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<p>Measurement-Based Care (MBC) holds significant potential to enhance the effectiveness of the Primary Care Behavioral Health (PCBH) model, yet it remains inconsistently applied. This article positions MBC not as a procedural task, but as a core clinical competency that fosters therapeutic alliance, clarifies treatment goals, and promotes equitable care. Drawing from contrasting clinical vignettes, we demonstrate how tools inform clinical decision-making and enhance collaboration when applied skillfully by Behavioral Health Consultants. Finally, this article identifies cultural, structural, and operational barriers to implementation and offers pragmatic strategies to integrate MBC into routine care. By reframing MBC as a clinical competency, we advocate for its broader adoption as a standard of care within integrated behavioral health and PCBH specifically.</p>

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Beyond the Checkbox: Developing Measurement-Based Care as a Clinical Skill in PCBH

  • 期刊论文

  • 发表日期：

    2025年8月1日

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  • Neftali Serrano,
  • Kelli Bosak,
  • Sara Green-Otero,
  • Karla Hemesath,
  • Colleen Clemency Cordes,
  • William J. Sieber,
  • David Haddick

摘要

Measurement-Based Care (MBC) holds significant potential to enhance the effectiveness of the Primary Care Behavioral Health (PCBH) model, yet it remains inconsistently applied. This article positions MBC not as a procedural task, but as a core clinical competency that fosters therapeutic alliance, clarifies treatment goals, and promotes equitable care. Drawing from contrasting clinical vignettes, we demonstrate how tools inform clinical decision-making and enhance collaboration when applied skillfully by Behavioral Health Consultants. Finally, this article identifies cultural, structural, and operational barriers to implementation and offers pragmatic strategies to integrate MBC into routine care. By reframing MBC as a clinical competency, we advocate for its broader adoption as a standard of care within integrated behavioral health and PCBH specifically.