FIT in work with children and young people in mental health services

Linda Svorken's PhD project

Collaboration: Børgen Mathiassen, UNN

Collaborative project with the University Hospital in Northern Norway (UNN)

Feedback Informed Treatment (FIT) for Children and Adolescents with Mental Health Challenges: A Mixed Methods Study on Validity and Experiences Utilizing Systematic Feedback Tools in Child and Adolescent Mental Health Services and Community Low-Threshold Teams for Youth.

This study examines the use of Routine Outcome Measures (ROM) or feedback tools in therapy, specifically focusing on Feedback Informed Treatment (FIT; Miller, Duncan, Sorrell, & Brown, 2005) with children and adolescents (ages 6 to 18) dealing with mental health issues. While feedback tools like the Outcome Rating Scale (ORS; Miller et al., 2003) and the Session Rating Scale (SRS; Duncan et al., 2003) have been extensively used with adults, their application and validity in younger populations still need to be explored, particularly in Norwegian contexts.

The project aims to assess FIT's clinical effectiveness and feasibility in this age group. It employs a mixed methods approach encompassing quantitative validation studies of the ORS/CORS and qualitative interviews with children and adolescents.

Research questions:

  1. Quantitative Study: Evaluate the validity of the Outcome Rating Scale (ORS) and Children's Outcome Rating Scale (CORS) in Norwegian children and adolescents aged 6 to 18.
  2. Qualitative Studies: Explore the experiences of a) children (6 – 12 years old) and b) adolescents (13. 18 years old) undergoing Mental Health Services using FIT in their treatment through individual interviews.

This research endeavours to fill a gap in understanding how feedback tools function in therapy for young individuals, shedding light on their experiences and the effectiveness of these measures within the context of child mental health treatment.


Linda Svorken
Geir Fagerjord Lorem
Toril Sørheim Nilsen

Financial/grant information:

This study was supported by "The National Program for Integrated Clinical Specialist and PhD-training for Psychologists" in Norway. This program is a joint cooperation between the Universities of Bergen, Oslo, Tromsø, The Norwegian University of Science and Technology (Trondheim), the Regional Health Authorities, and the Norwegian Psychological Association. The program is funded by The Ministry of Education and Research.