A curriculum in measurement-based care: Screening and monitoring of depression in a psychiatric resident clinic

Melissa R. Arbuckle; Michael Weinberg; Susan C. Kistler; Deborah L. Cabaniss; Abby J. Isaacs; Lloyd I. Sederer; Susan M. Essock

doi:10.1176/appi.ap.12080152

A curriculum in measurement-based care: Screening and monitoring of depression in a psychiatric resident clinic

Melissa R. Arbuckle, Michael Weinberg, Susan C. Kistler, Deborah L. Cabaniss, Abby J. Isaacs, Lloyd I. Sederer, Susan M. Essock

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: The goal of this curriculum was to train residents in measurement-based care (MBC). Method: Third-year psychiatry residents were educated in MBC through didactic seminars and a quality-improvement (QI) initiative with the goal of implementing the Patient Health Questionnaire Depression Scale (PHQ29) to screen and monitor patients for symptoms of depression. Results: Residents suggested strategies for integrating the PHQ29 into the clinic. Over the first 6 months, residents showed an increase in rate of depression screening from 4% to 92% of patients. Also, they increased monthly monitoring of outpatients with a diagnosis of depression from 1% to 76%. Residents who used the PHQ29 to monitor patients with depression were significantly more likely to use additional standardized assessments. Conclusions: Combining an educational intervention with QI strategies can significantly affect residents' use of standardized assessments in an outpatient setting. Using standardized measures allows residents to assess their own clinical effectiveness, an emerging priority in training.

Original language	English
Pages (from-to)	317-320
Number of pages	4
Journal	Academic Psychiatry
Volume	37
Issue number	5
DOIs	https://doi.org/10.1176/appi.ap.12080152
State	Published - Sep 2013
Externally published	Yes

Bibliographical note

Funding Information:
Received August 23, 2012; revised February 22, 2013; accepted March 14, 2013. From the Dept. of Psychiatry, Columbia University, New York, NY (MRA, MW, SCK, DLC, SME), the Research Foundation for Mental Hygiene, Inc. (MW, AJI), New York State Psychiatric Institute (MRA, DLC, SME), and the New York State Office of Mental Health (LIS). Send correspondence to Dr. Arbuckle; e-mail: ma2063@columbia.edu Copyright © 2013 Academic Psychiatry

ASJC Scopus subject areas

Education
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1176/appi.ap.12080152

Cite this

@article{d5688a769e1746cc838229542910d1a7,

title = "A curriculum in measurement-based care: Screening and monitoring of depression in a psychiatric resident clinic",

abstract = "Objective: The goal of this curriculum was to train residents in measurement-based care (MBC). Method: Third-year psychiatry residents were educated in MBC through didactic seminars and a quality-improvement (QI) initiative with the goal of implementing the Patient Health Questionnaire Depression Scale (PHQ29) to screen and monitor patients for symptoms of depression. Results: Residents suggested strategies for integrating the PHQ29 into the clinic. Over the first 6 months, residents showed an increase in rate of depression screening from 4% to 92% of patients. Also, they increased monthly monitoring of outpatients with a diagnosis of depression from 1% to 76%. Residents who used the PHQ29 to monitor patients with depression were significantly more likely to use additional standardized assessments. Conclusions: Combining an educational intervention with QI strategies can significantly affect residents' use of standardized assessments in an outpatient setting. Using standardized measures allows residents to assess their own clinical effectiveness, an emerging priority in training.",

author = "Arbuckle, {Melissa R.} and Michael Weinberg and Kistler, {Susan C.} and Cabaniss, {Deborah L.} and Isaacs, {Abby J.} and Sederer, {Lloyd I.} and Essock, {Susan M.}",

note = "Funding Information: Received August 23, 2012; revised February 22, 2013; accepted March 14, 2013. From the Dept. of Psychiatry, Columbia University, New York, NY (MRA, MW, SCK, DLC, SME), the Research Foundation for Mental Hygiene, Inc. (MW, AJI), New York State Psychiatric Institute (MRA, DLC, SME), and the New York State Office of Mental Health (LIS). Send correspondence to Dr. Arbuckle; e-mail: ma2063@columbia.edu Copyright {\textcopyright} 2013 Academic Psychiatry",

year = "2013",

month = sep,

doi = "10.1176/appi.ap.12080152",

language = "English",

volume = "37",

pages = "317--320",

journal = "Academic Psychiatry",

issn = "1042-9670",

publisher = "Springer International Publishing AG",

number = "5",

}

TY - JOUR

T1 - A curriculum in measurement-based care

T2 - Screening and monitoring of depression in a psychiatric resident clinic

AU - Arbuckle, Melissa R.

AU - Weinberg, Michael

AU - Kistler, Susan C.

AU - Cabaniss, Deborah L.

AU - Isaacs, Abby J.

AU - Sederer, Lloyd I.

AU - Essock, Susan M.

N1 - Funding Information: Received August 23, 2012; revised February 22, 2013; accepted March 14, 2013. From the Dept. of Psychiatry, Columbia University, New York, NY (MRA, MW, SCK, DLC, SME), the Research Foundation for Mental Hygiene, Inc. (MW, AJI), New York State Psychiatric Institute (MRA, DLC, SME), and the New York State Office of Mental Health (LIS). Send correspondence to Dr. Arbuckle; e-mail: ma2063@columbia.edu Copyright © 2013 Academic Psychiatry

PY - 2013/9

Y1 - 2013/9

N2 - Objective: The goal of this curriculum was to train residents in measurement-based care (MBC). Method: Third-year psychiatry residents were educated in MBC through didactic seminars and a quality-improvement (QI) initiative with the goal of implementing the Patient Health Questionnaire Depression Scale (PHQ29) to screen and monitor patients for symptoms of depression. Results: Residents suggested strategies for integrating the PHQ29 into the clinic. Over the first 6 months, residents showed an increase in rate of depression screening from 4% to 92% of patients. Also, they increased monthly monitoring of outpatients with a diagnosis of depression from 1% to 76%. Residents who used the PHQ29 to monitor patients with depression were significantly more likely to use additional standardized assessments. Conclusions: Combining an educational intervention with QI strategies can significantly affect residents' use of standardized assessments in an outpatient setting. Using standardized measures allows residents to assess their own clinical effectiveness, an emerging priority in training.

AB - Objective: The goal of this curriculum was to train residents in measurement-based care (MBC). Method: Third-year psychiatry residents were educated in MBC through didactic seminars and a quality-improvement (QI) initiative with the goal of implementing the Patient Health Questionnaire Depression Scale (PHQ29) to screen and monitor patients for symptoms of depression. Results: Residents suggested strategies for integrating the PHQ29 into the clinic. Over the first 6 months, residents showed an increase in rate of depression screening from 4% to 92% of patients. Also, they increased monthly monitoring of outpatients with a diagnosis of depression from 1% to 76%. Residents who used the PHQ29 to monitor patients with depression were significantly more likely to use additional standardized assessments. Conclusions: Combining an educational intervention with QI strategies can significantly affect residents' use of standardized assessments in an outpatient setting. Using standardized measures allows residents to assess their own clinical effectiveness, an emerging priority in training.

UR - http://www.scopus.com/inward/record.url?scp=84883335256&partnerID=8YFLogxK

U2 - 10.1176/appi.ap.12080152

DO - 10.1176/appi.ap.12080152

M3 - Article

C2 - 24026369

AN - SCOPUS:84883335256

SN - 1042-9670

VL - 37

SP - 317

EP - 320

JO - Academic Psychiatry

JF - Academic Psychiatry

IS - 5

ER -

A curriculum in measurement-based care: Screening and monitoring of depression in a psychiatric resident clinic

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this