Podnosis The building blocks behind measurement-based behavioral healthcare
Feb 18, 2026
Colleen Marshall, Chief Clinical Officer at Two Chairs with expertise in measurement-based care and implementation science, discusses building clinician training, creating a culture of measurement, and balancing employment models to ensure quality. She covers practical starts for measurement-based care, interpreting real-world outcomes, and using client feedback in-session to guide treatment.
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Objective Feedback Beats Vibes
- Measurement-based care uses validated patient measures to provide objective feedback beyond subjective impressions.
- Colleen Marshall says clinicians must use those measures collaboratively with clients to guide treatment decisions.
Discuss Scores With Clients
- If you only collect PHQ-9 or GAD-7 scores, also discuss their subjective meaning with the client in session.
- Use score trajectories and client reflections to decide whether to adjust the treatment plan.
Training Is The Core Barrier
- Lack of training and implementation supports is the main barrier to MBC adoption.
- Marshall highlights that organizations need training, coaching, infrastructure, and performance management to succeed.