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ERIC Number: EJ1462198
Record Type: Journal
Publication Date: 2025
Pages: 14
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0894-587X
EISSN: EISSN-1573-3289
Available Date: 2024-10-13
Consultation Content and Techniques for Measurement-Based Care Implementation in Youth Community Mental Health Settings
Administration and Policy in Mental Health and Mental Health Services Research, v52 n2 Article 10 p401-414 2025
Measurement-based care (MBC) is an evidence-based practice (EBP) focused on regularly administering outcome measures to clients to inform clinical decision making. While MBC shows promise for improving youth treatment outcomes, therapist adoption remains low. Clinical consultation is one strategy that improves MBC implementation, but our limited understanding of consultation hinders the ability to optimize its impact. This research explored the content of, and techniques used during MBC consultation calls. Therapists (N = 55) in a randomized controlled trial treating adolescents with anxiety and/or depression were trained to utilize MBC with usual treatment using the Youth Outcome Questionnaire (YOQ) through an online measurement feedback system (MFS). Weekly ongoing consultation followed an initial workshop training in MBC. Case discussions (N = 294) during consultation calls were coded using a developed codebook, including 12 content and 10 consultant techniques. Results indicated that content focused predominantly on interpretation of client symptom and alliance report, planning for YOQ administration, and discussion of data with clients in session. Common consultant techniques included modeling and eliciting report viewing and interpretation, making clinical suggestions, and didactics about clinical and technical issues. Notably, role-play/behavioral rehearsal was not used. The prevalence of passive consultation techniques (suggestions, didactics) suggests a focus on teaching rather than active techniques (behavioral rehearsal, modeling), potentially influenced by the novelty of MBC and MFS. Technical aspects of MBC, such as measure administration and system usage, emerged as key consultation content, highlighting an unanticipated emphasis on logistics over clinical implementation. These findings underscore the evolving role of consultation in supporting MBC implementation and suggest that addressing technical challenges early in training might enhance adoption.
Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link-springer-com.bibliotheek.ehb.be/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Authoring Institution: N/A
Grant or Contract Numbers: R01MH106536; R01MH106657
Author Affiliations: 1Northwestern University Feinberg School of Medicine, Institute for Public Health and Medicine, Center for Dissemination and Implementation Science, Chicago, USA; 2University of Miami, Department of Psychology, Coral Gables, USA; 3Vanderbilt University, Department of Psychology and Human Development, Nashville, USA; 4University of Connecticut School of Medicine, Department of Psychiatry, West Hartford, USA