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Individual Oral Paper

Dissemination & Implementation Science

Youth Treatment: Intervention Development and Implementation

6 - (IOP 30) Implementation of a Novel Measurement Feedback System for Youth

Sunday, November 23, 2025
11:15 AM - 11:30 AM CST
Location: Celestin A, Level 3
Keywords: Evidence-Based Practice, Adherence, Community-Based
Recommended Readings: Bickman, L. (2008). A Measurement Feedback System (MFS) is necessary to improve mental health outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 47(10), 1114–1119. https://doi.org/10.1097/CHI.0b013e3181825af8,   Waltman, S. H., Sokol, L., & Beck, A. T. (2017). Cognitive behavior therapy treatment fidelity in clinical trials: Review of recommendations. Current Psychiatry Reviews, 13(4), 311–315. https://doi.org/10.2174/1573400514666180109150208,   Jensen-Doss, A., Douglas, S., Phillips, D. A., Gencdur, O., Zalman, A., & Gomez, N. E. (2020). Measurement-based care as a practice improvement tool: Clinical and organizational applications in youth mental health. Evidence-Based Practice in Child and Adolescent Mental Health, 5(3), 233–250. https://doi.org/10.1080/23794925.2020.1784062,   ,  
Youth mental health needs are rapidly increasing, yet evidence-based practices remain under-implemented despite wide availability. One promising solution is the use of measurement feedback systems (MFSs), which provide clinical feedback to therapists and may enhance the implementation of evidence-based practices. This study will examine the naturalistic use of a novel measurement feedback system. Unlike the majority of MFSs, this system integrates both routine outcome monitoring and adherence to cognitive-behavioral therapy. Outcome data includes client functioning and top problem ratings. It is multi-informant, digital, and transdiagnostic providing session-by-session feedback to therapists.
Participants include trainees and community therapists using the MFS. Youth clients are between 3 and 20 years old with presenting concerns of anxiety, depression, disruptive behavior, and post-traumatic stress. Guided by the Consolidated Framework for Implementation Research, therapist, client, and organizational-level characteristics will be evaluated as predictors of timeliness and degree of implementation. Predictors are therapist demographics, training, and attitudes, client gender identity, race/ethnicity, age and treatment concern, and organization culture and resources. Data will be analyzed using multilevel models to identify patterns in the use of the MFS and variability in therapist implementation.
The study aims to identify dynamics between providers and youths in using the MFS, as well as the barriers and facilitators to its implementation. Results will also explore how factors such as race/ethnicity, gender, and treatment concerns influence MFS uptake and sustainability in community and trainee settings. Implications for the broader adoption of MFSs will be discussed, particularly how to overcome identified barriers and improve the overall implementation process.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Describe the benefits and opportunities for using measurement feedback systems as well as identify possible barriers.