for people ages 18 years and up (full criteria)
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 webinars


You can join if…

Open to people ages 18 years and up

  • Agencies must serve youth in an outpatient setting
  • Agencies must have at least 4 clinicians who see youth
  • Agencies must be willing to allow first-level leaders (supervisors) to participate in the study, including the trainings and data collection

You CAN'T join if...

  • Agencies will be excluded if they are already using measurement based care (MBC) agency wide
  • Caregivers will be excluded if their child has a diagnosis of active psychosis, autism or related developmental disorder, or intellectual disability because the digital measurement-based care system we are using is not designed for this population


  • 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
Last Updated