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Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians

2021; Dove Medical Press; Volume: Volume 17; Linguagem: Inglês

10.2147/ndt.s283731

1178-2021

Ran Ha Hong, Jill Murphy, Erin E. Michalak, Trisha Chakrabarty, Zuowei Wang, Sagar V. Parikh, Larry Culpepper, Lakshmi N. Yatham, Raymond W. Lam, Jun Chen,

Digital Mental Health Interventions

Abstract: Measurement-based care (MBC) can be defined as the clinical practice in which care providers collect patient data through validated outcome scales and use the results to guide their decision-making processes. Despite growing evidence supporting the effectiveness of MBC for depression and other mental health conditions, many physicians and mental health clinicians have yet to adopt MBC practice. In part, this is due to individual and organizational barriers to implementing MBC in busy clinical settings. In this paper, we briefly review the evidence for the efficacy of MBC focusing on pharmacological management of depression and provide example clinical scenarios to illustrate its potential clinical utility in psychiatric settings. We discuss the barriers and challenges for MBC adoption and then address these by suggesting simple solutions to implement MBC for depression care, including recommended outcome scales, monitoring tools, and technology solutions such as cloud-based MBC services and mobile health apps for mood tracking. The availability of MBC tools, ranging from paper-pencil questionnaires to mobile health technology, can allow psychiatrists and clinicians in all types of practice settings to easily incorporate MBC into their practices and improve outcomes for their patients with depression. Keywords: measurement-based care, major depressive disorder, depression, scales, outcomes, patient-reported outcome measures, implementation, measurement