In 2016, the Department of Veterans Affairs (VA) began the Measurement-Based Care in Mental Health Initiative to implement measurement-based care (MBC) across all mental health programs with the goal of making MBC the national standard of care. Phase 1 of this initiative, beginning in fall 2016 through fall 2017, was carefully designed to meet the ambitious goals of the organization while minimizing implementation barriers. Phase 1 participants reported an increase in MBC implementation across mental health programs with a simultaneous increase in the proportion of patient-reported outcome measures among veterans new to mental health care. The initiative adopted a broad range of strategies informed by implementation science to facilitate implementation at the organizational, provider, and patient level which are described here. The initiative was successful, but use of patient-reported outcome measures across VA mental health remains proportionally low. Technology, VA's hierarchical structure, and competition from other VA mental health initiatives may have slowed national implementation efforts. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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退伍军人事务部在全国实施基于测量的心理健康护理的观察结果。

2016年，退伍军人事务部（VA）发起了基于测量的心理健康护理计划，以在所有心理健康计划中实施基于测量的保健（MBC），旨在使MBC成为国家护理标准。从2016年秋季到2017年秋季，该计划的第一阶段经过精心设计，以实现组织的宏伟目标，同时最大程度地减少实施障碍。第一阶段的参与者报告说，在心理健康计划中，MBC的实施有所增加，而在精神保健新手中，患者报告的结局指标所占的比例也同时增加。该计划采用了以实施科学为基础的广泛策略，以促进在组织，提供者和患者层面上的实施，此处将对此进行介绍。该计划取得了成功，但是在VA精神卫生中使用患者报告的结局指标仍然比例偏低。技术，弗吉尼亚州的层次结构以及来自其他弗吉尼亚州精神卫生计划的竞争可能会减缓国家实施工作的速度。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。