Panel Discussion 24 - Building Treatments That Are Data Driven and Pragmatic by Co-creating Measurement Based Care with Communities

Measurement-Based Care (MBC) is a transdiagnostic strategy applied across diverse evidence-based psychotherapeutic interventions (EBPIs). The core components of MBC include administering standardized measures, reviewing and discussing the results of assessment with clients and caregivers, and incorporating the results to guide treatment planning. The implementation of MBC yields several benefits, including serving as a tool to augment clinical decision making, assess overall program effectiveness, demonstrate the value of EBPIs, and inform third-party payors on the need for and outcome of treatment. MBC implementation is a complex endeavor requiring multi-level, context-tailored, and blended strategies involving leadership, clinicians, allied health teams, and clients. Panelists were chosen to discuss MBC utilities and implementation strategies used in different clinical settings.  Three case examples from three behavioral health settings will be presented to highlight innovative strategies and lessons learned. The first organization is a not-for-profit organization consisting of inpatient, residential, partial hospitalization, and intensive outpatient programs spread across 10 States and 25 sites. Primary MBC implementation strategies include: the development of MBC infrastructure integrated to the electronic health records, monitor and feedback process for leaders, MBC training and supervision, and incorporation of patient-reported outcomes into the discussion in clinical team meetings and treatment plan. The second setting is community mental health centers serving primarily Latinx and Indigenous youth in Washington state. Primary MBC implementation strategies included: creating centralized documents to aid in clinician decision-making and knowledge acquisition, consultation, and crowdsourcing practice-based information about measures. The third setting is community opioid treatment programs serving diverse communities in both Chicagoland and Pennsylvania. Primary MBC implementation strategies included: user-centered design methods to co-create MBC measures and workflows for opioid treatment, implementation blueprinting, MBC training and consultation, and paperwork de-implementation.