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

Abstract Background Despite a sustained focus by policymakers and researchers on improving the standard of clinical care in public mental health services, the use of evidence-based practice remains low. Among other challenges, this reflects the difficulty of translating clinical research into useabl...

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Main Authors: Sarah Cusworth Walker, Georganna Sedlar, Lucy Berliner, Felix I. Rodriguez, Paul A. Davis, Savannah Johnson, Jessica Leith
Format: Article
Language:English
Published: BMC 2019-04-01
Series:International Journal of Mental Health Systems
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13033-019-0280-0
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author Sarah Cusworth Walker
Georganna Sedlar
Lucy Berliner
Felix I. Rodriguez
Paul A. Davis
Savannah Johnson
Jessica Leith
author_facet Sarah Cusworth Walker
Georganna Sedlar
Lucy Berliner
Felix I. Rodriguez
Paul A. Davis
Savannah Johnson
Jessica Leith
author_sort Sarah Cusworth Walker
collection DOAJ
description Abstract Background Despite a sustained focus by policymakers and researchers on improving the standard of clinical care in public mental health services, the use of evidence-based practice remains low. Among other challenges, this reflects the difficulty of translating clinical research into useable policy that can be feasibly funded and monitored by state or large healthcare systems. Case presentation In this paper we present a case study of Washington State’s strategy for monitoring the use of clinical elements at the session level for all Medicaid-funded children’s mental health services. The implementation of this strategy reflects policy actions to promote effective practice while also actively influencing multiple other levels of the implementation ecology. The approach is informed by the Policy Ecology Framework, the Consolidated Framework for Implementation Research, the evidence-based policymaking literature, and common ontology and clinical elements models. Conclusions We found the strategy developed in Washington State to be a feasible method of collecting session level information about the use of effective clinical mental health practices. In addition, the approach appears to be having influence on multiple layers of the implementation ecology that could be explored through further study.
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spelling doaj.art-5f48d63f677941cb8d1703c57cb167de2022-12-21T20:05:42ZengBMCInternational Journal of Mental Health Systems1752-44582019-04-011311910.1186/s13033-019-0280-0Advancing the state-level tracking of evidence-based practices: a case studySarah Cusworth Walker0Georganna Sedlar1Lucy Berliner2Felix I. Rodriguez3Paul A. Davis4Savannah Johnson5Jessica Leith6Department of Psychiatry and Behavioral Sciences, University of WashingtonDepartment of Psychiatry and Behavioral Sciences, University of WashingtonHarborview Center for Sexual Assault and TraumaWashington State Health Care AuthorityWashington State Health Care AuthorityDuke UniversityDepartment of Psychiatry and Behavioral Sciences, University of WashingtonAbstract Background Despite a sustained focus by policymakers and researchers on improving the standard of clinical care in public mental health services, the use of evidence-based practice remains low. Among other challenges, this reflects the difficulty of translating clinical research into useable policy that can be feasibly funded and monitored by state or large healthcare systems. Case presentation In this paper we present a case study of Washington State’s strategy for monitoring the use of clinical elements at the session level for all Medicaid-funded children’s mental health services. The implementation of this strategy reflects policy actions to promote effective practice while also actively influencing multiple other levels of the implementation ecology. The approach is informed by the Policy Ecology Framework, the Consolidated Framework for Implementation Research, the evidence-based policymaking literature, and common ontology and clinical elements models. Conclusions We found the strategy developed in Washington State to be a feasible method of collecting session level information about the use of effective clinical mental health practices. In addition, the approach appears to be having influence on multiple layers of the implementation ecology that could be explored through further study.http://link.springer.com/article/10.1186/s13033-019-0280-0ImplementationEvidence-based practiceEvidence-based policymakingCommon elementsLearning systemChildren’s mental health
spellingShingle Sarah Cusworth Walker
Georganna Sedlar
Lucy Berliner
Felix I. Rodriguez
Paul A. Davis
Savannah Johnson
Jessica Leith
Advancing the state-level tracking of evidence-based practices: a case study
International Journal of Mental Health Systems
Implementation
Evidence-based practice
Evidence-based policymaking
Common elements
Learning system
Children’s mental health
title Advancing the state-level tracking of evidence-based practices: a case study
title_full Advancing the state-level tracking of evidence-based practices: a case study
title_fullStr Advancing the state-level tracking of evidence-based practices: a case study
title_full_unstemmed Advancing the state-level tracking of evidence-based practices: a case study
title_short Advancing the state-level tracking of evidence-based practices: a case study
title_sort advancing the state level tracking of evidence based practices a case study
topic Implementation
Evidence-based practice
Evidence-based policymaking
Common elements
Learning system
Children’s mental health
url http://link.springer.com/article/10.1186/s13033-019-0280-0
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