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

Ran Ha Hong,1 Jill K Murphy,1 Erin E Michalak,1 Trisha Chakrabarty,1 Zuowei Wang,2 Sagar V Parikh,3 Larry Culpepper,4 Lakshmi N Yatham,1 Raymond W Lam,1,* Jun Chen5,* 1Department of Psychiatry, University of British Columbia, Vancouver, Canada; 2Hongkou Mental Health Center, Shanghai, People&rsq...

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Autores principales:	Hong RH, Murphy JK, Michalak EE, Chakrabarty T, Wang Z, Parikh SV, Culpepper L, Yatham LN, Lam RW, Chen J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	measurement-based care major depressive disorder depression scales outcomes patient-reported outcome measures implementation measurement. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/78c0cb1d71724bd68ba97d04e2551f62
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spelling	oai:doaj.org-article:78c0cb1d71724bd68ba97d04e2551f622021-12-02T13:50:37ZImplementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians1178-2021https://doaj.org/article/78c0cb1d71724bd68ba97d04e2551f622021-01-01T00:00:00Zhttps://www.dovepress.com/implementing-measurement-based-care-for-depression-practical-solutions-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ran Ha Hong,1 Jill K Murphy,1 Erin E Michalak,1 Trisha Chakrabarty,1 Zuowei Wang,2 Sagar V Parikh,3 Larry Culpepper,4 Lakshmi N Yatham,1 Raymond W Lam,1,* Jun Chen5,* 1Department of Psychiatry, University of British Columbia, Vancouver, Canada; 2Hongkou Mental Health Center, Shanghai, People’s Republic of China; 3Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA; 4Department of Family Medicine, Boston University, Boston, MA, USA; 5Shanghai Mental Health Center, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Raymond W LamDepartment of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, CanadaTel +1 604-822-7325Email r.lam@ubc.caAbstract: 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, measurementHong RHMurphy JKMichalak EEChakrabarty TWang ZParikh SVCulpepper LYatham LNLam RWChen JDove Medical Pressarticlemeasurement-based caremajor depressive disorderdepressionscalesoutcomespatient-reported outcome measuresimplementationmeasurement.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 79-90 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	measurement-based care major depressive disorder depression scales outcomes patient-reported outcome measures implementation measurement. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	measurement-based care major depressive disorder depression scales outcomes patient-reported outcome measures implementation measurement. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Hong RH Murphy JK Michalak EE Chakrabarty T Wang Z Parikh SV Culpepper L Yatham LN Lam RW Chen J Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians
description	Ran Ha Hong,1 Jill K Murphy,1 Erin E Michalak,1 Trisha Chakrabarty,1 Zuowei Wang,2 Sagar V Parikh,3 Larry Culpepper,4 Lakshmi N Yatham,1 Raymond W Lam,1,* Jun Chen5,* 1Department of Psychiatry, University of British Columbia, Vancouver, Canada; 2Hongkou Mental Health Center, Shanghai, People’s Republic of China; 3Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA; 4Department of Family Medicine, Boston University, Boston, MA, USA; 5Shanghai Mental Health Center, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Raymond W LamDepartment of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, CanadaTel +1 604-822-7325Email r.lam@ubc.caAbstract: 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
format	article
author	Hong RH Murphy JK Michalak EE Chakrabarty T Wang Z Parikh SV Culpepper L Yatham LN Lam RW Chen J
author_facet	Hong RH Murphy JK Michalak EE Chakrabarty T Wang Z Parikh SV Culpepper L Yatham LN Lam RW Chen J
author_sort	Hong RH
title	Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians
title_short	Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians
title_full	Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians
title_fullStr	Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians
title_full_unstemmed	Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians
title_sort	implementing measurement-based care for depression: practical solutions for psychiatrists and primary care physicians
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/78c0cb1d71724bd68ba97d04e2551f62
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Implementing Measurement-Based Care for Depression: Practical Solutions for Psychiatrists and Primary Care Physicians

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