Evaluating Clinical Experiences Implementing the Montreal Model for Ketamine Assisted Psychotherapy Adapted for Esketamine
Loading...
Date
2025-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
The Ohio State University
Abstract
Background: Burnout among mental health providers is linked to decreased job satisfaction, higher rates of depression and anxiety, lower quality of care, and increased turnover. The Montreal Model for Ketamine-Assisted Psychotherapy, adapted for Esketamine (MMKAPE), was introduced to improve clinician satisfaction by promoting meaningful work, patient-centered care, and interdisciplinary collaboration. This study assesses the impact of MMKAPE on clinician satisfaction and identifies key barriers and facilitators during implementation.
Method: A convenience sample of six clinicians (two nurse practitioners, three therapists, and one registered nurse) participated in MMKAPE’s implementation for patients with treatment-resistant depression in an outpatient setting. Monthly surveys measured satisfaction across three domains. Descriptive statistics were used to track trends from baseline to final assessments. Interprofessional meetings and open-ended responses were analyzed to extract themes, with ChatGPT aiding in theme validation and bias reduction.
Results: Clinician satisfaction improved in all measured areas. Meaningfulness in work increased from M = 4.3 to M = 4.5, with all clinicians reporting higher engagement. Patient-centered care rose from M = 4.05 to M = 4.17, and interdisciplinary collaboration improved from M = 3.35 to M = 4.17. Nurse practitioners showed the largest gains across all domains, while therapists experienced a slight decrease in work meaning. Key barriers included therapist reimbursement issues and workload strain, while structured team meetings and shared treatment goals emerged as facilitators.
Discussion: MMKAPE improved clinician satisfaction and collaboration but was challenged by systemic constraints. Further research should address sustainable funding, long-term outcomes, and broader scalability.
Description
Keywords
burnout, clinician satisfaction, mental health, esketamine, interdisciplinary collaboration