Ongoing and comprehensive assessment is a critical part of the implementation of evidence-based care; yet, most providers fail to routinely incorporate measurement into their clinical practice. Few studies have focused on the complex application of routine assessment or measurement-based care (MBC) with children. This pilot examined the acceptability, appropriateness, adoptability, and feasibility of an MBC effort, the Clinical Improvement through Measurement Initiative (CIMI), across several child-serving settings (e.g., community mental health center, residential treatment facility). CIMI includes a comprehensive mental health assessment protocol and combines a mobile technology platform with implementation support. Survey and focus group information, assessing implementation constructs and outcomes, was collected from 44 clinicians and staff. Overall, participants agreed that the implementation process and technology were acceptable, appropriate, and feasible for use in child mental health and that CIMI can be used to guide case conceptualization, facilitate treatment planning, and monitor outcomes. Strategies that supported the implementation process were identified as were recommendations to enhance adoption. Significant differences were observed by Community versus Specialized settings with respect to feasibility and appropriateness, likely because of factors associated with inner setting (climate, compatibility), outer setting (patient needs), and the phase of implementation achieved by sites. Implications and recommendations for tailoring MBC implementation by characteristics related to setting are discussed. MBC across child service settings are discussed in the context of implementation frameworks. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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为儿童提供基于创伤的基于测量的护理：在多种治疗环境中实施。

持续和全面的评估是实施循证护理的关键部分；但是，大多数提供者无法将测量结果常规地纳入他们的临床实践。很少有研究集中于对儿童进行常规评估或基于测量的护理（MBC）的复杂应用。这位飞行员检查了MBC措施（通过测量儿童改善临床措施（CIMI）进行的MBC努力）在多个为儿童提供服务的场所（例如，社区心理健康中心，住院治疗设施）的可接受性，适当性，可采纳性和可行性。CIMI包括全面的心理健康评估协议，并将移动技术平台与实施支持相结合。从44位临床医生和工作人员那里收集了调查和焦点小组信息，以评估实施的结构和结果。总体而言，与会人员一致认为，实施过程和技术可用于儿童心理健康方面，是可接受的，适当的和可行的，并且CIMI可用于指导病例概念化，促进治疗规划和监测结果。确定了支持实施过程的策略以及加强采用率的建议。社区与专业设置在可行性和适当性方面观察到显着差异，可能是由于与内部设置（气候，兼容性），外部设置（患者需求）以及站点实现的实施阶段相关的因素。讨论了通过与设置相关的特征来定制MBC实施的含义和建议。在实现框架的上下文中讨论了跨子服务设置的MBC。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。