Rayssa Lima Dos Santos, Jozélia Maria de Sousa Correia, Ana Paula Silveira Paim, Lourinalda Luiza da Silva Selva de Oliveira, George Tadeu Nunes Diniz, Ednilza Maranhão Dos Santos
Metallic elements in aquatic herpetofauna (Crocodylia; Testudines) from a lentic Atlantic rainforest environment in northeastern Brazil
Environmental monitoring and assessment
prior studies indicate effectiveness measurementbased care mbc evidencebased practice improving accelerating positive outcomes youth receiving behavioral health services mbc routine collection use clientreported progress measures inform shared decisionmaking collaborative treatment adjustments relatively feasible scalable clinical practice particularly wellsuited underresourced community mental health settings however uptake mbc remains low information determinants related mbc practice patterns needed quantitative qualitative data n 80 clinicians implemented mbc using measurement feedback system mfs merged understand describe determinants practice three study phases quantitative latent class analysis identified clinician groups based participants ratings mfs acceptability appropriateness feasibility describes similaritiesdifferences classes clinicianlevel characteristics eg age perceptions implementation climate reported mfs use phase qualitative analyses clinicians responses openended questions mfs use feedback mfs implementation supports conducted separately understand multilevel barriers facilitators mfs implementation phase ii mixing occurred interpretation examining clinician experiences opinions across groups understand needs different classes clinicians describe class differences inform selection implementation strategies future research phase iii identified two classes clinicians higher mfs lower mfs found similarities differences mfs use across groups compared lower mfs participants clinicians higher mfs group reported facilitators higher rate four determinants practice associated uptake mbc mfs youthserving community mental health settings clinicians clarity appropriateness feasibility mfs measures clinician knowledge skills client preferences behaviors incentives resources eg time continuing educational support findings also highlighted need individuallevel implementation strategies target clinician needs skills perceptions future mbc mfs implementation efforts study implications adoption evidencebased practices mbc context communitybased mental health services youth