There is no difference! MIC and MBC are terms often used interchangeably. While there is a subtle difference in the naming convention, the two refer to the same process.
At their core, both involve the systematic collection and use of measurement tools (like patient-reported outcome measures or PROMs) throughout care to inform and improve the quality of mental health treatment.
Both MBC and MIC emphasize the consistent collection and integration of outcome measurements (collected through PROMS, clinical interviews, or physiological assessments) to inform the therapeutic process and treatment planning. By definition, MIC involves using measurement data to collaboratively inform treatment decisions, set goals, and engage clients in their care by encouraging a more dynamic and collaborative approach between clinician and client. The emphasis in MIC, as it is with MBC, is on the therapeutic relationship and using outcome data as a tool to guide the therapeutic process, fostering shared decision-making and enhanced patient engagement throughout their treatment.
Though some believe MBC is less focused on leveraging data throughout the care process, this isn’t the case. Most experts, like our partners at the Yale Measurement-Based Care Collaborative (YMBCC), emphasize the collaborative nature of MBC. The YMBCC uses ‘Collect, Share, Act’ to define this process, where ‘Share’ is focused on leveraging data during sessions with clients and getting curious about their symptom changes together, in order to inform treatment decisions. At Greenspace, we often refer to the ‘4 C’s of MBC’, where Collaboration is a foundational component of any successful MBC implementation.
To summarize, both MIC and MBC share the overarching goal of improving the quality and effectiveness of mental healthcare services through the collection of PROMs and collaborative use of outcome data throughout care. Whichever term your clinical team uses, what matters is that you’re using an evidence-based approach to treatment that centers the client’s voice in care and empowers them to be active partners in the process, which is proven to have a significant and positive impact on client engagement and clinical outcomes.