Development and implementation of measurement-based care for children and youth with complex mental and neurodevelopmental needs: early experiences from Ontario’s Extensive Needs Service

This novel implementation of MBC provides important insights for MBC in pediatric populations with high complexity. Early and ongoing engagement of both clinicians and families is important to success, which is also closely tied to the degree to which MBC is integrated into care processes. MBC remains necessary to guide clinical care and treatment planning for children with complex, intersecting needs. It is also helpful when evaluating new programs and generating foundational evidence on the effectiveness of therapies for this population.