Measurement Based Care
In mental health care settings, measurement-based care (MBC) refers to an evidence-based approach which routinely collects patient reported outcome measures to track treatment progress for patients. In MBC, clinical practitioners and patients work together collaboratively during the clinical encounter to review and integrate into treatment planning all patient reported outcome measures. In this way MBC is fully aligned with patient-partnered care frameworks and can quickly identify patients who are not progressing well in treatment or who are not responding as well as expected to any given treatment modality. Multiple reviews have found that MBC is associated with greater symptom reduction and reduced dropout rates among patients. Although the effect sizes of MBC are small, the benefits to large health care systems, including increased efficiency in provision of care and reduced wait times and backlogs are substantial and meaningful.
Given the potential benefits of MBC, there have been significant efforts in military, Veteran, and civilian health care systems to implement MBC. However, these efforts have thus far yielded mixed results. Several factors operating at the level of patients, clinicians, clinics, and health care systems have been theorized to function as barriers and facilitators to the successful implementation of MBC but remain mostly unknown.
Notwithstanding the challenges in successful implementation, MBC has also been shown to be helpful in identifying best practices for difficult to treat common mental health conditions such as depression and PTSD
April 3, 2024, Measurement Base Care Discussion Panel
On April 3, 2024, CIMVHR held a discussion panel titled Measurement-based care in mental health and addiction. Why is it still not standard of care? that had a series of experts discuss the pros, cons and barriers to the widespread use of measurement-based care in mental health and addictions. The event was emceed by Col (Retd) Rakesh Jetly, CIMVHR’s Mental Health Scientist and had the following panelists join the discussion:
- Venkat Bhat, MD MSc FRCPC DABPN, Staff Psychiatrist, St. Michael's Hospital & University Health Network, Director, Interventional Psychiatry Program, St. Michael’s Hospital, Lead, AI & Analytics, Institute for Biomedical Engineering & Technology Barriers and Facilitators for Measurement-based Care: The Implementation Science Perspective
- Deniz Fikretoglu, PhD, Senior Defence Scientist, Defence Research and Development Canada, Government of Canada A brief introduction to the scientific literature on measurement based care: Definitions, efficacy, implementation, and caveats
- Bryan Garber, MD, FRCSC, MSc, Head, Research and Analysis, Directorate of Mental Health, Canadian Forces Health Services at Government of Canada: challenges of implementation, CROMIS Canadian Armed Forces Experience
- Anne Germain, PhD, Founder and CEO ,NOCTEM® Health, Inc. , MBC in CBTi Sleep Management in Veterans and Active-Duty Personnel
- Pamela L. Holens, PhD, C. Psych., Registered Clinical Psychologist, Operational Stress Injury Clinic – Deer Lodge Centre, Winnipeg Regional Health Authority, Associate Professor, Department of Clinical Health Psychology, Max Rady College of Medicine, Rady Faculty of Heath Sciences, University of Manitoba MBC in Pain Management for Operational Stress Injuries
Discussion highlights included:
- Clinician and patient review of measurement and next steps on decision making on adding medication, adjusting dosage or lifestyle modification.
- Administrators better understanding the efficacy in the management of pain conditions.
- Reluctance in using these measurement-based care and how this is anti-intuitive as most clinical practice guidelines have important inflection points.
- How a systemic and routine use of validated measures will allow informed decision-making regarding treatment.
Did you miss the panel discussion? Watch the recording today!
CIMVHR’s Journal of Military, Veteran and Family Health will be launching a special edition on MBC in February 2026. Sign up for our mailing list to be the first to know when Improving military and Veteran mental health: The role of measurement-based care approaches to treatment resistance launches.





