for people ages 4 years and up (full criteria)
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healthy people welcome
at San Diego, California and other locations
study started
estimated completion



This study will investigate the effects of an intervention called Leadership and Organizational Change for Implementation (LOCI), relative to implementation as usual (IAU), on clinician fidelity to, and youth service outcomes of, a well-established digital measurement-based care intervention called the Outcomes Questionnaire-Analyst in outpatient community mental health clinics.

Official Title

Randomized Trial of a Leadership and Organizational Change Strategy to Improve the Implementation and Sustainment of Digital Measurement-based Care in Youth Mental Health Services


This study will investigate the effects of LOCI on the implementation, fidelity, and sustainment of a digital measurement-based care (MBC) system called the Outcomes Questionnaire Analyst (OQ-A). Over two phases, the investigators will recruit a total of 20 agencies with up to 2 first level leaders per site (max N of 40 total), a minimum of 3 clinicians per site (60 total), and 72 caregivers per site (720 total). Agencies will be randomly assigned to the control condition (implementation as usual of the OQ-A system) or the intervention condition (the LOCI intervention).


Leadership, Behavioral Symptoms, LOCI, measurement based care, evidence-based practice, behavioral health, youth mental health, implementation science, Leadership for Organization Change and Implementation (LOCI), Leadership web-based seminars


For people ages 4 years and up

Participants for this project will fall into four groups: 1) clinic executives and upper leaders (i.e., Chief Executive Officer, Executive Directors, program administrators, n=20), 2) clinic first-level leaders (i.e. clinical supervisors, n=20), 3) clinicians serving children with emotional and behavioral disorders (n=120), and 4) children with emotional and behavioral disorders (n=720). Inclusion criteria for all groups of participants are intentionally broad to ensure robust and valid analyses.

Inclusion Criteria for Programs

  1. Provide outpatient psychotherapy services to children ages 4 to 18 who have emotional and/ or behavioral disorders and their families
  2. Has at least 3 full time equivalent clinicians on staff
  3. Not currently implementing a digital measurement-based care system clinic wide

Inclusion Criteria for Executives and Upper Leaders

(1) Identified as Chief Executive Officer, Executive Director, or high-level administrator at an enrolled clinic

Inclusion Criteria for first-level leaders (1) Identified as a clinical supervisor or clinical work-group supervisor/ leader at an enrolled clinic

Inclusion Criteria for Clinicians

  1. Employed as staff at participating clinic
  2. Provides services to 3 or more eligible youth clients

Inclusion Criteria for Child/ Caregiver Participants

  1. Child ages 4 to 18 years
  2. Child has been diagnosed with an emotional or behavioral disorder by clinic staff
  3. Clinical staff at the site determined that the youth's treatment needs can be appropriately addressed by the clinic

Exclusion Criteria for Child/ Caregiver Participants

(1) Child does not present with active psychosis, autism or related developmental disorder, or intellectual disability


  • University of California, San Diego
    San Diego California 92093 United States
  • Boise State University
    Boise Idaho 83725 United States


in progress, not accepting new patients
Start Date
Completion Date
Boise State University
Information about Leadership for Organizational Change for Implementation (LOCI). Information about the digital measurement-based care system, OQ-A.
Study Type
Expecting 720 study participants
Last Updated