{"title":"The Impact of Measurement-Based Care in Psychiatry: An Integrative Review.","authors":"Janine DeSimone, Bryan R Hansen","doi":"10.1177/10783903231177707","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The quality of mental health treatment has not progressed to the same extent as physical health treatment. Suboptimal mental health outcomes may be attributed to the lack of a systematic approach to tracking and measuring patient progress. In psychiatry, Measurement-Based Care (MBC) offers an objective, systematic approach to monitor clinical progress, evaluate treatment efficacy, and inform clinical decisions, yet remains seldom used in daily practice.</p><p><strong>Aims: </strong>To identify the clinical impact of using MBC in psychiatry.</p><p><strong>Methods: </strong>Using the Johns Hopkins Nursing Evidence-Based Practice Model as a guideline, this integrative review focused on the research query, \"What is the clinical impact of Measurement-Based Care when treating patients with mental illness?\"</p><p><strong>Results: </strong>A total of nine articles met the inclusion criteria for this integrative review. The articles ranged from 2008 to 2021. The following themes were identified from the analysis of these articles: (1) the clinical impact of MBC, (2) provider attitudes about MBC, and (3) barriers to MBC implementation.</p><p><strong>Conclusions: </strong>MBC, augmenting usual standard care, provides an objective, systematic approach using quantifiable data to monitor symptom severity and treatment effectiveness. This review highlights the clinical benefits of MBC, including increased remission rates, lower risk of relapse, improved medication adherence, and strengthening the therapeutic alliance. Although this review provides an overview of the benefits of MBC in psychiatry, there remains a substantial practice gap warranting further investigation. Strategies must be developed to address barriers at the individual and organizational levels which impede the successful adoption of MBC.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Psychiatric Nurses Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10783903231177707","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/6/1 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The quality of mental health treatment has not progressed to the same extent as physical health treatment. Suboptimal mental health outcomes may be attributed to the lack of a systematic approach to tracking and measuring patient progress. In psychiatry, Measurement-Based Care (MBC) offers an objective, systematic approach to monitor clinical progress, evaluate treatment efficacy, and inform clinical decisions, yet remains seldom used in daily practice.
Aims: To identify the clinical impact of using MBC in psychiatry.
Methods: Using the Johns Hopkins Nursing Evidence-Based Practice Model as a guideline, this integrative review focused on the research query, "What is the clinical impact of Measurement-Based Care when treating patients with mental illness?"
Results: A total of nine articles met the inclusion criteria for this integrative review. The articles ranged from 2008 to 2021. The following themes were identified from the analysis of these articles: (1) the clinical impact of MBC, (2) provider attitudes about MBC, and (3) barriers to MBC implementation.
Conclusions: MBC, augmenting usual standard care, provides an objective, systematic approach using quantifiable data to monitor symptom severity and treatment effectiveness. This review highlights the clinical benefits of MBC, including increased remission rates, lower risk of relapse, improved medication adherence, and strengthening the therapeutic alliance. Although this review provides an overview of the benefits of MBC in psychiatry, there remains a substantial practice gap warranting further investigation. Strategies must be developed to address barriers at the individual and organizational levels which impede the successful adoption of MBC.
背景：心理健康治疗的质量并没有像身体健康治疗那样取得长足进步。心理健康治疗效果不佳的原因可能是缺乏系统的方法来跟踪和衡量患者的治疗进展。在精神病学中，基于测量的护理（MBC）提供了一种客观、系统的方法来监测临床进展、评估治疗效果并为临床决策提供依据，但在日常实践中却很少使用：方法：以约翰-霍普金斯护理学循证实践模式为指导，本综合综述重点关注以下研究问题："在治疗精神疾病患者时，基于测量的护理有哪些临床影响？"结果：共有九篇文章符合本综合综述的纳入标准。这些文章的时间跨度为 2008 年至 2021 年。通过对这些文章的分析，确定了以下主题：(1）MBC 的临床影响，（2）医疗服务提供者对 MBC 的态度，以及（3）实施 MBC 的障碍：MBC 作为常规标准护理的补充，提供了一种客观、系统的方法，使用可量化的数据来监测症状严重程度和治疗效果。本综述强调了 MBC 的临床益处，包括提高缓解率、降低复发风险、改善服药依从性以及加强治疗联盟。尽管本综述概述了 MBC 在精神病学中的益处，但仍存在很大的实践差距，值得进一步研究。必须制定策略，解决个人和组织层面上阻碍成功采用 MBC 的障碍。
期刊介绍：
The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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