Work

Understanding sustainability of measurement-based care in child and adolescent mental health services: a study protocol

Year: 2026

Type: article

Abstract: BACKGROUND: Measurement-based care (MBC) is the routine use of patient-reported outcome measures to inform treatment planning in mental health care. MBC provides clinicians with real-time indicators of clients' symptoms and functioning, and organizations with aggregate outcome data to inform service evaluation. While our understanding of how to implement MBC is growing, there is very little evidence on how to sustain MBC within child and adolescent mental health services (CAMHS). The purpose of this project is to describe the conditions, and processes that promote sustainment of MBC in eight community child and adolescent mental health treatment programs. METHODS: We will use an explanatory, sequential mixed-methods design. Quantitative data on MBC sustainability will be derived from clinician surveys and the provincial electronic medical record. Following Yin's multiple-case study methodology, qualitative data will be collected through interviews to explore factors that promoted sustainability across sites. We use the Dynamic Sustainability Framework as the theoretical model for this study and the Consolidated Framework for Implementation Research. The proposed project will take place in eight public CAMHS clinics from a single urban jurisdiction. Participants will include clinical staff from the sites and clients ages 11-17. DISCUSSION: This study will examine sustainment of MBC in CAMHS settings after external implementation support has been withdrawn. Knowledge of specific events, processes, and contextual conditions within clinics in this study that supported MBC sustainment will help practitioners implement and sustain MBC in CAMHS. TRIAL REGISTRATION: Not applicable.

Source: Implementation Science Communications

DOI: 10.1186/s43058-026-01024-8

Authors: Kalee Jack, Graham Gaine, Kewir Dufe, Kimberly Manalili, Ahlam Zidan, Erin McCabe

Institutions: University of Alberta, Recovery Alberta, University of Calgary

Language: English

Topic: Health Policy Implementation Science

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,290