Goal formulation and tracking in child mental health settings: when is it more likely and is it associated with satisfaction with care?

Eur Child Adolesc Psychiatry. 2017 Jul;26(7):759-770. doi: 10.1007/s00787-016-0938-y. Epub 2017 Jan 18.

Abstract

Goal formulation and tracking may support preference-based care. Little is known about the likelihood of goal formulation and tracking and associations with care satisfaction. Logistic and Poisson stepwise regressions were performed on clinical data for N = 3757 children from 32 services in the UK (M age = 11; SDage = 3.75; most common clinician-reported presenting problem was emotional problems = 55.6%). Regarding the likelihood of goal formulation, it was more likely for pre-schoolers, those with learning difficulties or those with both hyperactivity disorder and conduct disorder. Regarding the association between goal formulation and tracking and satisfaction with care, parents of children with goals information were more likely to report complete satisfaction by scoring at the maximum of the scale. Findings of the present research suggest that goal formulation and tracking may be an important part of patient satisfaction with care. Clinicians should be encouraged to consider goal formulation and tracking when it is clinically meaningful as a means of promoting collaborative practice.

Keywords: CAMHS; Collaborative practice; GBOs; Goals; Satisfaction; Shared decision-making.

MeSH terms

  • Child
  • Decision Making
  • Female
  • Goals*
  • Humans
  • Male
  • Mental Health / trends*
  • Patient Satisfaction*