Measurement-Based Care, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

Measurement-Based Care, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

1st Edition - September 9, 2020

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  • Editors: Jessica Jeffrey, Barry Sarvet, Eugene Grudnikoff, Rajeev Krishna
  • Hardcover ISBN: 9780323760294
  • eBook ISBN: 9780323760300

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Description

This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs Jessica Jeffrey, Eugene Grudnikoff, Barry Sarvet and Rajeev Krishna, will cover key topics of importance surrounding Measurement-Based Care in Child and Adolescent Psychiatry. This issue is one of four selected each year by our series Consulting Editor, Dr. Todd Peters. Topics discussed in this issue include but are not limited to: Evidence for the use of MBC in clinical practice; Validated Measures in Child Psychiatry and How to Use Them; Integrating MBC into Trainee Education; MBC In the Treatment of Depression; MBC in the Treatment of Anxiety; MBC in the Treatment of ADHD and disruptive behavior disorders; MBC in the Treatment of Substance Use Disorders; Implementing MBC in Various Practice Settings; Use of MBC Data to track Clinic Performance and Quality Outcomes; Use of MBC Data in Population Health Management; HIT resources to support MBC, among others.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Contributors
  • Child and Adolescent Psychiatric Clinics
  • Preface
  • Section I: Overarching Principles
  • Implementing Measurement-Based Care in Various Practice Settings
  • Key points
  • Introduction
  • Background and scope
  • Infrastructure selection
  • Patient barriers and considerations
  • Provider barriers and considerations
  • Organizational barriers and considerations
  • Summary
  • Evidence Base for Measurement-Based Care in Child and Adolescent Psychiatry
  • Key points
  • Introduction
  • Defining measurement-based care
  • Standardized measures
  • Implementation
  • Clinical judgment
  • Clinical efficacy in adults
  • Clinical efficacy in children and adolescents
  • Evidence of system-level benefits
  • Barriers
  • Summary
  • Self-Report Rating Scales to Guide Measurement-Based Care in Child and Adolescent Psychiatry
  • Key points
  • Introduction
  • Summary/discussion
  • Summary
  • Section II: Clinical Applications
  • Measurement-Based Care in the Treatment of Adolescent Depression
  • Key points
  • Introduction
  • Measurement-based care in adolescent depression
  • The Joint Commission standard for monitoring outcome of care, treatment, or services (CTS 03.01.09)
  • Rating scales for depression in adolescents
  • National Patient Safety Goal for the prevention of suicide
  • Tools for screening and assessment of suicide risk
  • Implementation
  • Measurement-based care across the continuum of care
  • Clinical vignette
  • Summary
  • Measurement-Based Care in the Treatment of Anxiety
  • Key points
  • Introduction to measurement-based care
  • Challenges in measurement-based treatment of pediatric anxiety
  • Measurement-based assessment versus measurement-based care: psychometric issues
  • Anxiety symptom measures
  • Anxiety impairment measures
  • Measurement-based care in pediatric anxiety: a case
  • Additional clinical issues and considerations in measurement-based care
  • Literacy and health literacy
  • Comorbidities
  • Using measurement to explore lack of clinical response
  • Practice-level considerations
  • Concluding thoughts
  • Measurement-Based Care in the Treatment of Attention-Deficit/Hyperactivity Disorder and Disruptive Behavior Disorders
  • Key points
  • Introduction
  • Tactics and implementation
  • Challenges in implementation
  • Summary
  • Measurement-Based Care in the Treatment of Adolescents with Substance Use Disorders
  • Key points
  • Introduction
  • Epidemiology
  • Substance use disorders
  • Risk factors
  • Psychiatric comorbidity
  • Confidentiality
  • Measurement-based care
  • Screening, brief intervention, and referral to treatment
  • Screening
  • Screening tools
  • Car, relax, alone, friends/family, forget, trouble
  • National Institute of Alcohol Abuse and Alcoholism
  • Screening to brief intervention
  • Brief screener for tobacco, alcohol, and other drugs
  • Brief intervention
  • Referral to treatment
  • Comprehensive assessment
  • Progress monitoring
  • Summary
  • Measurement-Based Care in the Pediatric Primary Care Setting
  • Key points
  • Introduction
  • Case
  • Advantages of measurement-based care in the pediatric primary care setting
  • Measurement-based care implementation in 3 mental health integration models
  • Unintended consequences of measurement-based care
  • Barriers to adoption
  • Summary
  • Section III: Special Considerations
  • Measurement-based Data to Monitor Quality: Why Specification at the Population Level Matter?
  • Key points
  • Measuring child behavioral health quality: policy context and unique challenges
  • Measurement-based care data by population level
  • Summary
  • Using Measurement-Based Care Data in Population Health Management
  • Key points
  • What are clinical registries?
  • Barriers to registries in pediatric primary care
  • What is known about behavioral health registries in pediatric primary care?
  • Getting started
  • Summary
  • Regulators, Payors, and the Impact of Measurement-Based Care on Value-Based Care in Psychiatry
  • Key points
  • Introduction
  • History of measurement-based care and value-based care in mental health
  • Organizational involvement with measurement-based care and value-based care
  • American Academy of Child and Adolescent Psychiatry Work on Enhancing Measurement-based Care and Value-based Care
  • Insurance and payors interface and engage with measurement-based care
  • Integrating Measurement-Based Care into Trainee Education
  • Key points
  • Introduction
  • Methods
  • Results
  • Discussion
  • Future directions
  • Health Information Technology Resources to Support Measurement-Based Care
  • Key points
  • Introduction
  • Interest: smartphone interventions are feasible because users are open to trying them
  • Engagement: users want to interact with technology and tools that match them
  • Specificity and simplicity: smartphone interventions are most effective if and when they focus on a singular outcome
  • Support: lasting change is a collaborative effort
  • Summary
  • Counterpoint: Risks of Implementing Measurement-Based Care in Child and Adolescent Psychiatry
  • Key points
  • Introduction
  • Discussion
  • Summary

Product details

  • No. of pages: 240
  • Language: English
  • Copyright: © Elsevier 2020
  • Published: September 9, 2020
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323760294
  • eBook ISBN: 9780323760300

About the Editors

Jessica Jeffrey

Barry Sarvet

Eugene Grudnikoff

Rajeev Krishna

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