity of symptoms, purpose of admission: emergency, assessment, or treatment.
  • Diagnosis at discharge
  • Length of stay
  • Measure of satisfaction (CAMHSSS young person & parent version)

Qualitative accounts of young people and parent’s experiences of each service will be sought through the QNIC review process.


Data collection system

We are using an on-line data collection called SNAP. Each unit will be provided with their own security code and all the data variables and outcome tools are available on the 'Measures Used' web page.

 

On completion the QNIC ROM questionnaires can be printed off and placed in the young person’s file before being submitted electronically to QNIC. This data can be exported into Excel and SPSS and the raw data can be fed-back to units on a regular basis. No personal identifying data will be collected and the rules of anonymity and confidentiality will apply.


Analysis and reports

Regular individual reports are compiled by QNIC ROM which will provide graphical representation of the information provided. The mean scores of an individual unit will be compared against the mean scores of all QNIC ROM members.

We plan to consult with the membership on all aspects of the service and invite your feedback on the data variables and tools.

The service should be informed by your needs and be useful to your service at a clinical and service development level. You will be consulted about the usefulness of data collected and the unit level reports we plan to produce. 

 

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