Measurement-based care

A front-line health care worker presents with posttraumatic symptoms associated with treating patients with covid and reports drinking alcohol every night to cope.

• Screening and monitoring measures:

• Posttraumatic Stress Disorder (PTSD) Outcome Assessment using the PCL-5
• Alcohol Use Disorder Outcome Response using the audit, dast, or taps

• Assess at every session
• Review current scores and trends with the client at every session

A 10-year-old with attention deficit/hyperactivity disorder (ADHD) has been in a virtual learning environment for the past year. Her parents report an increase in her acting out behaviors.

• Screening measures:

• Pediatric Symptom Checklist-17 for psychosocial problems

• Monitoring measures:

• Weiss Functional Impairment Rating Scale for ADHD functional impairment
• Pediatric Symptom Checklist-17 for psychosocial problems

• Administer once every other session
• Review current scores and trends with the child and her caregivers

A 15-year-old youth is admitted to a 6-week adolescent intensive outpatient (IOP) program following discharge from a psychiatric inpatient hospitalization for suicide ideation in the context of severe depression and anxiety.

• Monitoring measures:

• PROMIS Pediatric Anxiety Short Form 8a and PROMIS Pediatric Depressive Symptoms Short Form 8a

• Assess weekly (e.g., each Monday)

• Review data with youth in goal setting psychotherapy group each Tuesday. Use data to establish daily and weekly IOP session goals

• Example: Youth and their primary clinician identify that when anxiety decreases, depression increases for the youth and agree to explore this further in session

• Review data with interdisciplinary treatment team each Wednesday. Use data to review treatment goals and progress, as well as inform aftercare planning efforts
• Review data to review treatment goals and progress, facilitate psychoeducation regarding current treatment and aftercare recommendations with youth and family at midtreatment family meeting