We focused specifically on clinicians as key stakeholders, given their lived experiences in working intensively with patients in SUD treatment and the importance of designing an intervention that is perceived as congruent with current workflows to avoid future implementation problems. We examined clinicians’ perceptions of potential benefits and drawbacks of using MBC in their clinical routines, explored their ideas for designing a MBC delivery system in the context of their existing workflows, and identified their preferences about the clinical outcomes that would be most helpful to routinely measure and monitor.
The current study explored how MBC systems can be optimized for SUD treatment settings by drawing on the expertise of frontline clinicians in SUD treatment settings. Developing MBC systems that are perceived by SUD treatment clinicians as beneficial, minimally burdensome, and relevant to the clinical care of patients may therefore improve adoptability and implementation success, potentially leading to improved outcomes and better quality of care for patients. A recent review highlighted several clinician-level barriers that impede the use of MBC in mental health treatment, including increased burden in workflows, negative attitudes toward MBC, and concerns that some outcome measures may not be relevant to patients. Although previous research indicates that digital technologies can improve the efficiency of MBC delivery and can reduce burden to clinicians (e.g., by aiding in the administration, scoring, storage, retrieval, and display of MBC data ), it is important to understand how MBC systems can be best designed for the clinical workflows of SUD-specific treatment settings. Little is known about the optimal approaches for incorporating MBC into SUD treatment settings. However, despite the benefits of MBC for non-SUD mental health conditions, the use of MBC in SUD treatment settings has been limited. MBC for non-SUD mental health conditions has been associated with better treatment outcomes and improved quality of care, including better detection of clinical improvement and decline, improved therapeutic alliance, more accurate clinical judgments, and improved individualization of care. Measurement-based care (MBC), which is the practice of routinely measuring and reviewing treatment progress using standardized measures, can help patients and clinicians understand whether an individual patient is responding to treatment and can help inform clinical decision-making regarding the current course of treatment. Even when patients receive evidence-based treatments in these settings, the clinical course and outcomes of individual patients vary considerably. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Įvery year, over 2.5 million American adults receive treatment in substance use disorder (SUD) facilities. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material.
Batman: The Brave and the Bold (2011) - Baroness von Gunther (ep57), Georgette Taylor (ep57).
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