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Strategies for Measuring the Quality of

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation Executive Summary May 15, 2014 Jonathan Brown, Sarah Hudson Scholle and Melissa Azur Mathematica Policy Research Abstract
Effectiveness of Alternative Ways of Implementing

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs: The Care Wisconsin and Gateway Study

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare D-SNPs: The Care Wisconsin and Gateway Study Executive Summary Jelena Zurovac, Randy Brown, Bob Schmitz and Richard Chapman Mathematica Policy Research January 2014
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Strategies for Measuring the Quality of

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation

Various types of psychotherapy can benefit people who experience depression, anxiety, and other common mental disorders. However, the extent to which these psychotherapies are available and delivered effectively is largely unknown. In the context of health care reforms that encourage performance measurement, a strong set of measures focused on psy
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Effectiveness of Alternative Ways of Implementing

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs:The Brand New Day Study

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in health care settings--provides a rigorous method f
From: Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs:The Brand New Day Study
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Effectiveness of Alternative Ways of Implementing

Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs:The Care Wisconsin and Gateway Study

Little information exists on how to design various components of care coordination interventions for complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in health care settings--provides a rigorous method f
From: Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs: The Care Wisconsin and Gateway Study
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An AI/AN Suicide Prevention Hotline: Literature

An AI/AN Suicide Prevention Hotline: Literature Review and Discussion with Experts

This exploratory study provides background information pertaining to an American Indian/Alaska Native (AI/AN) Suicide Prevention Hotline. The topics explored include:  the extent of use of such a hotline by AI/ANs, barriers to use, hotline implementation models, cultural competencies needed by hotline staff, extent of AI/AN community support, and
From: An AI/AN Suicide Prevention Hotline: Literature Review and Discussion with Experts
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Vulnerable Youth and the Transition to Adulthood

Vulnerable Youth and the Transition to Adulthood: Youth with Depression/Anxiety

The transition to adulthood can be particularly challenging when a young adult experiences mental health problems. This fact sheet uses data from the National Longitudinal Survey of Youth 1997 to explore the young adult outcomes and adolescent risk behaviors of youth suffering from depression and anxiety as they make this transition. [5 PDF Pages]
From: Vulnerable Youth and the Transition to Adulthood: Youth with Depression/Anxiety
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The Effects of Marriage on Health: A Synthesis of

The Effects of Marriage on Health: A Synthesis of Recent Research Evidence

This report synthesizes current research on the relationship between marital status and healthy behaviors, health status and longevity, mental health and substance use, health care access and utilization, and intergenerational health effects. It focuses on relevant U.S. studies that carefully address selection and causality and were published in p
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An AI/AN Suicide Prevention Hotline:

An AI/AN Suicide Prevention Hotline: Literature Review and Discussion with Experts

An American Indian/Alaska Native Suicide Prevention Hotline: Literature Review and Discussion with Experts Prepared by: Peggy Halpern Ph.D, U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation November, 2009 This report is available on the Internet at: http://aspe.hhs.gov/hsp/09/AIAN
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APPENDIX A. CLINICAL GUIDELINE DEFINITIONS OF

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. Appendix A. Clinical Guideline Definitions of Evidence Ratings

Guideline Developer Term and Definition American Psychiatric Association Substantial clinical confidence : Definition not provided in guideline.  Moderate clinical confidence : Definition not provided in guideline.  Guideline Workgroup and Guideline Steering Committee : The guideline was developed by a work group and under t
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REFERENCES

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. References

Aarons, G.A., C. Glisson, P.D. Green, K. Hoagwood, K.J. Kelleher, J.A. Landsverk, Research Network on Youth Mental Health, J.R. Weisz, B. Chorpita, R. Gibbons, C. Glisson, E.P. Green, K. Hoagwood, P.S. Jensen, K. Kelleher, J. Landsverk, S. Mayberg, J. Miranda, L. Palinkas, and S. Schoenwald. "The Organizational Social Context of Mental Health Serv
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B. Conclusion

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. B. Conclusion

Developing and implementing quality measures for psychotherapy requires a comprehensive plan to identify the end uses of measures, the data available to support measures, and measurement priorities. With this paper, we attempt to provide a foundation for developing such a plan by identifying measure options and describing their strengths and limit
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A. Opportunities for Psychotherapy Measures

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. A. Opportunities for Psychotherapy Measures

Based on our synthesis of the strengths and limitations of measurement approaches and feedback from our expert panel, we propose prioritizing the measurement of outcomes. This would involve developing the infrastructure for outcomes monitoring and building capacity for delivering evidence-based psychotherapies.
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VII. CONCLUSIONS AND NEXT STEPS

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. VII. Conclusions and Next Steps

Measures that assess the content, duration, and outcomes of psychotherapy have the potential to inform quality improvement efforts and bring greater accountability to the delivery of mental health care. Several different measurement strategies could offer insight into the quality of psychotherapy; all would require investments, varying levels of c
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B. Challenges

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. B. Challenges

Health systems must overcome several obstacles to widely implement psychotherapy outcome measures, including: (1) selecting outcome measures that are meaningful for consumers, providers, and other stakeholders; (2) deciding on the appropriate level of reporting and strategies for making fair comparisons across providers, plans, or systems; (3) ove
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A. Advantages

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. A. Advantages

Outcome measures can be used for clinical decision making and to engage consumers in care . As described in the examples above, routine outcomes monitoring can serve at least two purposes: (1) to help track consumer progress and identify individuals who fail to respond to treatment; and (2) to encourage consumer engagement in treatment.
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VI. OUTCOME MEASURES

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. VI. Outcome Measures

Outcome measures would assess whether individuals receiving psychotherapy experience improvements in their symptoms and functioning across a broad range of life domains, including employment, school functioning, relationships, and engagement in the community (Hoagwood et al. 2012). The use of such measures would complement efforts already underway
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C. Consumer and Provider Reports of the Content

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. C. Consumer and Provider Reports of the Content of Psychotherapy

Measures of whether specific psychotherapy content was delivered could be based on data collected through consumer or provider–reported surveys. When used for accountability purposes, such measures would have to consider the optimal timing and recall periods and the ability of consumers and providers to accurately report the content of treatment
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B. Measures Based on Medical Records (including

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. B. Measures Based on Medical Records (including electronic health records and other data)

Compared with measures based on claims data, measures that assess receipt of a recommended number of visits with specific psychotherapeutic content for an episode of mental illness would be more strongly linked to evidence. These measures could be developed if information on the delivery of specific psychotherapeutic content (for example, whether
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A. Measures Based on Claims

Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. A. Measures Based on Claims

Measures based on claims would be limited to: (1) assessing whether consumers with an indicated need for treatment (that is, those with a specific diagnosis) receive any psychotherapy; and (2) counting the number of visits over a specific period of time. 1. Advantages

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Form Approved OMB# 0990-0379 Exp. Date 9/30/2020