Measurement-Based Care in Youth: An Opportunity for Better Clinical Outcomes?
Abstract
:1. Measurement-Based Care (MBC)
2. The MBC Protocol Applied at the Hospital Cruz Vermelha
3. MBC in Youth
4. MBC Protocol When Applied to a Youth Population
5. Conclusions
- Tailored Assessments for Youth:
- o
- Psychological assessments for youth should be tailored to their developmental stage and needs.
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- Consideration should be given to age-appropriate language and comprehension levels.
- o
- Use of short-form questionnaires to minimize fatigue and increase adherence.
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- Take into consideration the informed consent process and ensure the child or adolescent’s willingness to participate even if legal guardians provide consent.
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- Encourage active participation from young patients to ensure they feel heard and understood.
- Consider Safety Assessment:
- o
- Assess safety risks including suicide risk, self-harm, abuse, or violence to ensure the well-being of the patient.
- Contextualization of Results:
- o
- Contextualize assessment results considering developmental norms, cultural, and ethnic differences.
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- Provide feedback to the patient and discuss assessment results comprehensively.
- o
- Provide and offer post-assessment care if necessary.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Year | Complete Reference | Aims | Main Findings |
---|---|---|---|
2022 | McLeod et al. [47] | To explore the utility of the Measurement-Based Care (MBC) approach for youth. To specify ways to enhance the utility of MBC, considering implementation in real-world settings and addressing associated practical and ethical challenges. | Review of existing evidence on the effectiveness and utility of MBC for youth. Identification of gaps in knowledge or areas where the implementation of MBC can be improved. Suggestions for improving clinical practice related to MBC for youth, including recommendations for future research and guideline development. |
2020 | Jensen-Doss et al. [41] | To explore the use of Measurement-Based Care (MBC) as a tool for improving clinical practice in youth mental health settings. To investigate how MBC can be applied at both the clinical and organizational levels to enhance care delivery and resource allocation. To provide insights into the potential benefits and challenges of implementing MBC in youth mental health settings. | MBC can effectively inform treatment decisions and monitor progress in youth mental health care. Implementing MBC at the organizational level can lead to improvements in the quality-of-care delivery and resource allocation. |
2019 | Lyon et al. [40] | To investigate the implementation of a digital feedback system designed to support Measurement-Based Care (MBC) by school-based mental health clinicians. To assess the effectiveness of the digital feedback system in facilitating the use of MBC tools and improving clinical decision-making in school-based mental health settings. To explore the feasibility and acceptability of integrating digital technology into routine clinical practice for youth mental health. | The digital feedback system effectively supported the implementation of MBC by school-based mental health clinicians. Clinicians reported increased use of MBC tools and greater confidence in their clinical decision-making processes. The digital feedback system facilitated communication between clinicians and enhanced collaboration within multidisciplinary teams. Improved outcomes for students receiving mental health services in school-based settings may be observed as a result of more systematic and data-informed care. Recommendations for the successful integration and sustained use of digital feedback systems in school-based mental health practice are provided. |
2019 | Lewis et al. [6] | To explore the process of implementing Measurement-Based Care (MBC) in behavioral health settings. To examine the challenges and facilitators associated with integrating MBC into routine clinical practice. To assess the impact of MBC implementation on treatment outcomes, clinician decision-making, and patient engagement in behavioral health care. | The process of implementing MBC in behavioral health settings involves several stages, including selecting appropriate measures, integrating measurement tools into clinical workflows, and training staff on the use of MBC protocols. Challenges to MBC implementation may include resistance from clinicians, difficulties in selecting valid and reliable measures, and logistical barriers such as limited time and resources. Facilitators of MBC implementation may include leadership support, clinician training and education, and the availability of user-friendly measurement tools. Studies examining the impact of MBC implementation have demonstrated improvements in treatment outcomes, including symptom reduction and improved functioning among patients. MBC has been shown to enhance clinician decision-making by providing objective data to inform treatment planning and monitor progress over time. Patient engagement in treatment may also be enhanced through the use of MBC, as it allows for collaborative goal setting and monitoring of progress toward treatment goals. |
2019 | Lyon et al. [40]. | To evaluate the effectiveness of a digital feedback system designed to aid the implementation of Measurement-Based Care (MBC) by school-based mental health clinicians. To assess the impact of the digital feedback system on the use of MBC tools, clinical decision-making, and treatment outcomes in school-based mental health settings. To explore the feasibility and acceptability of integrating digital technology into routine clinical practice for school-based mental health services. | The digital feedback system effectively supported the implementation of MBC by school-based mental health clinicians, resulting in increased utilization of MBC tools. Clinicians reported improvements in clinical decision-making processes, as the digital feedback system provided timely and relevant data to inform treatment planning and progress monitoring. The use of the digital feedback system facilitated communication and collaboration among multidisciplinary teams, enhancing the coordination of care for students receiving mental health services in school settings. Students receiving mental health services in schools may experience improved treatment outcomes, including symptom reduction and improved functioning, as a result of more systematic and data-informed care. |
2016 | Bickman et al. [45] | To examine the process of implementing a Measurement Feedback System (MFS) in mental health settings at two distinct sites. To identify the factors that influence the successful adoption and integration of MFS into routine clinical practice. To assess the impact of MFS implementation on clinical decision-making, treatment outcomes, and organizational processes. | The implementation of a Measurement Feedback System (MFS) in mental health settings involves various stages, including system selection, customization, training, and ongoing support. Factors influencing the successful adoption of MFS may include organizational leadership support, clinician engagement, usability of the system, and alignment with existing workflows. Challenges encountered during MFS implementation may include resistance from clinicians, technological barriers, and difficulties in integrating feedback data into clinical decision-making processes. Despite challenges, successful implementation of MFS can lead to improvements in clinical decision-making by providing clinicians with timely and relevant data to inform treatment planning and progress monitoring. MFS implementation may also result in improved treatment outcomes for clients, including symptom reduction and enhanced functioning, as clinicians are better able to tailor interventions based on feedback data. Organizational benefits of MFS implementation may include enhanced communication and collaboration among staff, improved quality of care, and more efficient resource allocation. Lessons learned from the implementation of MFS at two distinct sites may inform future efforts to implement similar systems in other mental health settings. |
2016 | Lyon et al. [46]. | To conduct a comprehensive review of digital Measurement Feedback Systems (MFS) used in mental health settings. To identify the capabilities and characteristics of digital MFS, including features, functionalities, and usability. To assess the potential benefits and limitations of digital MFS in supporting clinical decision-making, improving treatment outcomes, and enhancing organizational processes. | Digital Measurement Feedback Systems (MFS) encompass a wide range of features and functionalities designed to facilitate the collection, analysis, and utilization of client feedback data in mental health settings. Capabilities of digital MFS may include data collection via various electronic platforms (e.g., web-based surveys, mobile applications), automated scoring and interpretation of feedback data, graphical presentation of results, and integration with electronic health records (EHR) systems. Characteristics of digital MFS may vary in terms of user interface design, ease of use, customization options, compatibility with existing technologies, and data security measures. Benefits of digital MFS may include improved clinical decision-making by providing clinicians with timely and actionable feedback data, enhanced client engagement and satisfaction through the use of interactive digital interfaces, and increased efficiency and accuracy in data management and reporting. Limitations of digital MFS may include technological barriers (e.g., limited access to digital devices or internet connectivity), concerns regarding data privacy and security, and challenges related to system integration and interoperability with other clinical systems. |
2011 | Bickman et al. [44] | To investigate the impact of routine feedback provided to clinicians on the mental health outcomes of youth. To conduct a randomized trial to assess the effectiveness of routine feedback in improving treatment outcomes for youths receiving mental health services. To examine the mechanisms through which routine feedback may influence clinician behavior and treatment effectiveness. | Routine feedback provided to clinicians resulted in improved mental health outcomes for youths receiving mental health services. Youth whose clinicians received routine feedback showed greater reductions in symptoms and improvement in functioning compared to those in the control group. The provision of routine feedback appeared to enhance clinician awareness of client progress, facilitate treatment adjustments, and promote more responsive and tailored interventions. The effectiveness of routine feedback in improving mental health outcomes was evident across various domains, including symptom severity, functional impairment, and client satisfaction. Clinician characteristics, such as experience level and openness to feedback, may moderate the impact of routine feedback on treatment outcomes. The findings suggest that integrating routine feedback into clinical practice can lead to more effective and responsive mental health care for youth. |
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Frontini, R.; Costa, C.; Baptista, S.; Garcia, C.d.C.; Vian-Lains, A. Measurement-Based Care in Youth: An Opportunity for Better Clinical Outcomes? Healthcare 2024, 12, 910. https://doi.org/10.3390/healthcare12090910
Frontini R, Costa C, Baptista S, Garcia CdC, Vian-Lains A. Measurement-Based Care in Youth: An Opportunity for Better Clinical Outcomes? Healthcare. 2024; 12(9):910. https://doi.org/10.3390/healthcare12090910
Chicago/Turabian StyleFrontini, Roberta, Catarina Costa, Sílvia Baptista, Constança do Carmo Garcia, and António Vian-Lains. 2024. "Measurement-Based Care in Youth: An Opportunity for Better Clinical Outcomes?" Healthcare 12, no. 9: 910. https://doi.org/10.3390/healthcare12090910