Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators

Overview

Journal Adm Policy Ment Health

Publisher Springer

Specialty Public Health

Date 2015 Mar 5

PMID 25735619

Citations 31

Authors

Alissa A Gleacher

Serene S Olin

Erum Nadeem

Michele Pollock

Vanesa Ringle

Leonard Bickman

Susan Douglas

Kimberly Hoagwood

Affiliations

Soon will be listed here.

Abstract

Measurement feedback systems (MFSs) have been proposed as a means of improving practice. The present study examined the implementation of a MFS, the Contextualized Feedback System (CFS), in two community-based clinic sites. Significant implementation differences across sites provided a basis for examining factors that influenced clinician uptake of CFS. Following the theoretical implementation framework of Aarons et al. (Adm Policy Mental Health Mental Health Serv Res 38(1):4-23, 2011), we coded qualitative data collected from eighteen clinicians (13 from Clinic U and 5 from Clinic R) who participated in semi-structured interviews about their experience with CFS implementation. Results suggest that clinicians at both clinics perceived more barriers than facilitators to CFS implementation. Interestingly, clinicians at the higher implementing clinic reported a higher proportion of barriers to facilitators (3:1 vs. 2:1); however, these clinicians also reported a significantly higher level of organizational and leadership supports for CFS implementation. Implications of these findings are discussed.

Citing Articles

Implementation of Measurement-Based Care in Mental Health Service Settings for Youth: A Systematic Review.

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Dose-Response Effects of MittEcho, a Measurement Feedback System, in an Indicated Mental Health Intervention for Children in Municipal and School Services in Norway.

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de Jong K, Douglas S, Wolpert M, Delgadillo J, Aas B, Bovendeerd B Adm Policy Ment Health. 2024; 52(1):210-222.

PMID: 38733413 PMC: 11703940. DOI: 10.1007/s10488-024-01381-3.

Improving measurement-based care implementation in youth mental health through organizational leadership and climate: a mechanistic analysis within a randomized trial.

Williams N, Ehrhart M, Aarons G, Esp S, Sklar M, Carandang K Implement Sci. 2024; 19(1):29.

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Psychotherapists' Experience with In-Session Use of Routine Outcome Monitoring: A Qualitative Meta-analysis.

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PMID: 38507028 PMC: 11703987. DOI: 10.1007/s10488-024-01348-4.

References

Wisdom J, Chor K, Hoagwood K, Horwitz S . Innovation adoption: a review of theories and constructs. Adm Policy Ment Health. 2013; 41(4):480-502. PMC: 3894251. DOI: 10.1007/s10488-013-0486-4. View

Brunette M, Asher D, Whitley R, Lutz W, Wieder B, Jones A . Implementation of integrated dual disorders treatment: a qualitative analysis of facilitators and barriers. Psychiatr Serv. 2008; 59(9):989-95. DOI: 10.1176/ps.2008.59.9.989. View

Bickman L, Kelley S, Breda C, de Andrade A, Riemer M . Effects of routine feedback to clinicians on mental health outcomes of youths: results of a randomized trial. Psychiatr Serv. 2011; 62(12):1423-9. DOI: 10.1176/appi.ps.002052011. View

Chorpita B, Bernstein A, Daleiden E . Empirically guided coordination of multiple evidence-based treatments: an illustration of relevance mapping in children's mental health services. J Consult Clin Psychol. 2011; 79(4):470-80. DOI: 10.1037/a0023982. View

Holmboe E, Scranton R, Sumption K, Hawkins R . Effect of medical record audit and feedback on residents' compliance with preventive health care guidelines. Acad Med. 1998; 73(8):901-3. DOI: 10.1097/00001888-199808000-00016. View

Sapyta J, Riemer M, Bickman L . Feedback to clinicians: theory, research, and practice. J Clin Psychol. 2004; 61(2):145-53. DOI: 10.1002/jclp.20107. View

Glisson C, Hemmelgarn A, Green P, Williams N . Randomized trial of the Availability, Responsiveness and Continuity (ARC) organizational intervention for improving youth outcomes in community mental health programs. J Am Acad Child Adolesc Psychiatry. 2013; 52(5):493-500. DOI: 10.1016/j.jaac.2013.02.005. View

Howe A . Detecting psychological distress: can general practitioners improve their own performance?. Br J Gen Pract. 1996; 46(408):407-10. PMC: 1239692. View

Lambert M, Harmon C, Slade K, Whipple J, Hawkins E . Providing feedback to psychotherapists on their patients' progress: clinical results and practice suggestions. J Clin Psychol. 2004; 61(2):165-74. DOI: 10.1002/jclp.20113. View

10.

Wolpert M, Curtis-Tyler K, Edbrooke-Childs J . A Qualitative Exploration of Patient and Clinician Views on Patient Reported Outcome Measures in Child Mental Health and Diabetes Services. Adm Policy Ment Health. 2014; 43(3):309-15. PMC: 4831988. DOI: 10.1007/s10488-014-0586-9. View

11.

Olin S, Williams N, Pollock M, Armusewicz K, Kutash K, Glisson C . Quality indicators for family support services and their relationship to organizational social context. Adm Policy Ment Health. 2013; 41(1):43-54. PMC: 3858410. DOI: 10.1007/s10488-013-0499-z. View

12.

Jensen-Doss A, Hawley K . Understanding barriers to evidence-based assessment: clinician attitudes toward standardized assessment tools. J Clin Child Adolesc Psychol. 2010; 39(6):885-96. PMC: 3058768. DOI: 10.1080/15374416.2010.517169. View

13.

Lambert M, Hansen N, Finch A . Patient-focused research: using patient outcome data to enhance treatment effects. J Consult Clin Psychol. 2001; 69(2):159-72. View

14.

Panzano P, Roth D . The decision to adopt evidence-based and other innovative mental health practices: risky business?. Psychiatr Serv. 2006; 57(8):1153-61. DOI: 10.1176/ps.2006.57.8.1153. View

15.

Bruns E, Hoagwood K . State implementation of evidence-based practice for youths, Part I: Responses to the state of the evidence. J Am Acad Child Adolesc Psychiatry. 2008; 47(4):369-373. DOI: 10.1097/CHI.0b013e31816485f4. View

16.

Greener J, Joe G, Simpson D, Rowan-Szal G, Lehman W . Influence of organizational functioning on client engagement in treatment. J Subst Abuse Treat. 2007; 33(2):139-47. PMC: 1994649. DOI: 10.1016/j.jsat.2006.12.025. View

17.

Bickman L, Kelley S, Athay M . The Technology of Measurement Feedback Systems. Couple Family Psychol. 2013; 1(4):274-284. PMC: 3779359. DOI: 10.1037/a0031022. View

18.

Lehman W, Greener J, Simpson D . Assessing organizational readiness for change. J Subst Abuse Treat. 2002; 22(4):197-209. DOI: 10.1016/s0740-5472(02)00233-7. View

19.

Aarons G, Hurlburt M, Horwitz S . Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adm Policy Ment Health. 2011; 38(1):4-23. PMC: 3025110. DOI: 10.1007/s10488-010-0327-7. View

20.

Mazonson P, Mathias S, Fifer S, Buesching D, Malek P, Patrick D . The mental health patient profile: does it change primary care physicians' practice patterns?. J Am Board Fam Pract. 1996; 9(5):336-45. View