Reference

Guide | Reference

19  Measurement-Based Care Toolkit

Purpose. Make symptom change and functional change visible over time. Support shared decision-making and reduce diagnostic drift.

19.1 Core Principles

• Use brief measures that can be repeated easily.
• Track both symptoms and function.
• Prefer validated instruments when available.
• Keep the minimum set small enough to sustain.

19.2 Minimum Measurement Set

• One cross-cutting symptom measure.
• One domain-specific measure aligned to the primary domain.
• One functional/impairment measure.

19.3 When to Measure

• Baseline at intake.
• Every follow-up until stable, then spaced reassessment.
• At clear changes in trajectory or treatment plan.

19.4 Recording and Review

• Record scores alongside domain ratings.
• Note trajectory (improving/stable/worsening/fluctuating).
• Link score changes to major context or treatment changes.