How do we objectively know members are better unless we measure their target symptoms? Are they improving, or getting worse? Has progress stalled? Have they achieved remission? For those members where progress is not expected, is quality of life being assessed and are their personal goals being addressed?
There are many measurement tools that can assist providers in improving members' lives, and suggest when it is time to alter or enhance treatment modalities. Cardinal Innovations' adopted clinical guidelines each have a number of suggested measurement tools. Clinical judgment is essential in selecting the right tool for each individual. That said, for all individuals in services, it is essential to measure their progress so treatments can be adjusted to their needs.
In late 2014, Cardinal Innovations initiated a "Measurement Based Care" initiative, based upon the treat-to-target principle, which is a long-term effort to promote the use of evidence-based symptom measurement scales to assess initial severity and track response and remission over time for the MH/SA population. The initiative also quantifies progress related to community integration, skill acquisition, and quality of life for the ID/DD population. Providers will be expected to use measurement tools at the beginning of treatment and adjust their interventions based upon changes in scoring over time.
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