Implementing Measurement-Based Care to Determine and Treat Inadequate Response
The Journal of Clinical Psychiatry
|May 6, 2020
Summary
Measurement-based care (MBC) provides objective data to guide treatment decisions for major depressive disorder. This approach helps clinicians manage treatment failure, partial improvement, and successful treatment, while enhancing patient insight and monitoring residual symptoms.
Area of Science:
- Psychiatry
- Clinical Psychology
- Health Services Research
Background:
- Major depressive disorder (MDD) often requires adjustments to antidepressant therapy for patients with inadequate response.
- Existing treatment paradigms may lack objective measures for critical clinical decisions.
- Residual symptoms significantly impact patient functioning and quality of life.
Purpose of the Study:
- To highlight the utility of measurement-based care (MBC) in managing MDD.
- To demonstrate how MBC aids clinicians in treatment decision-making.
- To underscore the benefits of MBC for patient insight and monitoring residual symptoms.
Main Methods:
- Utilizes standardized rating scales within clinical practice.
- Integrates objective symptom severity data into treatment planning.
- Focuses on tracking symptom changes over time.
Main Results:
- MBC offers objective criteria for treatment failure, partial response, and duration of successful treatment.
- Rating scales provide clinicians with comparative data on symptom severity.
- Many MBC tools minimally increase clinical visit duration.
Conclusions:
- Measurement-based care (MBC) is a valuable strategy for optimizing MDD treatment.
- MBC enhances clinical decision-making and patient engagement.
- MBC effectively monitors and addresses residual symptoms impacting daily life.
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