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Advancing the state-level tracking of evidence-based practices: a case study.

Sarah Cusworth Walker1, Georganna Sedlar1, Lucy Berliner2

  • 11Department of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE Campus Parkway, Box 358015, Seattle, WA 98105 USA.

International Journal of Mental Health Systems
|April 23, 2019
PubMed
Summary

Washington State developed a feasible strategy to monitor session-level use of evidence-based mental health practices for children. This approach influences multiple levels of the implementation ecology, aiding policy translation.

Keywords:
Children’s mental healthCommon elementsEvidence-based policymakingEvidence-based practiceImplementationLearning systemState policy

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Area of Science:

  • Public Mental Health
  • Health Services Research
  • Implementation Science

Background:

  • Low adoption of evidence-based practices (EBP) in public mental health services hinders quality improvement.
  • Translating clinical research into feasible, fundable, and monitorable policy is a significant challenge for large healthcare systems.

Purpose of the Study:

  • To present Washington State's strategy for monitoring session-level clinical elements in Medicaid-funded children's mental health services.
  • To demonstrate how policy actions can promote effective practices and influence the implementation ecology.

Main Methods:

  • Case study of Washington State's monitoring strategy for session-level clinical data.
  • Utilized the Policy Ecology Framework, Consolidated Framework for Implementation Research, and common ontology models.
  • Informed by evidence-based policymaking literature.

Main Results:

  • The developed strategy provides a feasible method for collecting session-level data on effective mental health practices.
  • The approach demonstrates influence across multiple layers of the implementation ecology.

Conclusions:

  • Session-level monitoring is a viable method for assessing the use of effective clinical practices in public mental health.
  • The strategy shows potential for broader influence on the implementation ecology, warranting further investigation.