What is the Behavioral Health Index (BHI)?

Owned by Tara Shubert
Last updated: Feb 15, 2021
2 min read


The Behavioral Health Index Explained


The BHI is a composite score developed by the founders of Tridiuum based on the tenets of measurement-based care and psychotherapy outcomes theory. The following documents provide an overview. 

         


Please see this article for details on the development and validation of the BHI:  STANDING ON THE SHOULDERS OF A GIANT: DEVELOPMENT OF AN OUTCOME MANAGEMENT SYSTEM BASED ON THE DOSE MODEL AND PHASE MODEL OF PSYCHOTHERAPY

What questions are included the BHI?

The BHI is calculated from questions covering multiple domains, including overall well-being, depression, anxiety, and functioning. 

The domains carry different weights in the calculation with overall well-being  and functioning being the most heavily weighted.

How do I use the BHI in my clinical practice?

Patients receive a new BHI score each time they complete a Mental Health Assessment giving the Provider an overall behavioral health score at a glance. 

Higher BHI scores are indicative of more severe behavioral health issues.

The scale ranges from 0 - 100. A BHI score of 50 indicates that a patient is in the 50th percentile relative to mental health patients at intake. 

Range: 

BHI 0 - 25 Low 
BHI 26 - 75 Moderate 
BHI 76 - 100 Severe 


Each time the patient completes an update assessment, their BHI score is tracked (on the graph in blue).

If the BHI score is tracking below the red line, this indicates that the patient is doing better than expected and above the red line indicates the patient is doing worse than expected. 

The ups and downs of the scores provide opportunities to ask the patient what they are doing differently or if issues have arisen since the last session.


For more information on our Treatment Response Curve, please view What is the Expected Treatment Response (ETR) Curve and how is it relevant to your patient's care?






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