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A Sustainable Alternative to the Gold Standard EBP: Validating Existing Programs.

Pamela Meadowcroft1, Maria Zeglen Townsend2, Art Maxwell2

  • 1Meadowcroft and Associates, 4915 Bayard Street, Pittsburgh, PA, 15213, USA. pmeadowcroft1@gmail.com.

The Journal of Behavioral Health Services & Research
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Implementing evidence-based programs (EBPs) locally can achieve comparable outcomes to prepackaged models at a lower cost. This study offers a six-step process for adapting existing programs with high fidelity for improved behavioral health services.

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Area of Science:

  • Behavioral health services research
  • Child and youth services evaluation
  • Program implementation science

Background:

  • Mandates for certified evidence-based programs (EBPs) in child and family services are increasing.
  • Existing, effective local programs are often overlooked in favor of standardized EBPs.
  • This creates a need to validate and integrate effective local interventions.

Purpose of the Study:

  • To present a replicable six-step process for identifying and scoring key elements within existing local programs.
  • To develop program-specific fidelity tools for clinical supervision and quality assurance.
  • To demonstrate that locally developed programs, implemented with high fidelity, can yield comparable outcomes to EBPs cost-effectively.

Main Methods:

  • A six-step process was developed to deconstruct existing programs into researched elements.
  • Program-specific fidelity scoring and tracking tools were created for clinical supervision.
  • A case study compared a locally developed program's fidelity and outcomes against an EBP counterpart.

Main Results:

  • The developed process successfully identified key program elements and facilitated fidelity monitoring.
  • The case study demonstrated that a high-fidelity, locally developed program achieved comparable client outcomes to an EBP.
  • The local program implementation was significantly more cost-effective than the EBP.

Conclusions:

  • Locally developed behavioral health programs can be effectively adapted and implemented with high fidelity.
  • Measuring key service elements and client outcomes is crucial for continuous quality improvement in all effective services.
  • This approach supports the integration of effective local programs, enhancing service delivery and cost-efficiency.