Clinician's corner: Response to Gormley et al
1Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital.
Families, Systems & Health : the Journal of Collaborative Family Healthcare
|September 21, 2020
Summary
This commentary highlights that while sustained measurement is important for program integration, direct observations are resource-intensive and not feasible for many clinicians, impacting time and budget considerations.
Area of Science:
- Clinical Psychology
- Healthcare Management
- Program Implementation
Background:
- The original article by Gormley et al. (2020) addresses barriers to program integration.
- Clinicians face practical challenges in implementing recommended practices.
- Time and financial resources are critical factors in healthcare program adoption.
Purpose of the Study:
- To comment on the practical relevance of Gormley et al.'s (2020) findings on program integration barriers.
- To discuss the feasibility of sustained measurement methods in clinical settings.
- To highlight resource constraints faced by clinicians.
Main Methods:
- The author provides a clinical perspective based on professional experience.
- Discussion focuses on the barriers of time, money, and space in program integration.
- Critique of direct observation as a sustained measurement method due to resource intensity.
Main Results:
- Sustained measurement over time is crucial for evaluating program integration.
- Direct observations, while valuable, are not a feasible method for regular use by most clinicians.
- Time and financial costs are significant anticipated barriers for integration programs.
Conclusions:
- The importance of considering clinician workload and resource availability when designing measurement strategies.
- Alternative, less resource-intensive methods for sustained measurement may be needed.
- Practical barriers like time and money must be addressed for successful program integration in clinical settings.

