Professional practice guidelines (PPGs) are intended to promote a high level of professional practice and serve as an educational resource, providing pragmatic guidance in a clinical area for psychologists. Measurement-based care (MBC) is an evidence-based psychological practice with accumulating empirical support and alignment with patient-centered care. In connection with the American Psychological Association's Advisory Committee for Measurement-based Care and the Mental and Behavioral Health Registry, this article outlines various lines of support for the development and implementation of an MBC PPG. In addition to research evidence, we address the demonstrated need of this guideline across three domains: public benefit, professional guidance, and legal and regulatory issues. Consistent with the aspirational spirit of a PPG, this article proposes a draft PPG statement and highlights how an MBC PPG would improve service delivery, facilitate implementation of an evidence-based practice associated with symptom reduction, improved retention, and greater patient satisfaction, as well as create a framework that will better align changes in reimbursement models with patients' and providers' treatment goals. We also identify key future directions and critical gaps in MBC science and implementation that require attention.This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. James F. Boswell https://orcid.org/0000-0001-6214-0787 Vanderbilt University and Susan Douglas receive compensation related to the Peabody Treatment Progress Battery; and Susan Douglas has a financial relationship with MIRAH, and both are measurement-based care (MBC) tools. The author declares a potential conflict of interest. There is a management plan in place at Vanderbilt University to monitor that this potential conflict does not jeopardize the objectivity of Dr. Douglas' research.James F. Boswell played lead role in conceptualization, project administration, supervision, and writing of review and editing and equal role in resources and writing of original draft. Kimberly A. Hepner played lead role in conceptualization, project administration, and supervision and equal role in resources, writing of original draft, and writing of review and editing. Kathleen Lysell played lead role in conceptualization, project administration, and supervision and equal role in resources, writing of original draft, and writing of review and editing. Nan E. Rothrock played supporting role in conceptualization, writing of original draft, and writing of review and editing. Nick Bott played supporting role in conceptualization, writing of original draft, and writing of review and editing. Amber W. Childs played supporting role in conceptualization, writing of original draft, and writing of review and editing. Susan Douglas played supporting role in conceptualization, writing of original draft, and writing...

Objective: Written Exposure Therapy (WET) for posttraumatic stress disorder (PTSD) has been shown to be efficacious in clinical trials; however, research is needed to determine WET's effectiveness in clinical practice settings. Additionally, research is needed to understand whether patient characteristics or treatment delivery format moderate outcomes. Method: Patient outcomes (n = 277) were assessed as part of a multisite training and implementation program in the Department of Veterans Affairs (VA). During treatment, patients completed self-report measures of PTSD, depression, and functional impairment. Patient characteristics (i.e., demographics, psychiatric comorbidity, trauma type) and treatment delivery format (i.e., telehealth vs. in-person) were assessed as treatment moderators. Results: Intent-totreat analyses indicated that WET was effective in reducing PTSD symptoms (d = .84), depression symptoms (d = .47), and functional impairment (d = .36) during treatment. Approximately one quarter of patients dropped out of treatment prematurely. No moderators of PTSD treatment outcome were observed; however, telehealth delivery was associated with lower dropout. Conclusions: WET was an effective approach across a range of patient characteristics in this sample of veterans with PTSD. WET was also effective whether delivered in-person or via telehealth. WET is a promising treatment option for veteran patients in VA clinical care settings. Clinical Impact StatementVeterans receiving WET from therapists in the VA had significant symptom improvement. There was similar symptom reduction across patient characteristics and regardless of whether care was inperson or via telehealth. These findings provide support for WET's effectiveness and show it can be successfully delivered via telehealth.

In response to COVID-19, continued workforce training is essential to ensure that evidence-based treatments are available on the frontline to meet communities' ongoing and emerging mental health needs. However, training during a pandemic imposes many new challenges. This paper describes a multisite training and implementation pilot program, facets of which allowed for continued training despite the onset of the COVID-19 pandemic and subsequent social distancing guidelines. This virtual facilitated learning collaborative in Written Exposure Therapy, an evidence-based treatment for posttraumatic stress disorder, included virtual workshop training, phone-based clinical consultation, implementation-focused video calls for program leadership, and program evaluation. Data are presented about program enrollees and patient impact following the onset of COVID-19-related social distancing restrictions. Challenges, successes, and practical guidance are discussed to inform the field regarding training strategies likely to be durable in an uncertain, dynamic healthcare landscape. A key task of the mental health field is the dissemination and implementation of effective interventions. Numerous factors contribute to the gap between research and practice, including the broad sociopolitical context; organizational factors, such as leadership support and availability of resources; provider motivation, attitudes, and skills; and characteristics of the interventions themselves (Chen et al., 2017; Stirman et al., 2016). Research suggests that training alone is insufficient to fully implement and sustain effective interventions over the longer term (Godley et al., 2011; Herschell et al., 2010) and that factors at the system, organizational, and individual levels need to be addressed simultaneously to facilitate successful implementation (Beidas et al., 2010; Stirman et al., 2010).

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