Perspectives on Financing Strategies for Evidence-Based Treatment Implementation in Youth Mental Health Systems

Area of Science:

• Health Services Research
• Child and Adolescent Mental Health
• Health Policy and Management

Background:

• Evidence-based treatments (EBTs) are crucial for child and adolescent mental health.
• High costs of EBT implementation and sustainment pose barriers for mental health agencies.
• Financing strategies are vital for overcoming cost-related barriers to EBTs.

Purpose of the Study:

• To understand youth mental health decision-makers' views on key features of financing strategies for EBTs.
• To compare perspectives on financing strategies among service, funding, and intermediary representatives.

Main Methods:

• Surveys administered to 48 representatives from U.S. youth mental health service agencies, funding agencies, and intermediaries.
• Quantitative ratings and qualitative open-ended responses gathered on 23 financing strategies.
• Data analyzed using descriptive statistics and rapid content analysis.

Main Results:

• Braided funding, contracts, credentialing, fee-for-service, and grants were most relevant financing strategies.
• 1/3 to 1/2 of participants were unfamiliar with other strategies.
• Selected strategies were rated moderately available, feasible, and effective for EBT sustainment, but the overall mix was somewhat adequate.

Conclusions:

• Limited knowledge of financing strategies among experts hinders EBT implementation and sustainment.
• Familiar strategies often inadequately support EBTs, highlighting under-resourced mental health systems.
• Systemic reforms and increased investment are necessary, as financing strategies alone are insufficient.