Organization-level variation in therapists' attitudes toward and use of measurement-based care

Williams, NJ; Esp, S (通讯作者),Boise State Univ, Sch Social Work, 1910 W Univ Dr, Boise, ID 83725 USA.;Williams, NJ (通讯作者),Boise State Univ, Inst Study Behav Hlth & Addict, 1910 W Univ Dr, Boise, ID 83725 USA.
2022-11
Purpose Despite significant interest in improving behavioral health therapists' implementation of measurement-based care (MBC)-and widespread acknowledgment of the potential importance of organization-level determinants-little is known about the extent to which therapists' use of, and attitudes toward, MBC vary across and within provider organizations or the multilevel factors that predict this variation. Methods Data were collected from 177 therapists delivering psychotherapy to youth in 21 specialty outpatient clinics in the USA. Primary outcomes were use of MBC for progress monitoring and treatment modification, measured by the nationally-normed Current Assessment of Practice Evaluation-Revised. Secondary outcomes were therapist attitudes towards MBC. Linear multilevel regression models tested the association of theory-informed clinic and therapist characteristics with these outcomes. Results Use of MBC varied significantly across clinics, with means on progress monitoring ranging from values at the 25th to 93rd percentiles and means on treatment modification ranging from the 18th to 71st percentiles. At the clinic level, the most robust predictor of both outcomes was clinic climate for evidence-based practice implementation; at the therapist level, the most robust predictors were: attitudes regarding practicality, exposure to MBC in graduate training, and prior experience with MBC. Attitudes were most consistently related to clinic climate for evidence-based practice implementation, exposure to MBC in graduate training, and prior experience with MBC. Conclusions There is important variation in therapists' attitudes toward and use of MBC across clinics. Implementation strategies that target clinic climate for evidence-based practice implementation, graduate training, and practicality may enhance MBC implementation in behavioral health.
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
卷号:49|期号:6|页码:927-942
ISSN:0894-587X|收录类别:SSCI
语种
英语
来源机构
Idaho; Boise State University; Idaho; Boise State University; University of Pennsylvania
资助机构
National Institute of Mental Health of the U.S. National Institutes of Health(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Mental Health (NIMH))
资助信息
Research reported in this publication was supported by the National Institute of Mental Health of the U.S. National Institutes of Health under Award Number R01MH119127. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no conflicts of interest to disclose.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
0
2013以来使用计数
0
EISSN
1573-3289
出版年
2022-11
DOI
10.1007/s10488-022-01206-1
学科领域
循证公共卫生
关键词
Measurement-based care Implementation Adherence Organizational climate Attitudes Workforce development
WOS学科分类
Health Policy & Services Public, Environmental & Occupational Health