• Michael J Van Wert, Mansoor Malik, Brenda Memel, Ryan Moore, Daniel Buccino, Florence Hackerman, Suneeta Kumari, Anita Everett, and William Narrow.
• Community Psychiatry Program, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
• J Eval Clin Pract. 2021 Aug 1; 27 (4): 767-775.

Background And AimsAlthough mental health clinics are under increasing pressure to demonstrate value and routine outcome monitoring (ROM) has become a mandated component of care, providers have been slow to adopt ROM into practice, with some estimating that less than 20% of mental health clinicians use it consistently in the United States. This article explores perceived barriers and facilitators to integrating ROM into practice among clinicians and administrators in a large urban US community psychiatry clinic.MethodOne hundred and thirty-eight clinical and administrative staff were administered an anonymous web-based survey to elicit attitudes towards ROM. Responses were summarized descriptively and qualitatively synthesized into a conceptual model using inductive thematic analysis.ResultsCommon barriers to integration included insufficient time to collect and/or use measures, not knowing what measures to use, measures being difficult to access, and insufficient training. Facilitators included increased access/ease of use, training and support, measure relevance/validity, and accountability.ConclusionsIn order for psychiatry clinics to successfully implement ROM into practice, they must diagnose organization-side barriers and translate this knowledge into actionable quality improvement initiatives ranging from the infrastructural to the cultural.© 2020 John Wiley & Sons Ltd.

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