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| Structured Decision Making× | Standardized Clinical Cutoff× | |
|---|---|---|
| Fagområde | Social Work | Social Work |
| Familie | Process / pipeline | Process / pipeline |
| Oprindelsesår≠ | 1999 | 1991 |
| Ophavsperson≠ | Children's Research Center (now Evident Change); Christopher Baird, Dennis Wagner & colleagues | Neil S. Jacobson & Paula Truax |
| Type≠ | Structured assessment system standardizing key decisions across the child-welfare case process | Method for judging whether individual change on a standardized measure is reliable and clinically meaningful |
| Oprindelig kilde≠ | Baird, C., Wagner, D., Healy, T., & Johnson, K. (1999). Risk assessment in child protective services: Consensus and actuarial model reliability. Child Welfare, 78(6), 723–748. link ↗ | Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. DOI ↗ |
| Aliasser | SDM, Structured Decision Making (Child Welfare), SDM System, Structured Decision-Making Model | Clinical Cutoff Score, Clinical Significance Method, Reliable Change Index, Jacobson-Truax Method |
| Relaterede≠ | 4 | 3 |
| Resumé≠ | Structured Decision Making (SDM) is a child-welfare case-management system that brings consistency to the most consequential decisions in a case — whether to investigate, whether a child is safe, how high the risk of future maltreatment is, what the family needs, and whether to close — by applying a standardized, research-based assessment tool at each of these decision points. Developed by the Children's Research Center (now Evident Change) around the actuarial-risk work of Christopher Baird, Dennis Wagner, and colleagues, SDM aims to reduce the wide variability and bias of unaided judgment and to target resources where they matter most. | The standardized clinical cutoff approach, developed by Jacobson and Truax, judges whether an individual client's change on a standardized measure is both statistically reliable and clinically meaningful. It pairs a Reliable Change Index — which asks whether a pre-to-post change is larger than the measurement error of the instrument — with a cutoff score that marks the boundary between the dysfunctional and functional (normal) populations. A client who moves reliably across that cutoff is counted as recovered, giving practice and research a defensible, individual-level definition of meaningful improvement. |
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