Implementing measurement-based care (iMBC) for depression in community mental health: a dynamic cluster randomized trial study protocol

Implementation Science : IS
Cara C LewisDavid Rutkowski

Abstract

Measurement-based care is an evidence-based practice for depression that efficiently identifies treatment non-responders and those who might otherwise deteriorate [1]. However, measurement-based care is underutilized in community mental health with data suggesting fewer than 20 % of behavioral health providers using this practice to inform treatment. It remains unclear whether standardized or tailored approaches to implementation are needed to optimize measurement-based care fidelity and penetration. Moreover, there is some suggestion that prospectively tailored interventions that are designed to fit the dynamic context may optimize public health impact, though no randomized trials have yet tested this notion [2]. This study will address the following three aims: (1) To compare the effect of standardized versus tailored MBC implementation on clinician-level and client-level outcomes; (2) To identify contextual mediators of MBC fidelity; and (3) To explore the impact of MBC fidelity on client outcomes. This study is a dynamic cluster randomized trial of standardized versus tailored measurement-based care implementation in Centerstone, the largest provider of community-based mental health services in the USA. This prospective, mi...Continue Reading

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Methods Mentioned

BETA
Cognitive Behavioral Therapy

Software Mentioned

Vivo
Enlighten Analytic
Rapid Ethnography
MPlus
QSR N - Vivo

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