Measuring Treatment Integrity: Use of and Experience with Measurements in Child and Youth Care Organizations

Pauline Brigitta Goense, Leonieke Boendermaker, Tom van Yperen

Research output: Contribution to journalArticleAcademicpeer-review

1 Downloads (Pure)


Performance feedback and supervision are essential to the adoption of evidence-based interventions with high treatment integrity in child and youth care organizations. Little is known about the use of treatment integrity measurements in these organizations. For this study, 12 interventions for children and young people in the Netherlands with externalizing behavioral problems were selected. For each intervention, an expert, two supervisors, and two therapists were approached for an interview. In total, 54 semi-structured interviews were conducted. The results show that almost all interventions used treatment integrity instruments (N = 11, 91.7%). Only two used measurements for both QA procedures (certification and recertification) and supervision purposes. Therapists regard treatment integrity measurements as valuable when they are used for multiple purposes and feedback is provided. The results of this study suggest the feasibility of the use of measurements for multiple purposes. Collaborative action is required to develop instruments that effectively contribute to continuous improvement.

Original languageEnglish
Pages (from-to)469-488
JournalThe journal of behavioral health services & research
Issue number3
Publication statusPublished - Jul 2018


Dive into the research topics of 'Measuring Treatment Integrity: Use of and Experience with Measurements in Child and Youth Care Organizations'. Together they form a unique fingerprint.

Cite this