Scaling up evidence-based practices for children and families in New York State: toward evidence-based policies on implementation for state mental health systems.
Dissemination of innovations is widely considered the sine qua non for system improvement. At least two dozen states are rolling out evidence-based mental health practices targeted at children and families using trainings, consultations, webinars, and learning collaboratives to improve quality and outcomes. In New York State (NYS) a group of researchers, policymakers, providers, and family support specialists have worked in partnership since 2002 to redesign and evaluate the children's mental health system. Five system strategies driven by empirically based practices and organized within a state-supported infrastructure have been used in the child and family service system with more than 2,000 providers: (a) business practices, (b) use of health information technologies in quality improvement, (c) specific clinical interventions targeted at common childhood disorders, (d) parent activation, and (e) quality indicator development. The NYS system has provided a laboratory for naturalistic experiments. We describe these initiatives, key findings and challenges, lessons learned for scaling, and implications for creating evidence-based implementation policies in state systems.
a Department of Child and Adolescent Psychiatry , New York University School of Medicine.
Kimberly Eaton
KE
Hoagwood
S Serene
SS
Olin
Sarah
S
Horwitz
Mary
M
McKay
Andrew
A
Cleek
Alissa
A
Gleacher
Eric
E
Lewandowski
Erum
E
Nadeem
Mary
M
Acri
Ka Ho Brian
KH
Chor
Anne
A
Kuppinger
Geraldine
G
Burton
Dara
D
Weiss
Samantha
S
Frank
Molly
M
Finnerty
Donna M
DM
Bradbury
Kristin M
KM
Woodlock
Michael
M
Hogan
D002648:Child; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice; D005190:Family; D006284:Health Plan Implementation / Q000458:organization & administration*; D006291:Health Policy; D006801:Humans; D008603:Mental Health; D008605:Mental Health Services / Q000458:organization & administration*; D009518:New York; D010290:Parents; D012017:Referral and Consultation / Q000458:organization & administration*