Article

Rehabilitation Outcomes and Assessment: Toward a Model of Complex Adaptive Rehabilitation

Nancy Hansen Merbitz, Charles T. Merbitz and Judy P. Ripsch

in The Oxford Handbook of Rehabilitation Psychology

Published in print July 2012 | ISBN: 9780199733989
Published online November 2012 | | DOI: http://dx.doi.org/10.1093/oxfordhb/9780199733989.013.0006

Series: Oxford Library of Psychology

 Rehabilitation Outcomes and Assessment: Toward a Model of Complex Adaptive Rehabilitation

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Vigorous international debate continues regarding standards of evidence in rehabilitation and guidelines for evidence reviews, as these impact reimbursement and drive scientific and clinical practices. A large portion of rehabilitation research funding in the United States goes toward the development of standardized rating scales and taxonomies of treatments. Another trend—quality improvement—is increasingly evident in the study of services in medicine, nursing, and psychotherapy, and is just beginning to enter the rehabilitation literature. Among many contributions, international communities collaborating in quality improvement have promoted greater awareness of the challenges and opportunities posed by complex adaptive systems. In this chapter, after reviewing dominant trends, we describe how methods of research from the quality improvement tradition and other methods compatible with it may transform processes and outcomes in rehabilitation.

Keywords: Complex adaptive systems; quality improvement; single-case experimental designs; Precision Teaching; selectionism; rehabilitation outcomes; process measures; patient-centered rehabilitation; Standard Celeration Chart

Article.  22899 words. 

Subjects: Psychology ; Clinical Psychology ; Psychological Assessment and Testing

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