Study What You Do: Developing a Psychotherapy Tracking Database in a Large-Scale Integrated Behavioral Health Service.

Autor:	Roche AI; Division of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota roche.anne@mayo.edu., Savitz ST; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.; Division of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota., Kelpin SS; Division of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota., Lebow J; Division of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.; Department of Pediatrics, Mayo Clinic, Rochester, Minnesota., Lombardi N; Division of Integrated Behavioral Health, Mayo Clinic Health System, Albert Lea, Minnesota., Bogucki OE; Division of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts., Kurtzhals AA; Research Application Solutions, Mayo Clinic, Rochester, Minnesota., Drews MS; Research Application Solutions, Mayo Clinic, Rochester, Minnesota., Trane ST; Division of Integrated Behavioral Health, Mayo Clinic Health System, La Crosse, Wisconsin., Allen JS; Department of Family Medicine, Mayo Clinic, Rochester, Minnesota., Williams MD; Division of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota., Sawchuk CN; Division of Integrated Behavioral Health, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
Jazyk:	angličtina
Zdroj:	Annals of family medicine [Ann Fam Med] 2023 Feb; Vol. 21 (Suppl 2), pp. S49-S55.
DOI:	10.1370/afm.2927
Abstrakt:	Purpose: Many individuals with behavioral health challenges receive services in primary care, and integrated behavioral health (IBH) programs can help increase access to evidence-based interventions. IBH programs can benefit substantially from integrating standardized tracking databases that allow for the implementation of measurement-based care to evaluate patient-, clinician-, and practice-level outcomes. We describe the development and integration of Mayo Clinic's pediatric and adult primary care psychotherapy tracking database. Methods: IBH practice leaders directed the development of a large psychotherapy tracking database that continuously populates from Mayo Clinic's electronic health record system. The database captures numerous patient variables including demographics, behavioral health and substance use issues, psychotherapy principles used, and self-reported symptoms. We retrieved current data for patients empaneled in Mayo Clinic's pediatric and adult primary care psychotherapy programs from June 2014 to June 2022. Results: The tracking database contained data for 16,923 adult patients and 6,298 pediatric patients. The mean age of adult patients was 43.2 years (SD 18.3), 88.1% were non-Latine White, and 66.7% identified as female. The mean age of pediatric patients was 11.6 years (SD 4.2), 82.5% were non-Latine White, and 56.9% identified as female. We provide examples of practical applications of the database across clinical, educational, research, and administrative domains. Conclusions: The development and integration of a psychotherapy tracking database supports clinician communication, examination of patient outcomes, practice quality improvement efforts, and clinically relevant research. Our description of Mayo Clinic's IBH database may serve as a model for other IBH practices. Competing Interests: Conflicts of interest: authors report none. (© 2023 Annals of Family Medicine, Inc.)
Databáze:	MEDLINE
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