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Goal Attainment Scaling

Goal attainment scales measure the client's progress towards attaining specific goals that have been set by the client and the clinician. There are several advantages to goal attainment scales. These include the ability to tailor the measurement to the wishes and needs of a specific client and the tendency of goal attainment scaling to foster goal oriented treatment.

However, there are also significant disadvantages to this approach to measurement. Without a standard set of items administered to all clients, it is difficult to compare outcomes from one client to another or from one organization to another. Do some clinicians tend to negotiate more challenging goals with their clients than others? How does one adjusts for differences in the difficulty of the goals?

Some organizations have taken the approach of combining in items from standardized questionnaires with a goal attainment items. The Oregon Change Index is an example of a questionnaire of the sort.

-- JebBrown - 21 Apr 2007
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