81.4 INFRASTRUCTURES TO SUPPORT MEASUREMENT-BASED CARE IN CLINICAL PRACTICE SETTINGS

2019 ◽  
Vol 58 (10) ◽  
pp. S117-S118
Author(s):  
Rajeev Krishna
Keyword(s):  
Clinical Practice ◽  
Measurement Based Care

Evaluation of Outcomes With Citalopram for Depression Using Measurement-Based Care in STAR*D: Implications for Clinical Practice

2006 ◽  
Vol 163 (1) ◽  
pp. 28-40 ◽  
Author(s):  
Madhukar H. Trivedi ◽  
A. John Rush ◽  
Stephen R. Wisniewski ◽  
Andrew A. Nierenberg ◽  
Diane Warden ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Measurement Based Care

scholarly journals Patient, family and provider views of measurement-based care in an early-psychosis intervention programme

BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Ari B. Cuperfain ◽  
Katrina Hui ◽  
Suze G. Berkhout ◽  
George Foussias ◽  
David Gratzer ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Shared Decision Making ◽  
Healthcare Delivery ◽  
Early Psychosis ◽  
Shared Decision ◽  
Structured Interviews ◽  
National Guidelines ◽  
Intervention Programme ◽  
Measurement Based Care

Background Measurement-based care (MBC) in mental health improves patient outcomes and is a component of many national guidelines for mental healthcare delivery. Nevertheless, MBC is not routinely integrated into clinical practice. Several known reasons for the lack of integration exist but one lesser explored variable is the subjective perspectives of providers and patients about MBC. Such perspectives are critical to understand facilitators and barriers to improve the integration of MBC into routine clinical practice. Aims This study aimed to uncover the perspectives of various stakeholders towards MBC within a single treatment centre. Method Researchers conducted qualitative semi-structured interviews with patients (n = 15), family members (n = 7), case managers (n = 8) and psychiatrists (n = 6) engaged in an early-psychosis intervention programme. Data were analysed using thematic analysis, informed by critical realist theory. Results Analysis converged on several themes. These include (a) implicit negative assumptions; (b) relevance and utility to practice; (c) equity versus flexibility; and (d) shared decision-making. Providers assumed patients’ perspectives of MBC were negative. Patients’ perspectives of MBC were actually favourable, particularly if MBC was used as an instrument to engage patients in shared decision-making and communication rather than as a dogmatic and rigid clinical decision tool. Conclusions This qualitative study presents the views of various stakeholders towards MBC, providing an in-depth examination of the barriers and facilitators to MBC through qualitative investigation. The findings from this study should be used to address the challenges organisations have experienced in implementing MBC.

Measurement based care in schizophrenia—Feasibility in routine clinical practice

2020 ◽  
Vol 49 ◽  
pp. 101954
Author(s):  
Damodharan Dinakaran ◽  
Vanteemar S. Sreeraj ◽  
Ganesan Venkatasubramanian
Keyword(s):  
Clinical Practice ◽  
Routine Clinical Practice ◽  
Measurement Based Care

scholarly journals From mandating common measures to mandating common metrics: a plea to harmonize measurement results

2021 ◽  
Author(s):  
Eiko I Fried ◽  
Edwin de Beurs
Keyword(s):  
Clinical Practice ◽  
General Population ◽  
Research Funding ◽  
Reference Group ◽  
Psychological Research ◽  
Test Results ◽  
Measurement Instruments ◽  
Measurement Based Care ◽  
Measurement Results ◽  
Using Data

Objective. There is a great variety of measurement instruments to assess similar constructs in experimental psychological research and clinical practice. This complicates the interpretation of measurement results and hampers the implementation of measurement-based care. Actions have been proposed to improve matters, such as mandating a limited set of outcome measures as a prerequisite to obtain research funding. Method. We propagate an alternative or supplementary strategy: converting test results into universally applicable common metrics. Results. Two metrics are reviewed: T scores and percentile ranks. Their calculation is explained, and their merits and shortcomings discussed using data from three common measures for depression, the CES-D, PHQ-9, and BDI-II. Conclusion. We conclude with a proposal to express test results as T scores with the general population as reference group and supplement these with percentile ranks based on data from clinical and population samples.

Communication strategies to facilitate the implementation of new clinical practices: a qualitative study of community mental health therapists

2021 ◽  
Author(s):  
Karen Albright ◽  
Elena I Navarro ◽  
Iman Jarad ◽  
Meredith R Boyd ◽  
Byron J Powell ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Lead Time ◽  
Procedural Knowledge ◽  
Implementation Process ◽  
Clinical Practices ◽  
Mental Health Therapists ◽  
It Impacts ◽  
Measurement Based Care

Lay Summary There has been a great deal of attention recently to the study of implementation, or how something (e.g., a new clinical practice or initiative) is actually put into effect. Many studies have found a number of barriers to and facilitators of the implementation process. But despite this increased attention, the field of implementation science may not have paid enough attention to the role of communication. Although communication is generally acknowledged as important, precisely how it impacts implementation—and, importantly, the ways it might be improved—is typically unexplored. This study conducted focus groups with mental health therapists in 12 clinics which were about to implement a new clinical practice: measurement-based care for depressed adults receiving psychotherapy. What these therapists shared about their perspectives and experiences suggest that there are at least five ways to facilitate effective communication when introducing a new clinical practice: communicating a clear rationale for the new practice, providing necessary procedural knowledge, using multiple methods to communicate about the change, giving sufficient lead time to prepare for the change, and providing the opportunity for bidirectional engagement.

scholarly journals Setting Measurement-Based Care in Motion: Practical Lessons in the Implementation and Integration of Measurement-Based Care in Psychiatry Clinical Practice

2021 ◽  
Vol Volume 17 ◽  
pp. 1621-1631
Author(s):  
Kristin Martin-Cook ◽  
Lucy Palmer ◽  
Larry Thornton ◽  
A John Rush ◽  
Carol A Tamminga ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Measurement Based Care

Overcoming the problem of diagnostic heterogeneity in applying measurement-based care in clinical practice: the concept of psychiatric vital signs

2012 ◽  
Vol 53 (2) ◽  
pp. 117-124 ◽  
Author(s):  
Mark Zimmerman ◽  
Diane Young ◽  
Iwona Chelminski ◽  
Kristy Dalrymple ◽  
Janine N. Galione
Keyword(s):  
Clinical Practice ◽  
Vital Signs ◽  
Measurement Based Care
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