Service profiling and outcomes benchmarking using the CORE-OM: Toward practice-based evidence in the psychological therapies

To complement the evidence-based practice paradigm, the authors argued for a core outcome measure to provide practice-based evidence for the psycholog ical therapies. Utility requires instruments that are acceptable scientific ally, as well as to service users, and a coordinated implementation of the measure at a national level. The development of the Clinical Outcomes in Ro utine Evaluation-Outcome Measure (CORE-OM) is summarized. Data are presente d across 39 secondary-care services (n = 2,710) and within an intensively e valuated 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 p resenting problem severity, including risk, are reported in addition to out come benchmarks that use the concept of reliable and clinically significant change. Basic quality improvement in outcomes for a single service is cons idered.