Counterpoint: Risks of Implementing Measurement-Based Care in Child and Adolescent Psychiatry.

Psychiatric measurement-based care has a significant role in nonpsychiatric medical and surgical settings for identifying mental illness and plays a research role in generating aggregated data. Psychiatric illnesses are multifactorial and not uniform in nature, patient distress/suffering have a complex etiology, and appropriate treatments are varied. Measures commonly used in measurement-based care are subjective ratings of symptom severity. In clinical mental health settings, measurement-based care may contribute more of a qualitative role as part of the psychiatric input to the identification and severity of illness. Psychiatrists must limit the use of measurement-based care in assisting the assessment of patient progress.