Behavioral health is undergoing a significant change with a focus on measurement-based care which can assist in better delivering treatments. Community behavioral health practices can apply screening and follow-up plans with treatment targets and then use validated measurement tools, assess treatment response, and adjust treatment according to outcomes. Commonly used tools include the PHQ9 for depression and GAD7 for anxiety and in these settings it will be important to look beyond these tools. Measurement must be applied in a systematic fashion by the care team requiring re-thinking workflows. Data is entered into the registry for tracking and treatment is adjusted to reach preset clinical targets. Advancing this approach in community behavioral health settings is a central tool for enhancing and informing approaches to population health and improving and positioning the field for value-based payment initiatives. This presentation reviews measurement-based care approaches for behavioral and physical health in the SMI population as well as reviews examples of registry tracking and using aggregate data.

Learning Objectives

• Contrast the core processes of effective measurement-based care with ineffective approaches.
• List common, validated measurement tools for assessing behavioral and physical symptoms in community mental health populations.
• Discuss how a registry can be used to monitor individual patients and improve population health with aggregated data.

Target Audience

Instructional Level

Introductory

Estimated Time to Complete

Estimated Duration: 1.0 hour 
Program Start Date: August 16, 2019 
Program End Date: August 16, 2025

Program Review Date: September 6, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™, CE credit for psychologists, or a certificate of participation may do so by completing all sections of the course, including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 75% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), or certificate of participation (non-physicians) showing the completion date and hours earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. The American Psychiatric Association maintains responsibility for this program and its content.

Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.

Faculty and Planner Disclosures

Instructor

• Lori Raney, MD, is Principal at Health Management Associates and a board-certified psychiatrist. Dr. Raney is considered a leading authority on the collaborative care model and the bidirectional integration of primary care and behavioral health. She reports no financial relationships with commercial interests.

Planners

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
• Amy N. Cohen, PhD, University of California, Los Angeles. Reports no financial relationships with commercial interests. 
• Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.
• Donna Rolin, PhD, APRN, University of Texas at Austin. Reports no financial relationships with commercial interests. 

Program Reviewers:

• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. (Reviewed on 8/14/22)
• Amy N. Cohen, PhD, American Psychiatric Association. Dr. Cohen has no relevant financial relationships to disclose. (Reviewed on 7/28/22)
• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no relevant financial relationships to disclose. (Reviewed on 8/29/22)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIAdviserHelp@psych.org for technical assistance