Category: Dissemination / Implementation

Symposium

Symposium 129 - Understanding Barriers and Facilitators to Implementing Measurement-Based Care in Diverse Settings

Sunday, November 19
8:30 AM - 10:00 AM
Location: Cobalt 501, Level 5, Cobalt Level

Keywords: Implementation | Evidence-Based Practice
Presentation Type: Symposium

Ongoing progress monitoring is recognized as a critical component of evidence-based mental health care. (Dozois et al., 2014). Numerous studies indicated that monitoring treatment progress and using the information for clinical decision-making can enhance client outcomes (Gondek, Edbrooke-Childs, Fink, Deighton, & Wolpert, 2016; Krägeloh, Czuba, Billington, Kersten, & Siegert, 2015). This set of practices, referred to as measurement-based care (MBC; Scott & Lewis, 2015), also supports the hypothesis-testing approach at the heart of cognitive-behavioral case conceptualization (Persons, 2006).  Unfortunately, available data suggest that MBC is rare in clinical settings (e.g., Hatfield & Ogles, 2004; Ionita & Fitzpatrick, 2014), highlighting a need for MBC implementation efforts. To inform these efforts, this symposium will present a series of studies focused on understanding barriers and facilitators to MBC across a range of practice settings, including private practice, urban and rural community mental health centers (CMHCs), and school-based mental health services. Consistent with this year’s call for papers, the symposium has a combination of faculty (Jensen-Doss, Connors, Douglas) and junior (Rodriguez, Navarro, Hoffman) speakers.


First, Jensen-Doss and colleagues will present data from a national survey of clinicians primarily working in private practice settings. This study examined whether incorporating individualized, or idiographic, progress measures into MBC might increase its accepatibility to clinicians.


Second, Rodriguez and colleagues will present data from a large sample of clinicians working in CMHCs in Los Angeles County. This study examined relationships between clincian characteristics, agency-level MBC support, MBC use, and attitudes toward MBC to better understand how MBC implementation efforts can better address clinician concerns.


Third, Connors and colleagues will present data from a MBC implementation effort in a large, urban school-based mental health system. Data regarding provider and agency differences in implementation outcomes and qualitative feedback from clinicians suggest strategies for future MBC implementation efforts.


Fourth, Navarro and colleagues will present a novel application of social network analysis to understand the impact of network-based implementation strategies, such as use of implementation teams, on MBC implementation in CMHCs.


Fifth, Hoffman and colleagues will present a series of clinic-level case studies examining the use of audit and feedback as an implementation strategy to support MBC in urban and rural CMHCs.


Dr. Susan Douglas, an expert in MBC and one of the creators of the Contextualized Feedback System, the most well-studied system to support MBC in youth, will serve as the discussant.

Learning Objectives:

Amanda Jensen-Doss

Associate Professor
University of Miami

Presentation(s):

Send Email for Amanda Jensen-Doss

Susan Douglas

Vanderbilt University

Presentation(s):

    Send Email for Susan Douglas

    Amanda Jensen-Doss

    Associate Professor
    University of Miami

    Presentation(s):

    Send Email for Amanda Jensen-Doss

    Send Email for Adriana Rodriguez

    Elizabeth Connors

    Assistant Professor
    University of Maryland School of Medicine

    Presentation(s):

    Send Email for Elizabeth Connors

    Elena Navarro

    Indiana University

    Presentation(s):

    Send Email for Elena Navarro

    Mira Hoffman

    Centerstone Research Institute

    Presentation(s):

    Send Email for Mira Hoffman


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