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Measurement Based Care Made Easy

MBC Clinical Practice

OCTOBER 2020

Module 2: Enhancing Patient Engagement

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Learning Objectives in Modules 1 & 2

Clinician’s role in MBC

Fulfill your role and responsibilities to make MBC successful

1

Using the Mirah platform

Efficiently navigate through the platform to perform key activities

2

Treatment Planning

Interpret data on a clinical feedback report and take action

3

MOD 2: Enhancing patient engagement

Utilize proven techniques to engage patients when they don’t want to complete measures.

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How do you keep patients engaged throughout treatment?

How do you leverage patient strengths in a therapeutic session?

How do you address Therapeutic Alliance?

How do you know when your patient is ready to be discharged?

Module 2: Enhancing Patient Engagement

Welcome to Module 2! Click here to get started.

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SUSAN CASEY, LMSW

LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT

Tip: Click on the speaker button on each slide!

Patient Resistance & Therapeutic Alliance

Click play to watch an overview of the importance of Therapeutic Alliance and how MBC can help strengthen your relationships with your patients.

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Using MBC to Address Therapeutic Alliance

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LEARNING OBJECTIVE 3: TREATMENT PLANNING

Next, click play to watch an example session.

Listen to an introduction for what you will learn in the session.

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Validate what they have completed
Re-visit the value and purpose of the feedback reports

Helps clinician know what is most important to patient
Helps to inform treatment decisions
Helps patients get better quicker

Explore if the measures are creating anxiety. Literacy issues? Clinical issues?
Continue to present the measures each week

Managing Resistant Patients

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When a patient is resistant to completing measures, what do you do?

LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - RESISTANT PATIENTS

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How do we use patient strengths to inform treatment?

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LEARNING OBJECTIVE 3: TREATMENT PLANNING

Leveraging Patient Strengths Introduction

Next, click play to watch the intro.

Listen to an introduction for what you will learn in the session.

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Leveraging Patient Strengths

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LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - STRENGTHS

Next, click play to watch another session with Julie Brown & her clinician.

Listen to an introduction for what you will learn in the demonstration.

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How can you help patients leverage strengths?

SYMPTOMS AND STRENGTHS

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LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - STRENGTHS

Click to hear an analysis of this report.

Click to open the Patient Strengths Handout

Julie Brown was doing really well with strengths. But you’re also going to see cases like this one – this is the adult CAMS, you might be using something else (like the PTPB) but the concepts are the same.

You can see here that these strengths don’t look very good. But that’s fine – there is always an opportunity for growth. For example, when you click on RESILIENCE for this patient in the “strengths” section, we see that the patient has responded “not at all” to all the questions. For the clinician, you can reframe the questions to elicit deeper dialogue with your patient to create a short term goal to improve strengths. Get started by asking questions like,

How will you know when things are improving in your life?
What would it look like? Feel like?
What first step could you take toward making this improvement?

Here, you can create a short-term goal related to the answers to these questions, using the goal feature in Mirah.

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LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - STRENGTHS

AUG 4

NOV 10

MEDICATION

EMPLOYMENT

RELATIONSHIP

HOUSING

CHANGE ALERTS

COMPARISON TO GENERAL POPULATION

What do these trend lines show you?

Click to hear an analysis of this report.

Our patients are always telling us a story. What makes the feedback report so powerful is that the story deepens over time. You’re getting it through bar graphs, trends and supplemental measures, and then you’re also able to access these trend lines.

It’s really important to pay attention to trends so you can celebrate their progress. Note how a lot of progress and setbacks are tied to life events (see change alerts to track them). For this graph,

What do the trend lines show you?
How could this be helpful in understanding the deeper patient story?

In this example, we see a heart icon, which indicates there has been relationship status change. On that same day, the trend graph shows the patient worsened in numerous areas, most notable, suicidality (red trend line). One clinical hypothesis would be the patient and significant other ended their relationship, which caused the patient to spiral.

Trend graphs show a deeper story over time and most often connect to the life events icons at the bottom of the graph.

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How do you know when it’s time to discharge your patient?

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Discharge Planning Introduction

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LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - DISCHARGE PLANNING

How do you know when it’s time to discharge your client?

Have you ever discharged a client prematurely or worked with clients a little too long?

Listen to a brief introduction to the usefulness of Discharge Planning using Mirah.

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Discharge Planning

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LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - DISCHARGE PLANNING

Click play to watch another session with Julie Brown & her clinician.

Listen to an introduction for what to listen for in the example session.

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What does this feedback report tell you?

SYMPTOMS AND STRENGTHS COMPARED TO INTAKE REPORT

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LEARNING OBJECTIVE 4: ENHANCING PATIENT ENGAGEMENT - DISCHARGE PLANNING

Click to hear an analysis of this report.

Click to open the

Discharge Planning Handout

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MBC MODULE 2:

ENHANCING PATIENT ENGAGEMENT SUMMARY

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End of Module 2:

Enhancing Patient Engagement

OCTOBER 2020

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