Abstract
Measurement-based care (MBC) is an underutilized evidence-based practice, and current implementation efforts demonstrate limited success in increasing MBC use. A better understanding of MBC implementation determinants is needed to improve these efforts, particularly from studies examining the full range of MBC practices and that span multiple samples of diverse providers using different MBC systems. This study addressed these limitations by conducting a multi-site survey examining MBC predictors and use in youth treatment. Participants were 159 clinicians and care coordinators working in youth mental health care settings across the United States. Participants were drawn from three program evaluations of MBC implementation. Providers completed measures assessing use of five MBC practices (administering measures, viewing feedback, reviewing feedback in supervision, sharing feedback with clients in session, and using feedback to plan treatment), MBC self-efficacy, and MBC attitudes. Despite expectations that MBC should be standard care for all clients, providers reported only administering measures to 40–60% of clients on average, with practices related to the use of feedback falling in the 1–39% range. Higher MBC self-efficacy and more positive views of MBC practicality predicted higher MBC use, although other attitude measures were not significant predictors. Effects of predictors were not moderated by site, suggesting consistent predictors across implementation settings. Implications of study findings for future research and for the implementation of MBC are discussed.
Original language | English (US) |
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Pages (from-to) | 146-158 |
Number of pages | 13 |
Journal | Administration and Policy in Mental Health and Mental Health Services Research |
Volume | 52 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2025 |
Funding
This study was funded by a University of Miami Provost Research Award (PI: Jensen-Doss). The authors have no conflicts of interest to declare.
Keywords
- Implementation determinants
- Measurement-based care
- Provider attitudes
- Provider self-efficacy
- Youth mental health
ASJC Scopus subject areas
- Phychiatric Mental Health
- Health Policy
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health