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Counterpoint: Risks of Implementing Measurement-Based Care in Child and Adolescent Psychiatry
Andrew S Lustbader1, Mark S Borer2
1Yale Child Study Center, New Haven, CT, USA; Therapeutic Center for Children and Families, 215 Main Street, Westport, CT 06880, USA.
Abstract:
Psychiatric measurement-based care has a significant role in nonpsychiatric medical and surgical settings for identifying mental illness and plays a research role in generating aggregated data. Psychiatric illnesses are multifactorial and not uniform in nature, patient distress/suffering have a complex etiology, and appropriate treatments are varied. Measures commonly used in measurement-based care are subjective ratings of symptom severity. In clinical mental health settings, measurement-based care may contribute more of a qualitative role as part of the psychiatric input to the identification and severity of illness. Psychiatrists must limit the use of measurement-based care in assisting the assessment of patient progress.
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