Behavioral Health Outcomes Management
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Behavioral Health Outcomes Management
Behavioral health outcome management (BHOM) involves the use of behavioral health outcome measurement data to help guide and inform the treatment of each individual patient. Like blood pressure, cholesterol and other routine lab work that helps to guide and inform general medical practice, the use of routine measurement in behavioral health is proving to be invaluable in assisting therapists to deliver better quality care. Macro-context In behavioral healthcare (mental health and substance abuse treatment) routine health outcomes measurement has expanded beyond aggregating measurements for quality improvement studies and has placed equal emphasis on the therapeutic gain delivered by real-time patient-level outcome feedback. With the $200 billion behavioral health marketplace in a state of public health crisis as defined by the US Surgeon General with most patients receiving substandard care, outcome management is helping to provide quality controls, data and structure for a large sub ...
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Routine Health Outcomes Measurement
Routine health outcomes measurement is the process of examining whether or not interventions are associated with change (for better or worse) in the patient's health status. This change can be directly measured (e.g. by rating scales used by the clinician or patient) or assumed by the use of proxy measurement (e.g. a blood test result). Interventions can be direct (e.g. medication) or indirect (e.g. change in the process of health care like integration care by different specialists). Some definitions of health outcomes measurement stipulate that the population or group has to be defined (different outcomes are expected for different people & conditions). A strong example is that of Australia's New South Wales Health Department: health outcome is "change in the health of an individual, group of people or population which is attributable to an intervention or series of interventions" In its purest form, measurement of health outcomes implies identifying the context (diagnosis, d ...
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PHQ-9
The nine-item Patient Health Questionnaire (PHQ-9) is a depressive symptom scale and diagnostic tool introduced in 2001 to screen adult patients in primary care settings. The instrument assesses for the presence and severity of depressive symptoms and a possible depressive disorder. The PHQ-9 is a component of the larger self-administered Patient Health Questionnaire (PHQ), but can be used as a stand-alone instrument. The PHQ is part of Pfizer's larger suite of trademarked products, called the Primary Care Evaluation of Mental Disorders (PRIME-MD). The PHQ-9 takes less than three minutes to complete. It is scored by simply adding up the individual items' scores. Each of the nine items reflects a ''DSM-5'' symptom of depression.American Psychiatric Association. (2022). ''Diagnostic and statistical manual of mental disorders: DSM-5-TR'' (5th ed.). Washington, DC: Author. Primary care providers can use the PHQ-9 to screen for possible depression in patients. History The PHQ-9 is the ...
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Primary Care Physician
A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term is primarily used in the United States. In the past, the equivalent term was 'general practitioner' in the US; however in the United Kingdom and other countries the term general practitioner is still used. With the advent of nurses as PCPs, the term PCP has also been expanded to denote primary care providers. A core element in general practice is continuity that bridges episodes of various illnesses. Greater continuity with a general practitioner has been shown to reduce the need for out-of-hours services and acute hospital admittance. Furthermore, continuity by a general practitioner reduces mortality. All physicians first complete medical school ( MD, MBBS, or DO). To become primary care physicians, medical school graduates then under ...
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Cognitive Behavioral Therapy
Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, PTSD, and anxiety disorders. Cognitive behavioral therapy focuses on challenging and changing cognitive distortions (thoughts, beliefs, and attitudes) and their associated behaviors in order to improve emotional regulation and help the individual develop coping strategies to address problems. Though originally designed as an approach to treat depression, CBT is often prescribed for the evidence-informed treatment of many mental health and other conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies. CBT is a common form of talk therapy based on the combination of the basic principles from behavioral and cognitive psychology. I ...
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American Psychological Association
The American Psychological Association (APA) is the main professional organization of psychologists in the United States, and the largest psychological association in the world. It has over 170,000 members, including scientists, educators, clinicians, consultants, and students. It has 54 divisions, which function as interest groups for different subspecialties of psychology or topical areas. The APA has an annual budget of nearly $135 million. Profile The APA has task forces that issue policy statements on various matters of social importance, including abortion, human rights, the welfare of detainees, human trafficking, the rights of the Mental disorder, mentally ill, IQ testing, sexual orientation change efforts, and gender equality. Governance APA is a corporation chartered in Washington, D.C. APA's bylaws describe structural components that serve as a system of checks and balances to ensure democratic process. The organizational entities include: * APA President. The APA pr ...
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Society For Psychotherapy Research
The Society for Psychotherapy Research (SPR) is a learned society founded in 1970. It is multidisciplinary, international association for research into psychotherapy. The idea of an international society of psychotherapists was discussed at an annual meeting of the American Psychological Association in 1968. The society has chapters in the United Kingdom, the rest of Europe, Latin America, and North America. The Society for Psychotherapy Research also has what it describes as "Area groups" in Australia, Italy, and other specific locations. The academic journal of the Society for Psychotherapy Research, '' Psychotherapy Research'', is published bi-monthly by Routledge. Aims and history SPR encourages the development of research on psychotherapy as well as aims to support and enhance both the empirical basis and applied value of research on psychotherapy. Psychotherapy research is stimulated, for instance, by providing small research grants for pilot studies which, in turn, enable ...
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Self-selection Bias
In statistics, self-selection bias arises in any situation in which individuals select themselves into a group, causing a biased sample with nonprobability sampling. It is commonly used to describe situations where the characteristics of the people which cause them to select themselves in the group create abnormal or undesirable conditions in the group. It is closely related to the non-response bias, describing when the group of people responding has different responses than the group of people not responding. Self-selection bias is a major problem in research in sociology, psychology, economics and many other social sciences. In such fields, a poll suffering from such bias is termed a self-selected listener opinion poll or "SLOP". The term is also used in criminology to describe the process by which specific predispositions may lead an offender to choose a criminal career and lifestyle. While the effects of self-selection bias are closely related to those of selection bias, t ...
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