Client-focused assessment and intervention: Tailoring the work to the client.

The need for a measurement-based care professional practice guideline.

“…Included within these core elements is selecting appropriate measure(s), determining the frequency of assessment, and introducing the rationale for MBC (Lewis et al, 2019). Although standardized measures of symptoms or function are most typically used (e.g., Patient Health Questionnaire [PHQ-9], Generalized Anxiety Disorder [GAD-7], Outcome Questionnaire [OQ], Outcome Rating Scale [ORS]; Kelley & Bickman, 2009; Lambert et al, 2018; Miller et al, 2005; Trivedi & Daly, 2007), individualized idiographic measures (e.g., goal attainment scaling), therapy process variables, and mechanisms/stages of change can also be utilized (Boswell & Scharff, 2022; Lutz et al, 2019). Whereas patient self-report is the most frequent assessment method, we often use “patient-generated data” to signal that MBC data need not be restricted to patient self-report and can include data produced from other sources that leverage technology (e.g., data from wearable devices).…”

“…Consequently, when introducing MBC with new patients and integrating subsequent monitoring-derived data within sessions, it is recommended that psychologists adopt a collaborative stance and provide a clear rationale for MBC (Boswell & Scharff, 2022; Duncan, 2014; Lambert, 2010; Prescott et al, 2017). A collaborative stance might also begin with a discussion of potential measures and the timing and frequency of assessment if such flexibility exists within a given setting.…”