Barriers and Facilitators in the Implementation of Measurement-Based Care in Outpatient Behavioral Health in a Safety-Net Hospital.
Measurement-based care (MBC) is an evidence-based practice that can improve the identification of co-occurring mental health conditions and substance use disorders, as well as population differences in care in lower resource settings, through ongoing monitoring of patient-reported symptoms. The curr...
| Published in: | Community Mental Health Journal Vol. 62; no. 3; pp. 561 - 571 |
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| Main Authors: | , , , , , , , , |
| Format: | Article |
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Springer Nature
Apr2026
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192199159&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192199159 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Apr2026 vid: 62 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 192199159 10.1007/s10597-025-01548-8 ppf: 561 ppct: 10 formats: tig: atl: Barriers and Facilitators in the Implementation of Measurement-Based Care in Outpatient Behavioral Health in a Safety-Net Hospital. aug: au: Dean, Kimberlye Youn, Soo Jeong Nakle, Mira Heller, Sam Kramer, Joanna Stone, Mira Wilens, Timothy E. Marques, Luana Yule, Amy M. affil: Massachusetts General Brigham, Boston, United States https://ror.org/05qwgg493 Boston University School of Public Health, Boston, United States https://ror.org/010b9wj87 Boston Medical Center, Boston, United States su: United States Mental illness treatment Health services accessibility Mental health services Qualitative research Focus groups Interviewing Leadership Sound recordings Social networks Communication Psychiatric diagnosis Medical care use Safety-net health care providers Research funding Judgment sampling Research methodology Health outcome assessment Data analysis software Stakeholder analysis sug: subj: Mental illness treatment Health services accessibility Mental health services Qualitative research Focus groups Interviewing Leadership Sound recordings Social networks Communication United States Residential Mental Health and Substance Abuse Facilities Psychiatric and Substance Abuse Hospitals Offices of Mental Health Practitioners (except Physicians) Other Individual and Family Services Integrated Record Production/Distribution Sound recording merchant wholesalers Record Production Psychiatric diagnosis Medical care use Safety-net health care providers Research funding Judgment sampling Research methodology Health outcome assessment Data analysis software Stakeholder analysis keyword: Behavioral Health Implementation Science Measurement-Based Care Medical and Health Sciences Public Health and Health Services Safety-Net Hospital Behavioral Health Implementation Science Measurement-Based Care Medical and Health Sciences Public Health and Health Services Safety-Net Hospital ab: Measurement-based care (MBC) is an evidence-based practice that can improve the identification of co-occurring mental health conditions and substance use disorders, as well as population differences in care in lower resource settings, through ongoing monitoring of patient-reported symptoms. The current study examined, as reported by different stakeholders prior to implementation, barriers and facilitators of implementing screening tools to monitor mental health and substance use symptoms in the outpatient behavioral health setting at a safety-net hospital. A purposeful sampling approach was used to recruit stakeholders from two outpatient clinics (child, adult) to participate in individual interviews (clinic leadership) and stakeholder-specific focus groups (clinicians and administrative staff). De-identified transcripts were coded using a directed content analytic approach guided by constructs from the Consolidated Framework for Implementation Research (CFIR). A total of 14 clinicians, 6 clinic leaders, and 4 administrative staff participated in interviews and focus groups. Results indicate stakeholder agreement on specific implementation constructs (e.g., patient needs, networks and communication) and unique perspectives influenced by the stakeholders' day-to-day responsibilities. However, there were inconsistent responses regarding networks and communication across stakeholder groups. Clinicians only identified barriers, clinic leadership only identified facilitators, and administrative staff did not identify communication as a barrier or facilitator. Thus, when implementing MBC within a safety-net behavioral health clinic setting, cohesive communication may be perceived differently by clinicians, clinic leadership, and administrative staff and should be validated across staff roles. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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