Abstract：
BACKGROUND: Outcome monitoring can support the delivery of quality service that meets the needs of clients, clinicians and services. However, few studies have examined client or staff perspectives on the design and implementation of outcomes monitoring within a service. Implementation of outcomes monitoring requires understanding the preferences and expectations of relevant stakeholders.
OBJECTIVE: Informed by the Consolidated Framework for Implementation Research, this study aimed to investigate the preferences and priorities of relevant staff, clients and family members to inform the design and implementation of an effective outcomes monitoring system in the context of a mental health service for military veterans and their families.
METHODS: Twenty-nine staff participated across five online focus groups, including clinical staff, peer workers, policy staff and supervisors. Ten clients participated in online or telephone semi-structured interviews. Thematic analysis was used to develop themes from the data.
RESULTS: Clients and staff agreed that outcomes monitoring should cover more than symptoms, particularly by incorporating functional outcomes. Assessing mental health over time was considered a valuable tool for supporting treatment processes and providing actionable information. Challenges identified by clients and staff included the need for efficient processes, ensuring measures are relevant and acceptable, and maintaining client privacy. The ability to personalise data collection and have a streamlined, responsive system were key attributes of a quality outcomes monitoring framework.
CONCLUSIONS: Findings suggest that an effective outcome monitoring framework should be client-led, tailored to the individual\'s needs, and provide feedback on progress. Outcomes monitoring should also be efficient, accessible and allow for safe information sharing.
OBJECTIVE: Informed by the Consolidated Framework for Implementation Research, this study aimed to investigate the preferences and priorities of relevant staff, clients and family members to inform the design and implementation of an effective outcomes monitoring system in the context of a mental health service for military veterans and their families.
METHODS: Twenty-nine staff participated across five online focus groups, including clinical staff, peer workers, policy staff and supervisors. Ten clients participated in online or telephone semi-structured interviews. Thematic analysis was used to develop themes from the data.
RESULTS: Clients and staff agreed that outcomes monitoring should cover more than symptoms, particularly by incorporating functional outcomes. Assessing mental health over time was considered a valuable tool for supporting treatment processes and providing actionable information. Challenges identified by clients and staff included the need for efficient processes, ensuring measures are relevant and acceptable, and maintaining client privacy. The ability to personalise data collection and have a streamlined, responsive system were key attributes of a quality outcomes monitoring framework.
CONCLUSIONS: Findings suggest that an effective outcome monitoring framework should be client-led, tailored to the individual\'s needs, and provide feedback on progress. Outcomes monitoring should also be efficient, accessible and allow for safe information sharing.
摘要：
背景：结果监控可以支持提供满足客户需求的优质服务，临床医生和服务。然而,很少有研究检查了客户或员工对服务中结果监控的设计和实施的看法。实施成果监测需要了解相关利益攸关方的偏好和期望。
目标：由实施研究综合框架通知，本研究旨在调查相关员工的偏好和优先事项，在为退伍军人及其家人提供精神卫生服务的背景下，客户和家庭成员告知设计和实施有效的结果监测系统。
方法：29名员工参加了五个在线焦点小组，包括临床工作人员，同行工作者,政策工作人员和主管。十名客户参加了在线或电话半结构化面试。主题分析用于根据数据制定主题。
结果：客户和工作人员一致认为，结果监测应涵盖的不仅仅是症状，特别是通过纳入功能成果。随着时间的推移评估心理健康被认为是支持治疗过程和提供可操作信息的宝贵工具。客户和员工发现的挑战包括需要高效的流程，确保措施是相关和可接受的，维护客户隐私。能够个性化数据收集并简化，响应系统是质量结局监测框架的关键属性.
结论：研究结果表明，有效的结果监测框架应该由客户主导，根据个人需求量身定制，并提供进展反馈。成果监测也应该是有效的，可访问并允许安全的信息共享。
目标：由实施研究综合框架通知，本研究旨在调查相关员工的偏好和优先事项，在为退伍军人及其家人提供精神卫生服务的背景下，客户和家庭成员告知设计和实施有效的结果监测系统。
方法：29名员工参加了五个在线焦点小组，包括临床工作人员，同行工作者,政策工作人员和主管。十名客户参加了在线或电话半结构化面试。主题分析用于根据数据制定主题。
结果：客户和工作人员一致认为，结果监测应涵盖的不仅仅是症状，特别是通过纳入功能成果。随着时间的推移评估心理健康被认为是支持治疗过程和提供可操作信息的宝贵工具。客户和员工发现的挑战包括需要高效的流程，确保措施是相关和可接受的，维护客户隐私。能够个性化数据收集并简化，响应系统是质量结局监测框架的关键属性.
结论：研究结果表明，有效的结果监测框架应该由客户主导，根据个人需求量身定制，并提供进展反馈。成果监测也应该是有效的，可访问并允许安全的信息共享。
