Standardized Versus Tailored Implementation of Measurement-Based Care for Depression in Community Mental Health Clinics.

ABSTRACT:

Objective

Measurement-based care (MBC) is an evidence-based practice that is rarely integrated into psychotherapy. The authors sought to determine whether tailored MBC implementation can improve clinician fidelity and depression outcomes compared with standardized implementation.

Methods

This cluster-randomized trial enrolled 12 community behavioral health clinics to receive 5 months of implementation support. Clinics randomized to the standardized implementation received electronic health record data captured with the nine-item Patient Health Questionnaire (PHQ-9), a needs assessment, clinical training, guidelines, and group consultation in MBC fidelity. Tailored implementation support included these strategies, but the training content was tailored to clinics’ barriers to

SUBMITTER: Lewis CC 

PROVIDER: S-EPMC9529853 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature