This article explores how measurement-informed care (MIC) aids treatment planning in practice as well as the culturally responsive use of MIC in informing treatment planning.
Building better treatment plans with measurement-informed care
MIC is a valuable tool for providers of any theoretical orientation or approach to develop targeted treatment plans. MIC helps providers create treatment plans tailored to a patient’s specific needs. By tracking patient self-reported data on symptom severity and the strength of the therapeutic alliance, providers can break down larger treatment goals into smaller, achievable steps. Focusing on measurable objectives makes the healing journey more manageable for both patients and providers. Here are a few ways in which MIC can support treatment planning.
Measurement-informed care enhances communication
By collaboratively reviewing patient responses to MIC surveys, a shared language is established for discussing the patient’s treatment needs, goals, and progress. Clear goals and objectives act as a roadmap, ensuring everyone is on the same path regarding the treatment direction. This shared understanding strengthens the therapeutic alliance, fostering a more effective and beneficial experience.
Measurement-informed care can boost patient motivation
Regularly assessing symptoms, the therapeutic alliance, and clinical progress, followed by updating the treatment plan as needed, empowers patient investment in goal setting and recovery. Monitoring progress over time through MIC scores provides tangible evidence of treatment targets and improvement, which boosts motivation and hope–essential elements for any mental health recovery journey.
Culturally responsive use of measurement-informed care in treatment planning
MIC relies on patient self-reported data, a valuable tool when used thoughtfully. However, it's imperative to consider individual and cultural factors that might influence patient responses to surveys and the interpretation of those scores in treatment planning.
For instance, alongside reviewing scores, consider holding space to discuss these factors with your patient to ensure a culturally responsive treatment plan:
- Views on mental health: Explore how the patient (and their cultural community and/or family) views mental health, including their understanding of the problem's origin. This can influence symptom perception and self-reported scores.
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Help-seeking history: Discuss past experiences with mental health services. Consider factors like stigma, previous negative experiences, access to culturally competent care, and family support. This can impact a patient’s willingness to engage in treatment and respond openly to measures. Consider asking:
- “Has anything prevented you from getting the help you needed in the past? For example, fear or distrust of mental health treatment, previous negative experiences with treatment, stigma or discrimination, systemic racism and traumas, family judgment/lack of support, or lack of access to services that understand your identity(s) language, and/or community.
- Recovery goals: Ensure patient goals align with their cultural identity and values. Avoid imposing goals from outside sources (e.g., therapist, family).
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Culturally bound approaches: Explore the patient’s experiences with traditional healers or other culturally specific treatment approaches. This can inform the overall treatment plan. Consider asking:
- “Often, people look for help from many different sources, including different kinds of doctors, helpers, or healers. In the past, what kinds of treatment, help, advice, or healing have you sought for your [presenting problem]? What types of help or treatment were most useful? Not useful?
A culturally sensitive and appropriate treatment plan is key. This ensures that MIC and the treatment planning process are relevant and responsive to the patient’s unique needs.
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