- Measurement-based care uses regular collaborative review of valid PTSD measures and adjusts treatment based on outcomes rather than treatment model.
- MBC is client centred and recovery focused, intended to change provider behaviour by increasing attention to patient recovery.
- A feasible, low burden randomised trial compares usual care, MBC, and MBC plus consultant support while allowing clinician judgement.
J Interpers Violence. 2026 Oct 17:8862605261493556. doi: 10.1177/08862605261493556. Online ahead of print.
ABSTRACT
Festschrift for Jon Conte’s research idea. Effective treatments for post-traumatic stress disorder (PTSD) in children and adults exist but are not widely available. Among those who have access, there is variability in response: some do not engage, some are better within a few sessions and some are not better at the endpoint. Even among trained providers, there is drift from adherent delivery over time. Clients with PTSD typically receive whatever the provider has to offer. An alternative approach is measurement-based care (MBC) that focuses on outcomes versus treatment model or content. MBC is the regular collaborative review of free and valid measures of PTSD, with treatment planning adjusted based on results. The hypothesis is that MBC will affect provider behavior with greater attention to recovery. MBC is conceptualized as a client-centered, recovery-focused approach. The test is a naturalistic prospective randomized trial with three conditions: usual care, MBC and MBC+ (consultant support). It is feasible and low burden, as providers are permitted to deliver treatment for PTSD based on their own clinical judgement.
PMID:42891594 | DOI:10.1177/08862605261493556
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