Implementing measurement based care in community mental health: a description of tailored and standardized methods.
OBJECTIVE
Although tailored implementation methods are touted as superior to standardized, few researchers have directly compared the two and little guidance regarding the specific details of each method exist. Our study compares these methods in a dynamic cluster randomized trial seeking to optimize implementation of measurement based care (MBC) for depression in community behavioral health. This specific manuscript provides a detailed, replicable account of the components of each multi-faceted implementation method.


RESULTS
The standardized best practice method includes training, consultation, a clinical guideline, and electronic health record enhancements with the goal to optimize the delivery of MBC with fidelity. Conversely, the tailored, customized and collaborative method is informed by recent implementation science advancements and begins with a needs assessment, followed by tailored training that feeds back barriers data to clinicians, the formation of an implementation team, a clinician-driven clinic-specific guideline, and the use of fidelity data to inform implementation team activities; the goal of the tailored condition is to ensure the intervention and implementation strategies address unique factors of the context. The description of these methods will inform others seeking to implement MBC, as well as those planning to use standardized or tailored implementation methods for interventions beyond behavioral health.
['Lewis|Cara C|CC|', 'Puspitasari|Ajeng|A|', 'Boyd|Meredith R|MR|', 'Scott|Kelli|K|', 'Marriott|Brigid R|BR|', 'Hoffman|Mira|M|', 'Navarro|Elena|E|', 'Kassab|Hannah|H|']
D003156:Community Mental Health Services D003863:Depression D057286:Electronic Health Records D006284:Health Plan Implementation D006302:Health Services Research D006801:Humans D016032:Randomized Controlled Trials as Topic D012107:Research Design D011795:Surveys and Questionnaires
Implementation Measurement based care Community mental health Tailored Standardized Depression