Improving Mental Health Outcomes at Scale through Technology-Enabled Measurement-Based Care-View Presentation Slides

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This 2025 American Psychiatric Association webinar presentation, led by Dr. Andrew D. Carlo and Dr. Carlene MacMillan, focuses on enhancing mental health outcomes at scale via technology-enabled Measurement-Based Care (MBC). MBC involves the regular use of validated patient self-report instruments to inform psychiatric decision-making and treatment adjustments in real time. The core MBC process includes administering measures, joint review by clinician and patient, shared decision-making, and documenting changes in electronic health records to track progress longitudinally.<br /><br />MBC improves patient engagement, clinical outcomes, and demonstrates value in care, with potential for revenue through billing codes. Key implementation barriers exist at multiple levels: patient concerns over privacy, clinician skepticism about measures, organizational resource limitations, and systemic competing priorities. Facilitators include measurement feedback systems, leadership training, learning collaboratives, local champions, expert consultation, and financial incentives.<br /><br />Emerging technologies supporting MBC include smartphone apps for digital symptom tracking, computerized adaptive testing that individualizes question sets, clinical-grade and consumer wearables for passive physiological monitoring, and AI-driven predictive analytics that support risk stratification and personalized treatment selection. These technologies enhance data collection and early detection but raise ethical considerations around data privacy, equity of access, algorithmic bias, transparency, and avoiding over-reliance on AI without clinician oversight.<br /><br />A case example illustrated a bipolar disorder patient using an app and wearable to monitor symptoms and behaviors, enabling early intervention and hospitalization avoidance through proactive clinician outreach informed by AI-analyzed trends.<br /><br />Future directions emphasize integrating digital tools with electronic health records, standardizing digital biomarkers, establishing regulatory and ethical frameworks, and leveraging MBC data in value-based care models. The ultimate goal is a tech-enhanced, measurement-driven, equitable psychiatric care system.<br /><br />Overall, the session encourages adoption of MBC supported by emerging technologies to improve patient outcomes while addressing practical and ethical challenges in implementation.

Keywords

Measurement-Based Care

Mental Health Technology

Psychiatric Outcomes

Patient Engagement

Digital Symptom Tracking

AI Predictive Analytics

Clinical Decision-Making

Electronic Health Records

Ethical Considerations in AI

Value-Based Psychiatric Care