Clinical outcome, consumer satisfaction, and ad hoc ratings of improvement in children's mental health.

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Abstract
Mental health clinics and managed care organizations assess treatment effectiveness with consumer satisfaction measures and ad hoc measures of improvement obtained from a single informant; some of these measures are as simple as asking clients whether they improved during treatment. In the present correlational study of 199 treated adolescents, we used a multitrait-multimethod analysis to examine psychometrically measured pathology change (pre- and postassessment of symptoms and functioning), consumer satisfaction, and perceived improvement reported by multiple informants. Confirmatory factor-analytic results indicate that (a) outcome variance due to multiple informants cannot be ignored, (b) consumer satisfaction is unrelated to pathology change, and (c) parent-reported perceived improvement ratings are more akin to satisfaction than to pathology change.

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