Novel Methods for Implementing Measurement-Based Care for Youth in Low-resource Environments

This study will visit 6 community mental health clinics in Washington state and work with clinic staff to find out if staff are regularly evaluating clinical outcomes using questionnaires (which is also called measurement-based care). The study team will partner with clinic staff to find out what makes using questionnaires difficult and then plan to improve the use of questionnaires. The study activities will include trainings, interviews, collaborative discussions, and interactive activities.

Inclusion Criteria:Aim 1: Co-create plans for optimizing Measurement Based Care (MBC) implementation for youth with comorbidities.Clinic staff/Therapists (N=180) across 6 CMHCs in Washington state. Inclusion: Must be aged 21+ and be working at a CMHC that is participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.Youth (N=48) Inclusion: aged 13-17 years, receiving treatment at CMHC participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.Aim 2: Compare MBC fidelity post IMPACT Center methods deployment versus historical controls.Clinic staff/Therapists (N=30) across 6 CMHCs in Washington state. Inclusion: Must be aged 21+ and be working at a CMHC that is participating in the WA State CBT (Cognitive Behavioral Therapy) + Initiative.Youth: NA, there are no Youth Participants in this aim.Exclusion Criteria:Aim 1:Clinic staff/Therapists: Unwilling to participate in study activities. Youth: Suicidal, psychotic, not cognitively able to safely participate in MBC, and not able to read and write in English.Aim 2:Clinic staff/Therapists: Unwilling to participate in study activities. Youth: NA, there are no Youth Participants in this aim-