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Evaluating individual change

Jones, Lawrence F.
Howells, Kevin
Abstract
Clinical approaches to assessing change often rely upon a clinical review of individual case material in order to make judgments about change and pre-post-change on psychometric assessment. However, these methods only allow simple answers to be provided to the questions 'Has this particular individual changed?', 'By how much?' and 'In what way(s)?' and typically they do not provide robust information about the nature, extent or possible causes of change. However, more sophistication in relation to change measurement is developing in the United Kingdom as others, such as the Parole Board and Mental Health Review Tribunals, ask specific questions with respect to change. This has also been reflected in mental health settings through the revisions to the system for coordinating care for those with wide-ranging needs or most at risk known as the care programme approach; and in developments such as the creation of the outcomes compendium which provides clinicians 'who wish to gauge clinical effectiveness and recovery, in a balanced, culturally appropriate, ethical and respectful manner' with information on commonly used instruments for outcome measurement. This chapter explores the use of idiographic approaches for assessing change in the context of forensic settings. Four key questions will be addressed in order to develop a template for assessing change. Consideration will be given to the ways in which offence paralleling behaviour (OPB) might be incorporated into this approach. Those interested in data at the group level are reminded that individual and group approaches should be seen as complementary and that the approach laid out here lends itself to case aggregation in order to develop group-based outcomes. (PsycINFO Database Record (c) 2016 APA, all rights reserved)(chapter)
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2010
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Book chapter
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Davies, J., Jones, L. F. & Howells, K. (2010). Evaluating individual change. In: Daffern, M., Jones, L. & Shine, J. (eds.) Offence paralleling behaviour: A case formulation approach to offender assessment and intervention. Chichester: John Wiley and Sons, pp. 287-302.
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Available in the Library: https://nottshc.koha-ptfs.co.uk/cgi-bin/koha/opac-search.pl?idx=&q=%22offence+paralleling+behaviour%22&branch_group_limit=multibranchlimit-76&weight_search=1
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