ABSTRACT

Geoffrey Baruch at the Brandon Centre in London has pioneered the use of routine outcome monitoring in the context of outpatient psychodynamic psychotherapy services for young people. The details of Brandon Centre Patients were completed by the clinician as the information arose during interviews. The proposed incorporation into the clinical sphere of work of a self-report form filled out by the young person and a form filled out by a significant other at intake, and then followed up periodically, posed the greatest difficulty for clinical practice. The psychotherapist can exclude young people who are unwilling to participate, or who are unable to fill in the form because they are severely disturbed and in crisis. Since the audit began, only a handful of young people have been excluded on these grounds. Several young people with learning disabilities have been helped by their psychotherapist to read the questions.