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Measurement-based care (MBC) improved treatment completion and symptom reduction in remote youth intensive outpatient programs (IOPs). This study highlights MBC

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Area of Science:

  • Mental Health Services Research
  • Digital Health Interventions
  • Adolescent Psychiatry

Background:

  • The demand for youth intensive outpatient programs (IOPs) is rising due to the mental health crisis.
  • Remote IOPs require defined best practices for high-acuity youth.
  • Measurement-based care (MBC) shows promise for improving mental health outcomes but faces slow adoption.

Purpose of the Study:

  • To illustrate the implementation of MBC in a remote-first, youth-oriented IOP.
  • To address gaps in understanding MBC's impact in youth mental health care.

Main Methods:

  • Two quality improvement pilot studies were conducted with clinicians and clients in a remote IOP.
  • MBC deployment was refined using process evaluation data, clinician training, and feedback.
  • Data analysis focused on survey completion, clinician feedback, and client outcomes.

Main Results:

  • Survey completion rates exceeded 80% in both studies.
  • Clinician feedback showed significant improvement between studies.
  • MBC clients had higher treatment completion rates (22-29%) and greater symptom reduction (P<.05).

Conclusions:

  • MBC is feasible and acceptable in remote, youth-serving IOPs.
  • High survey completion and improved feedback indicate strong clinician buy-in.
  • MBC positively correlates with treatment completion and symptom reduction, offering practical implementation guidance.