{"id":13413,"date":"2024-08-28T11:14:50","date_gmt":"2024-08-28T15:14:50","guid":{"rendered":"https:\/\/staging.grnspace.com\/en-ca\/?p=13413"},"modified":"2024-11-07T10:03:22","modified_gmt":"2024-11-07T15:03:22","slug":"research-spotlight-leveraging-mbc-to-reduce-mental-health-treatment-disparities-for-populations-of-color","status":"publish","type":"post","link":"https:\/\/staging.grnspace.com\/en-ca\/research-spotlight-leveraging-mbc-to-reduce-mental-health-treatment-disparities-for-populations-of-color\/","title":{"rendered":"Research Spotlight: Leveraging MBC to Reduce Mental Health Treatment Disparities for Populations of Colour"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Our <a href=\"https:\/\/staging.grnspace.com\/optimizing-mbc-in-practice-interactive-breakout-sessions-with-the-yale-mbc-collaborative\/\">upcoming educational panel<\/a> will feature the <a href=\"https:\/\/medicine.yale.edu\/psychiatry\/research\/programs\/clinical_people\/mbccollab\/\" rel=\"nofollow noopener\" target=\"_blank\">Yale Measurement-Based Care Collaborative<\/a> (YMBCC), a group of four dedicated researchers and psychologists who have devoted their careers to advancing the adoption and practice of Measurement-Based Care (MBC). Their work focuses on developing <a href=\"https:\/\/staging.grnspace.com\/yale-mbcc-hub\/\">tools and educational content<\/a> that help clinical teams effectively adopt MBC, thereby enhancing client outcomes and the overall quality of care. As MBC adoption continues to accelerate across North America, the YMBCC has expanded its work and research to explore how this evidence-based practice impacts various demographics, with the aim of fostering increasingly equitable care for underserved populations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At Greenspace, driving care equity through MBC is a critical topic we&#8217;ve been focused on in collaboration with our partners, including organizations like <a href=\"https:\/\/staging.grnspace.com\/press-release-encompass-community-services-partners-with-greenspace-health-to-help-drive-program-equity-for-all-clients\/\">Encompass Community Services<\/a>, whose primary motivation for implementing MBC was to drive more equitable services. We also work closely with many clinical teams that offer programs to underserved and underrepresented communities, making it essential for us to engage in this conversation and ensure that MBC facilitates equitable care.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As part of these efforts, we wanted to highlight some important insights from a recent YMBCC publication, \u2018<\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10488-024-01364-4\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Leveraging Measurement-Based Care to Reduce Mental Health Treatment Disparities for Populations of Color<\/span><\/a><span style=\"font-weight: 400;\">.\u2019 This article outlines four ways that MBC may be able to address some of the disparities in mental health treatment for clients of colour, and serves as a good reminder of the impact of the MBC <\/span><i><span style=\"font-weight: 400;\">process<\/span><\/i><span style=\"font-weight: 400;\"> and client\/clinician collaboration in driving more equitable care. <\/span><\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-13493 size-large\" src=\"https:\/\/staging.grnspace.com\/en-ca\/wp-content\/uploads\/sites\/3\/2024\/08\/Yale_Article_graphic-2-1024x405.png\" alt=\"\" width=\"1024\" height=\"405\" title=\"\" srcset=\"https:\/\/staging.grnspace.com\/en-ca\/wp-content\/uploads\/sites\/3\/2024\/08\/Yale_Article_graphic-2-1024x405.png 1024w, https:\/\/staging.grnspace.com\/en-ca\/wp-content\/uploads\/sites\/3\/2024\/08\/Yale_Article_graphic-2-300x119.png 300w, https:\/\/staging.grnspace.com\/en-ca\/wp-content\/uploads\/sites\/3\/2024\/08\/Yale_Article_graphic-2-768x304.png 768w, https:\/\/staging.grnspace.com\/en-ca\/wp-content\/uploads\/sites\/3\/2024\/08\/Yale_Article_graphic-2.png 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Before we dive into the article and its features, it\u2019s crucial to consider the YMBCC\u2019s disclaimer, which emphasizes the importance of culturally sensitive care and encourages clinicians to recognize their differences with clients and address potential biases:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cFor any clinical practice, MBC or other, to positively impact disparities, it is essential that clinicians engaging in mental health treatment (1) have foundational competencies in culturally-responsive care; and (2) are open to honestly engaging in self-reflection around assumptions and biases.\u201c<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With that in mind, let\u2019s explore these impactful MBC features in more detail:<\/span><\/p>\n<h3><b>MBC Feature 1: Optimize Treatment Quality via Personalization and Proactive Modifications<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Evidence shows that there is a gap in care quality within communities of colour, and this group may not experience the same levels of outcome improvement as white populations. The YMBCC believes that MBC can help close this gap by ensuring that lack of progress or potential treatment non-response is identified early, allowing care plans to be adjusted or tailored accordingly. MBC helps providers ensure treatment is client-centred and customized to each individual, which is critical to addressing the lack of treatment fit that may impact these groups and driving higher outcome improvement. Dr. Elizabeth Connors of the YMBCC shares some of the research demonstrating how MBC can be effectively leveraged to drive more significant symptom change in treatment:\u00a0<\/span><\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/Nqxn36p55nI?si=db0l_8Y7DifIk0MQ\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3><b>MBC Feature 2: Promote Mental Health Literacy<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">At Greenspace, we often highlight how MBC helps clients develop a shared language with their provider to better communicate their mental health challenges and their care experience. Mental health literacy is a common barrier to behavioural health service access amongst communities of colour. Beyond spoken language itself, this can include cultural factors\u2014which may impact how people experience and interpret mental health symptoms\u2014or comfortability discussing mental health generally. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patient-reported outcome measures (PROMs) provide an extremely effective way for clients and their clinicians to orient themselves with what the client is experiencing. From there, the provider and the client can get curious about the results, explore anything that might not be aligned with what the client has communicated in session, and address anything else that stands out in their MBC data. This is also a great opportunity to encourage clients to identify any elements of these measures that aren&#8217;t aligning with their experience as a person of colour, which can spark meaningful conversations and improve the provider\u2019s understanding of the client. Dr. Jessica Barber of the YMBCC explains how critical the rational for MBC can be to insuring clients understand how to make the most of the measures for their own self-understanding:<\/span><\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/MjMQsc7Csx0?si=bli4LA5digLvC8Zx\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s also recommended that providers include culturally sensitive or individualized measures alongside standardized ones, as these have been developed, designed, and validated for the communities they\u2019re intended to serve and are more likely to accurately represent their experiences.<\/span><\/p>\n<h3><b>MBC Feature 3: Improve Alliance via Enhanced Communication and Collaborative Decision-Making<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">People of colour often report feeling like their provider is not aligned with or understanding of their experiences. The Collaborative recommends using the <a href=\"https:\/\/staging.grnspace.com\/en-ca\/collect-share-act-a-transtheoretical-model-for-actioning-measurement-based-care-in-mental-health-treatment\/\">\u2018Collect, Share, Act\u2019 model of MBC<\/a>, which encourages active feedback, collaboration throughout the care process, and can help promote higher alliance and improved client-clinician understanding. This is especially impactful, as research shows that therapeutic alliance is one of the greatest predictors of positive change throughout the care process. Dr. Sandy Resnick of the YMBCC defines and explains the impact of each element of &#8216;Collect, Share, Act&#8217;:<\/span><\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/cIKI9MbYmks?si=qr_nRRbNiCIiIRq2\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">Regardless of an individual&#8217;s background, experience with mental health treatment, level of mental health education, or family and community stigma, MBC can help ensure that people in care have the language and knowledge they need to better understand their mental health, share their challenges, and advocate for themselves throughout care. All of these factors enhance the therapeutic alliance and ensure care is tailored to each individual&#8217;s specific needs and challenges.<\/span><\/p>\n<h3><b>MBC Feature 4: Transparency Improves Satisfaction with Care and Treatment Retention<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">MBC creates a more transparent treatment environment, as clients and their provider can clearly see the results, which demonstrate where the client is at and how they\u2019re progressing throughout treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">PROMs make it easy to identify specific challenges or areas of concern to address in session, so both the client and provider can collaborate to ensure they\u2019re working towards the same goals. The process of MBC also requires consistent client feedback, empowering clients to regularly advocate for themselves, raise any concerns or questions, and ultimately ensure their voice remains at the heart of care. These factors are critical to creating an environment of trust and eliminating any power dynamics that may impact clients with different cultural norms or history.<\/span><\/p>\n<p>Dr. Sandy Resnick and Dr. Amber Childs of the YMBCC explain how giving clients transparent access to their results can be deeply empowering for them and is a risk-free way to offer more transparency throughout the care process:<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/hsurbKbWltM?si=7m08p3IWLLOfS94n\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><b>Wrapping up: Directions for Future Research<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The YMBCC encourages more research to examine how MBC can address disparities in mental health treatment quality and effectiveness for people of colour. Beyond the features mentioned above, this Point of View acknowledges that MBC must continually evolve and adapt to better serve these traditionally underserved communities. However, there is great promise in the value that MBC can bring to the quality of care available to populations of colour and in increasing the level of clinical improvement they experience.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To learn more from the four researchers and psychologists who founded the Yale MBCC, register for our next educational session, taking place on Thursday, September 26th, from 1-2 pm EDT: <\/span><a href=\"https:\/\/staging.grnspace.com\/optimizing-mbc-in-practice-interactive-breakout-sessions-with-the-yale-mbc-collaborative\/\"><i><span style=\"font-weight: 400;\">Optimizing MBC in Practice: Interactive Breakout Sessions with the Yale MBC Collaborative.<\/span><\/i><\/a><\/p>\n<p><span style=\"font-weight: 400;\">In this special edition panel session, attendees will join specific breakout rooms tailored to the unique needs of either clinical leaders or clinicians, offering a personalized learning experience. Attendees will work closely with the Yale MBCC team in an intimate setting, gaining valuable insights and practical knowledge to apply in their clinical settings. Don\u2019t miss out on this opportunity to collaborate directly with and learn from the Yale MBCC team\u2014register <a href=\"https:\/\/staging.grnspace.com\/optimizing-mbc-in-practice-interactive-breakout-sessions-with-the-yale-mbc-collaborative\/\">here<\/a>.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Our upcoming educational panel will feature the Yale Measurement-Based Care Collaborative (YMBCC), a group of four dedicated researchers and psychologists who have devoted their careers to advancing the adoption and practice of Measurement-Based Care (MBC). Their work focuses on developing tools and educational content that help clinical teams effectively adopt MBC, thereby enhancing client outcomes [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[25,3],"tags":[],"class_list":["post-13413","post","type-post","status-publish","format-standard","hentry","category-research","category-blog"],"acf":[],"_links":{"self":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/posts\/13413","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/comments?post=13413"}],"version-history":[{"count":0,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/posts\/13413\/revisions"}],"wp:attachment":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/media?parent=13413"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/categories?post=13413"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/tags?post=13413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}