Improving Outcomes in Social Services Through Routine Outcome Monitoring and Systematic Client Feedback

Summary

In this project the investigators want to test whether a new method FIT (Feedback informed treatment) can improve the interventions people receive through social services. The FIT method involves regularly providing information about how the client think things are going and what the client thinks about the help and care they receive.

Conditions

• Substance Use Disorders
• Criminal Behavior
• Domestic Violence
• Social Care
• Family Communication
• Family Conflict
• Child Behavior Problem
• Housing
• Everyday Activities

Interventions

BEHAVIORAL

Feedback informed treatment (FIT)

Consists of digital or paper tools that systematically collect feedback from the client and presents this to counselor or therapist. However, FIT is more than a collection of measures: an approach, both on the part of the social worker and on the part of the organization, where feedback from the client is actively sought and welcomed, and support of flexibility that interventions can be changed during the treatment period to prevent a negative outcome.

BEHAVIORAL

Treatment as usual (TAU)

Psychosocial support and treatment interventions to help clients in social services with various problems. This can be in the form of individual counselling, social casework, family and network interventions, and similar. These interventions include a variation of cognitive, behavioral, family therapeutic and psychodynamic therapeutic techniques as well as methods for supporting and caring for the client rather than treating specific conditions. The task of social services in Sweden borders to that of psychiatry, addiction care and the correctional system, which are organized on a regional or national level, as opposed to the municipal grounding of social services. Interventions are carried out in the client's environment, in outpatient care and through residential treatment facilities.

Sponsors & Collaborators

• Karolinska Institutet

  lead OTHER

Principal Investigators

• Magnus Johansson, PhD · Karolinska Institutet

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

15 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-12-05

Primary Completion

2028-06-15

Completion

2028-12-15

Countries

• Sweden

Study Locations