TY - JOUR
T1 - Provider perceived barriers and facilitators to integrating routine outcome monitoring into practice in an urban community psychiatry clinic
T2 - A mixed-methods quality improvement project
AU - Van Wert, Michael J.
AU - Malik, Mansoor
AU - Memel, Brenda
AU - Moore, Ryan
AU - Buccino, Daniel
AU - Hackerman, Florence
AU - Kumari, Suneeta
AU - Everett, Anita
AU - Narrow, William
N1 - Funding Information:
We would like to thank the Johns Hopkins Bayview Medical Center Community Psychiatry Program clinicians, administrators, and Results Committee members for their participation in this project. There was no funding for this project.
Publisher Copyright:
© 2020 John Wiley & Sons Ltd
PY - 2021/8
Y1 - 2021/8
N2 - Background and Aims: Although mental health clinics are under increasing pressure to demonstrate value and routine outcome monitoring (ROM) has become a mandated component of care, providers have been slow to adopt ROM into practice, with some estimating that less than 20% of mental health clinicians use it consistently in the United States. This article explores perceived barriers and facilitators to integrating ROM into practice among clinicians and administrators in a large urban US community psychiatry clinic. Method: One hundred and thirty-eight clinical and administrative staff were administered an anonymous web-based survey to elicit attitudes towards ROM. Responses were summarized descriptively and qualitatively synthesized into a conceptual model using inductive thematic analysis. Results: Common barriers to integration included insufficient time to collect and/or use measures, not knowing what measures to use, measures being difficult to access, and insufficient training. Facilitators included increased access/ease of use, training and support, measure relevance/validity, and accountability. Conclusions: In order for psychiatry clinics to successfully implement ROM into practice, they must diagnose organization-side barriers and translate this knowledge into actionable quality improvement initiatives ranging from the infrastructural to the cultural.
AB - Background and Aims: Although mental health clinics are under increasing pressure to demonstrate value and routine outcome monitoring (ROM) has become a mandated component of care, providers have been slow to adopt ROM into practice, with some estimating that less than 20% of mental health clinicians use it consistently in the United States. This article explores perceived barriers and facilitators to integrating ROM into practice among clinicians and administrators in a large urban US community psychiatry clinic. Method: One hundred and thirty-eight clinical and administrative staff were administered an anonymous web-based survey to elicit attitudes towards ROM. Responses were summarized descriptively and qualitatively synthesized into a conceptual model using inductive thematic analysis. Results: Common barriers to integration included insufficient time to collect and/or use measures, not knowing what measures to use, measures being difficult to access, and insufficient training. Facilitators included increased access/ease of use, training and support, measure relevance/validity, and accountability. Conclusions: In order for psychiatry clinics to successfully implement ROM into practice, they must diagnose organization-side barriers and translate this knowledge into actionable quality improvement initiatives ranging from the infrastructural to the cultural.
KW - attitudes
KW - community psychiatry
KW - measurement-based care
KW - mental health
KW - providers
KW - routine outcome monitoring (ROM)
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U2 - 10.1111/jep.13457
DO - 10.1111/jep.13457
M3 - Article
C2 - 32790131
AN - SCOPUS:85089370874
SN - 1356-1294
VL - 27
SP - 767
EP - 775
JO - Journal of Evaluation in Clinical Practice
JF - Journal of Evaluation in Clinical Practice
IS - 4
ER -