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Transcript
0:00 Hello and welcome to our self-serve training modules. My name is Mona Barman and I'm a licensed clinical psychologist and the clinical implementation lead here at Blueprint.
0:11 In this training, we're going to review what measurement-based care is and its benefits. For some of you, this might be an entirely new concept and for others, you may be familiar with it already.
0:22 Either way, we hope this training provides a good overview and review of measurement-based care and also fills in any knowledge gaps that might be present.
0:33 Let's start by defining what measurement-based care is. Now, some of you may have heard similar terms such as progress monitoring, patient reported outcomes, the use of feedback systems when talking about measurement-based care and these terms are sometimes used synonymously, but measurement-based care
0:52 has been defined as the practice of basing clinical care on client data collected throughout treatment. And what this looks like has been nicely depicted here.
1:05 Where we've broken down the essential components of measurement-based care and the process of its implementation. So measurement-based care starts by measuring clients symptoms and progress systematically using brief, valid, and reliable assessments.
1:23 This then provides the opportunity to collaborate with your clients on their symptoms, on observed trends, and then you can use that information and data to inform your treatment planning and interventions.
1:36 And as you administer these assessments regularly, you can ensure that the treatments being implemented are effective, i.e. Are those assessment scores changing in the right direction.
1:50 As a process, measurement-based care is not so different than how many clinicians already practice. When our client walks through the door, we will ask them how they're doing, how their past week went.
2:02 If we gave them a skill to practice, we ask them how that how that skill went, and we use that information to.
2:09 Then inform our session similarly, measurement-based care is doing the same process, except we're using brief, valid and reliable assessments to help us collect that data and that information.
2:23 This process and this. Implementation model has also been referred to as the collect, share and act model of implementing measurement-based care.
2:34 Collect referring to measuring those client symptoms using assessment measures, share refers to discussing those results. With our clients and then the act part refers to utilizing those results to inform our treatment.
2:49 Now that I've talked about what measurement-based care is and provided an overview, I do want to highlight what it's not.
2:58 Measurement-based care is not just PHQ-9s and GAD-7s. Don't get me wrong, the PHQ-9 and the GAD-7 are a great place to start and they're probably some of the most widely used and recognized assessment measures.
3:14 And measurement-based care can go above and beyond that. And what I mean by that is we have brief, valid, reliable assessments for things above and beyond just depression, anxiety, And the DSM-5 diagnoses.
3:29 There are assessments out there. That assess for things like therapeutic alliance couple satisfaction, quality of life, burnout, mindfulness, acceptance, grief.
3:43 So depending on what it is that you're working with, working on in therapy, you can find a corresponding assessment measure to measure progress.
3:53 Measurement-based care in that sense is trans-diagnostic and it's also trans-theoretical. And what I mean by that is it doesn't matter as a clinician.
4:02 What kind of therapy you're implementing or what your background and theoretical orientation is, you can still use measurement-based care as an outcome tool.
4:12 It does not change the process in which you do therapy, but what it allows for is it allows for you and your client to ensure that the goals you've set forth and that progress is occurring.
4:26 Measurement-based care is not assessment, administration, and isolation. And what I mean by that, it's not just giving your clients a piece.
4:35 You can do that in a GAD-7 every time you see them and continuing on. The care part in measurement-based care really involves reviewing those results, discussing it with your clients and utilizing that information to inform your treatment.
4:51 And lastly, measurement-based care is not meant to replace clinical judgment. Measurement-based care is an effective tool that can help with diagnostic clarification, case conceptualization, treatment planning, and even evaluation.
5:07 It is a tool that can help with evaluating treatment efficacy, but it should not be the only tool. Measurement-based care should be used in conjunction with your clinical education, experience, knowledge, and expertise.
5:22 So now that we've talked about the kind of what measurement-based care is, I want to talk about why clinicians should use measurement-based care and its importance by discussing the benefits.
5:33 And there's been a lot of research lately identifying the benefits of measurement-based care for clients. Clinicians and clinics and organizations as a whole.
5:44 For clients, measurement-based care can increase their engagement in the therapeutic process. I know sometimes when I ask clients, how was your past week or past couple of weeks, they'll sit in session, kind of scratch their head.
5:56 They ponder about, you know, what was going on over the past couple of weeks. Giving clients assessment measures forces them to pause, to check in with themselves on how they're doing, how they're feeling, and really reflect on their symptoms.
6:12 This helps better illuminate the symptoms that they're experiencing for themselves and for you as the clinician. Measurement-based care has been shown to improve client outcomes.
6:23 For clinicians, as I mentioned, it can help illuminate those symptoms. So that can help assist in diagnostic clarification and case conceptualization.
6:33 It can also help with treatment planning and identifying treatment targets. We know that not every person who has depression or anxiety experiences it in the same way and it may manifest differently for each person.
6:47 By giving these assessment measures, we're better able to see what symptoms are most salient for that client and then individualize and tailor the treatment accordingly.
6:58 Measurement-based care also _____. Improves collaborative care and therapeutic alliance. As a whole, measurement-based care takes this collaborative approach where you're working with your clients, utilizing these assessments, right, that provides a shared language to talk to your clients about the
7:15 symptoms they're experiencing. And identifying treatment targets and informing treatment decisions. And together, that improves the therapeutic alliance. Measurement-based care has also been shown to benefit mental health clinics in order to help organizations as a whole.
7:35 It can help with quality of care being delivered. Measurement-based care itself is an evidence-based practice. And when you're tracking outcomes over time, as a clinic and as an organization, you can see what's working well and what may not be working so well.
7:49 It's been shown to reduce client dropout rates by 20 percent. And measurement-based care can assist in increasing revenue by billing for these assessments.
8:01 We also know that insurance companies are looking to see, effectiveness of treatments being implemented with mental health care and sort of moving towards this values-based care model, in which case delivering these assessments and demonstrating effectiveness and efficacy is going to be important and
8:18 can help again increase revenue. So, now that you know what measurement-based care is, has heard about the benefits, hopefully you are ready to start implementing measurement-based care.
8:31 And if you are, tune into our next three modules on implementing measurement-based care. Using the Collect, Share, and Act model.