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Service profiling and outcomes benchmarking using the CORE-OM: Toward practice-based evidence in the psychological therapies.
Abstract
To complement the evidence-based practice paradigm, the authors argued for a core outcome measure to provide practice-based evidence for the psychological therapies. Utility requires instruments that are acceptable scientifically, as well as to service users, and a coordinated implementation of the measure at a national level. The development of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is summarized. Data are presented across 39 secondary-care services (n = 2,710) and within an intensively evaluated single service (n = 1,455). Results suggest that the CORE-OM is a valid and reliable measure for multiple settings and is acceptable to users and clinicians as well as policy makers. Baseline data levels of patient presenting problem severity, including risk, are reported in addition to outcome benchmarks that use the concept of reliable and clinically significant change. Basic quality improvement in outcomes for a single service is considered.
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“The CORE-OM has published evidence of reliability and validity [29,30] and has been used in previous UK mental health trials [31].”
From Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care (2014) · cites this paper as [29]
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Metadata
- Authors
- Barkham, M., Margison, F., Leach, C., Lucock, M., Mellor-Clark, J., Evans, C., Benson, L., Connell, J., Audin, K., & McGrath, G.
- Affiliations
- University of Leeds (GB)
- Manchester Royal Infirmary (GB)
- The Tavistock and Portman NHS Foundation Trust (GB)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2001
- Volume
- 69
- Issue
- 2
- Pages
- 184-196
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2018435777
- Cited by
- 532
- References
- 39
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 9 · 2023: 17 · 2022: 15 · 2021: 15 · 2020: 20 · 2019: 16 · 2018: 26 · 2017: 30 · 2016: 18 · 2015: 29 · 2014: 26 · 2013: 39 · 2012: 29
- FWCI
- 15.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- University of Huddersfield Repository (University of Huddersfield) (submittedVersion)
- Huddersfield Research Portal (University of Huddersfield) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- CORE-OM, outcome measures, psychotherapy, practice-based evidence, reliability and validity, quality improvement
- MeSH terms
- Delivery of Health Care, England, Evaluation Studies as Topic, Humans, Outcome and Process Assessment, Health Care, Psychotherapy, Evidence-Based Medicine, Benchmarking
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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