Implementing Measurement-Based Care in a Youth Partial Hospital Setting: Leveraging Feedback for Sustainability.

Area of Science:

• Child and Adolescent Psychiatry
• Health Services Research
• Clinical Psychology

Background:

• Measurement-Based Care (MBC) utilizes patient-reported outcomes to guide clinical decisions, enhancing behavioral health treatment.
• Partial Hospitalization Programs (PHP) offer intensive care for youth but face implementation challenges for MBC.
• Successful MBC integration in youth PHP settings is crucial for improving treatment efficacy.

Purpose of the Study:

• To describe the successful implementation of Measurement-Based Care (MBC) in a youth Partial Hospitalization Program (PHP).
• To identify barriers and facilitators encountered during MBC implementation in a real-world clinical setting.
• To explore the impact of data-driven decision-making on organizational resilience within a youth PHP.

Main Methods:

• A 18-month case study of MBC implementation in a youth PHP serving 633 patients (ages 5-18).
• Inclusion of daily patient self-reports and weekly caregiver-reported measurements.
• Descriptive reconstruction of data utilization, barriers, facilitators, and evolving strategies.

Main Results:

• Successful integration of MBC into a youth PHP, involving approximately 20 interdisciplinary staff.
• Identification of key implementation strategies for workflow, leadership, supervision, and coaching.
• Demonstration of practical considerations and potential organizational benefits of data-driven care.

Conclusions:

• MBC can be successfully implemented in youth PHP settings, improving clinical decision-making.
• Addressing workflow, leadership, and coaching are vital for effective MBC integration.
• Data-driven MBC models may foster resilient organizations in pediatric behavioral health care.