Study What You Do: Developing a Psychotherapy Tracking Database in a Large-Scale Integrated Behavioral Health Service

Anne I. Roche, Samuel T. Savitz, Sydney S. Kelpin, Jocelyn Lebow, Nathaniel Lombardi, Olivia E. Bogucki, Aaron A. Kurtzhals, Maureen S. Drews, Sarah T. Trane, Jay Sheree Allen, Mark D. Williams, Craig N. Sawchuk

Research output: Contribution to journalArticlepeer-review


PURPOSE Many individuals with behavioral health challenges receive services in primary care, and integrated behavioral health (IBH) programs can help increase access to evidencebased interventions. IBH programs can benefit substantially from integrating standardized tracking databases that allow for the implementation of measurement-based care to evaluate patient-, clinician-, and practice-level outcomes. We describe the development and integration of Mayo Clinic’s pediatric and adult primary care psychotherapy tracking database. METHODS IBH practice leaders directed the development of a large psychotherapy tracking database that continuously populates from Mayo Clinic’s electronic health record system. The database captures numerous patient variables including demographics, behavioral health and substance use issues, psychotherapy principles used, and self-reported symptoms. We retrieved current data for patients empaneled in Mayo Clinic’s pediatric and adult primary care psychotherapy programs from June 2014 to June 2022. RESULTS The tracking database contained data for 16,923 adult patients and 6,298 pediatric patients. The mean age of adult patients was 43.2 years (SD 18.3), 88.1% were nonLatine White, and 66.7% identified as female. The mean age of pediatric patients was 11.6 years (SD 4.2), 82.5% were non-Latine White, and 56.9% identified as female. We provide examples of practical applications of the database across clinical, educational, research, and administrative domains. CONCLUSIONS The development and integration of a psychotherapy tracking database supports clinician communication, examination of patient outcomes, practice quality improvement efforts, and clinically relevant research. Our description of Mayo Clinic’s IBH database may serve as a model for other IBH practices.

Original languageEnglish (US)
Pages (from-to)49-55
Number of pages7
JournalAnnals of family medicine
StatePublished - 2023


  • electronic health records
  • health informatics
  • health metrics
  • integrated behavioral health
  • measurement-based care
  • mental health
  • multidisciplinary research
  • patient care team
  • population health
  • primary care
  • psychotherapy
  • quality improvement

ASJC Scopus subject areas

  • Family Practice


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