MIRAH

What Is Measurement-Based Care?
Measurement-based care (MBC) is an evidence-based practice that consists of the routine administration of client-reported outcome measures and the clinicians’ review of resulting data to inform ongoing treatment. [1]

1
Measure
Patients take a short self-assessment before each treatment session.
2
Review
Clinicians view real-time feedback reports to guide treatment.
3
Improve
Leadership reviews outcomes data for quality improvement.
What are the benefits of measurement-based care?

Patient-centered care
Patients appreciate receiving feedback [2, 3]. MBC contributes to client-centered care by promoting better communication, greater understanding of issues, and improved engagement in treatment. [4, 5]

On average, no-shows dropped from 23% to 18% over the first six months of a customer using Mirah.
Better Sessions
Evidence suggests that clinicians who use feedback technology respond more quickly to concerns raised by their clients [6]. With the enhanced responsiveness, clinicians can more effectively celebrate treatment gains and pivot to address new concerns or worsening of symptoms.

In user surveys, 75% of clinicians found Mirah to significantly inform and improve treatment plans.
Improved Outcomes
In addition to improving treatment effectiveness, promising research indicates that the use of measurement-based care may also result in increased efficiency of care, defined as lower average duration and cost of care. [7, 8]

Mirah customers have demonstrated improved mental health outcomes to leadership, payers, and state funding agencies, helping to win grants and unlock higher reimbursements.
Research Support

Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement ⬇️
(Douglas et al.)
Administration and Policy in Mental Health and Mental Health Services Research; Volume 41, Issue 6, November 2014.
A Tipping Point for Measurement-Based Care ⬇️
(Fortney, et al.)
Psychiatric Services; Volume 67, Issue 9, September 2016.
Leading Horses to Water: Lessons from a Decade of Helping Psychological Therapy Services Use Routine Outcome Measurement to Improve Practice ⬇️
(Mellor-Clark et al.)
Administration and Policy in Mental Health and Mental Health Services Research; Volume 41, Issue 5, September 2014.
The Technology of Measurement Feedback Systems ⬇️
(Bickman et al.)
Couple and Family Psychology: Research and Practice; Volume 1, Issue 4, December 2012.
Mirah helps organizations of all sizes implement MBC
Find Out How
References
[1] Scott, K., & Lewis, C. C. (2015). Using Measurement-Based Care to Enhance Any Treatment. Cognitive and Behavioral Practice, 22(1), 49–59. https://doi.org/10.1016/j.cbpra.2014.01.010

[2] Lutz, W., Rubel, J., Schiefele, A.-K., Zimmermann, D., Böhnke, J. R., & Wittmann, W. W. (2015). Feedback and therapist effects in the context of treatment outcome and treatment length. Psychotherapy Research, 25(6), 647–660.

[3] Strauss, B. M., Lutz, W., Steffanowski, A., Wittmann, W. W., Boehnke, J. R., Rubel, J., . . . Altmann, U. (2015). Benefits and challenges in practice-oriented psychotherapy research in Germany: The TK and the QS-PSY-BAY projects of quality assurance in outpatient psychotherapy. Psychotherapy Research, 25(1), 32-51.

[4] Finn, S. E., & Tonsager, M. E. (1997). Information-gathering and therapeutic models of assessment: Complementary paradigms. Psychological Assessment, 9(4):374-385.

[5] Kendrick, T., El-Gohary, M., Stuart, B., Gilbody, S., Churchill, R., Aiken, L., … Moore, M. (2016). Routine use of patient reported outcome measures (PROMs) for improving treatment of common mental health disorders in adults. In The Cochrane Collaboration (Ed.), Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.CD011119.pub2

[6] Douglas, S. R., Jonghyuk, B., Andrade, A. R. V. de, Tomlinson, M. M., Hargraves, R. P., & Bickman, L. (2015). Feedback mechanisms of change: How problem alerts reported by youth clients and their caregivers impact clinician-reported session content. Psychotherapy Research, 25(6), 678–693. https://doi.org/10.1080/10503307.2015.1059966

[7] Delgadillo, J., Overend, K., Lucock, M., Groom, M., Kirby, N., … de Jong, K. (2017). Improving the efficiency of psychological treatment using outcome feedback technology. Behaviour Research and Therapy, 99, 89–97.

[8] Janse, P. D., De Jong, K., Van Dijk, M. K., Hutschemaekers, G. J. M., & Verbraak, M. J. P. M. (2017). Improving the efficiency of cognitive-behavioural therapy by using formal client feedback. Psychotherapy Research, 27(5), 525–538. http://dx.doi.org/10.1080/10503307.2016.1152408