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Our Work

Ensuring Consistent Care Signature- Yale New Haven Psychiatric Hospital (YNHPH)

PI: Dr. Amber W. Childs

Within YNHH, MBC has been identified as a key strategy within care signature to advance implementation of evidence-based practices and our ability to evaluate their impact on care outcomes. Core goals under the signature include: 1) Uniform (adapted) implementation and fidelity to practice of MBC in YNHPH Service Settings. The first phase will target Ambulatory Services, which includes four large programs (four adult and one adolescent), each with numerous IOP and OP service lines; 2) use aggregate data to track patterns of care delivery, support quality improvement and assurance and reduce unnecessary care variation. Long range goals in this multi-year project include optimizing integration of measurement approached across levels of care within YNHPH (inpatient to ambulatory, etc), and expansion of MBC to the various service settings.

Using Multi-Informant, Multi-Domain and Serial Measurement-Based Care: The Impact of Timely Feedback of Measurement on Treatment Adherence and Family Involvement for High-Risk Adolescents in a Behavioral Health Setting

PI: Dr. Amber W. Childs

Collaborator: Dr. David Klemanski

Due to its collaborative nature MBC may be utilized to help support treatment engagement and potentially reduce treatment drop-out, both critical issues among youth receiving outpatient services. Relatedly, MBC may be a tool to help support engagement and alliance and in doing so may help potentially overcome elements associated with disparities in treatment retention in populations of color. Additionally, work with children and adolescents necessarily includes work with caregivers and inclusion of caregivers as recipients of information tracking child treatment progress may enhance the utility of MBC in the overall quality of treatment. This study examines archival data of previously treated adolescents in YNHPH IOP to better understand the utility of MBC in supporting treatment engagement and retention, treatment outcomes, and by extension, overall quality of care.

Selecting Implementation Strategies to Advance MBC in School Mental Health

PI: Dr. Elizabeth Connors

Funding: National Institute of Mental Health K08MH116119

Wondering how to implement MBC in school-based mental health (SMH) treatment services? So are we! The purpose of this study is to identify which implementation strategies are most important and feasible for implementing MBC in the school context. It is especially important to better understand MBC implementation in schools which more “usual care” children’s mental health treatment services are delivered than any other service sector, including outpatient clinics. A national sample of 52 SMH stakeholders (i.e., clinicians, clinical supervisors, and researchers) completed two rounds of a modified Delphi survey to rate and provide feedback on implementation strategies for MBC in schools. Top-rated strategies and definitions based on stakeholder consensus are available here. These strategies are currently being pilot tested with SMH clinicians in Connecticut school districts in the FOCUSS study.

Feedback and Outcomes for Clinically-Useful Student Services (FOCUSS)

PI: Dr. Elizabeth Connors

Funding: National Institute of Mental Health K08MH116119

Schools and school-based mental health clinicians face numerous practical challenges to integrating MBC into mental health early intervention (Tier 2) and treatment (Tier 3) services and supports for students. FOCUSS is a Hybrid Type 3 implementation-effectiveness pilot trial of MBC implementation in schools that applies the most promising implementation strategies identified in our prior work and augments and tailors those strategies to school district-specific challenges, resources and contextual factors. Although the primary goal of FOCUSS is to improve SMH clinician adoption and implementation of MBC with students served throughout the school year, the project team is also observing effects of MBC implementation on student psychosocial outcomes.

Strategic Treatment and Assessment for Youth (STAY) Pilot Study

PIs: Drs. Prerna Arora and Elizabeth Connors

Collaborator: Dr. Amber Childs

Funding: Teachers College Columbia University

STAY is a culturally-tailored MBC protocol designed to improve treatment engagement and retention among racial and ethnic minority adolescents with depression. This study uses virtual interviews with racial and ethnic minority teens with depression, their parents or guardians, and mental health clinicians to improve depression treatment by providing feedback on the initial STAY clinical model developed by Drs. Arora and Connors. The purpose of STAY is to leverage principles of MBC and culturally-adapted treatment modifications to learn ways to help teens stay in treatment and get the individualized, culturally-responsive treatment services they deserve.

Measurement Based Care in Mental Health Initiative, Veterans Health Administration, Office of Mental Health and Suicide Prevention

Director: Dr. Sandra Resnick

Associate Director: Dr. Jessica Barber

Due to the evidence supporting the efficacy of MBC in mental health care, in 2016 VA launched the Initiative to implement MBC through all of VA mental health via a series of phased rollouts. The MBC in MH Initiative, based in the Office of Mental Health and Suicide Prevention (OMHSP), partners with other OMHSP leadership, other VHA offices, and the field to provide coordination and standardization of in MBC across VA. The Initiative supports the field in implementing MBC by providing education, consultation, and tracking tools.