Category: Dissemination & Implementation Science
Beidas, R. S., Stewart, R. E., Walsh, L., Lucas, S., Downey, M. M., Jackson, K., Fernandez, T., & Mandell, D. S. (2015). Free, brief, and validated: Standardized instruments for low-resource mental health settings. Cognitive and behavioral practice, 22(1), 5-19.
,Boswell, J. F., Hepner, K. A., Lysell, K., Rothrock, N. E., Bott, N., Childs, A. W., Douglas, S., Owings-Fonner, N., Wright, C. V., Stephens, K. A., Bard, D. E., Aajmain, S., & Bobbitt, B. L. (2022). The need for a measurement-based care professional practice guideline. Psychotherapy.
, Nakamura, B. J., Mueller, C. W., Higa-McMillan, C., & Okamura, K. H., Chang, JP, Slavin, L., & Shimabukuro, S.(2013). Engineering youth service system infrastructure: Hawaii’s continued efforts at large-scale implementation through knowledge management strategies. Journal of Clinical Child and Adolescent Psychology, 43, 179-189. DOI: 10.1080/15374416.2013.812039, Bone, C., Simmonds-Buckley, M., Thwaites, R., Sandford, D., Merzhvynska, M., Rubel, J., ... & Delgadillo, J. (2021). Dynamic prediction of psychological treatment outcomes: development and validation of a prediction model using routinely collected symptom data. The Lancet Digital Health, 3(4), e231-e240.Emily Nishimura, B.A. (she/her/hers)
Graduate Student
University of Hawai’i at Manoa
Honolulu, Hawaii
Amanda Jensen-Doss, Ph.D. (she/her/hers)
Professor
University of Miami
Coral Gables, Florida
Craig Henderson, Ph.D. (he/him/his)
Professor of Psychology, Interim Director of Clinical Training
Sam Houston State University
Huntsville, Texas
Andrea Ng, B.A. (she/her/hers)
Graduate Student
University of Hawai’i at Manoa
Honolulu, Hawaii
Puanani Hee, Ph.D.
Licensed Clinical Psychologist and Clinical Data Director
Child and Adolescent Mental Health Division, Department of Health, State of Hawai‘i
Lihue, Hawaii
Measurement-based care (MBC) refers to the systematic utilization of client progress and outcome data to inform ongoing treatment and clinical care decisions (Scott & Lewis, 2015). A growing body of research into the effectiveness of MBC suggests strong and positive effects among a variety of populations and settings (Lewis et al., 2019). Despite holding significant and broad sweeping promise for improving mental healthcare, critical questions and obstacles remain with regard to largescale implementation into youth public sector settings. For instance, to what extent can a lack of treatment response be reliably and validly detected early in treatment, and can such identification processes help get patients back on track towards expected treatment trajectories? Concerning the selection of progress or outcome monitoring instruments, assessment strategies must be evaluated not only psychometrically for reliability and validity, but also in regard to cost, brevity, and feasibility. Furthermore, considerations for embedding a MBC program within larger statewide systems of care must be considered, and include domains such as existing and aspirational infrastructures, organizational climate, user preferences, characteristics of the MBC application itself.
The current symposium brings together an expert selection of presentations on the issues outlined above. Our first presenter will showcase the results of an MBC-based implementation trial with youth and caregiver reported measures at two stages, yielding an expected treatment response and the corresponding predictive accuracy. Results from the adolescent report indicate that a lack of treatment response can be detected fairly early in treatment. Our second presenter will report on a multitude of psychometric properties of a free multi-informant four-item measure utilized within an ongoing statewide MBC effort. Findings from a diverse sample in that state mental health system support their investigated hopefulness measure as being useful, efficient, and cost-effective. Our third presenter will share past and present infrastructure initiatives to implement MBC in Hawai‘i’s youth mental health service system. This will also include discussion of clinical dashboards, which have demonstrated initial high acceptability, feasibility, and appropriateness at two pilot sites. Finally, our discussant, who is an expert in measurement-based care, specifically in the dissemination and implementation of evidence-based assessment tools for youth in community care settings, will discuss the implications of the aforementioned research.
Overall, this symposium brings together a unique constellation of research on youth mental health MBC efforts, all aimed at large scale quality improvement. Each component touches on unique, yet complimentary real-world considerations any researcher or partner should consider for large scale MBC implementation.
