Development of a Clinician Report Measure to Assess Psychotherapy for Depression in Usual Care Settings

Published in: Administration and Policy in Mental Health and Mental Health Services Research, v. 37, no. 3, May 2010, p. 221-229

Posted on RAND.org on January 01, 2010

by Kimberly A. Hepner, Francisca Azocar, Gregory L Greenwood, Jeanne Miranda, M. Audrey Burnam

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Although mental health policy initiatives have called for quality improvement in depression care, practical tools to describe the quality of psychotherapy for depression are not available. We developed a clinician-report measure of adherence to three types of psychotherapy for depression-cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. A total of 727 clinicians from a large, national managed behavioral health care organization responded to a mail survey. The measure demonstrated good psychometric properties, including appropriate item-scale correlations, internal consistency reliability, and a three-factor structure. Our results suggest that this questionnaire may be a promising approach to describing psychotherapy for depression in usual care.

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