title: A Longitudinal Study of State Strategies and Policies to Accelerate Evidence-Based Practices in the Context of Systems Transformation.
abstract: OBJECTIVE
  To profile state agency efforts to promote implementation of three evidence-based practices (EBPs): screening and brief intervention (SBIRT), psychosocial interventions, and medication-assisted treatment (MAT).
  
  
  METHODS
  Primary data collected from representatives of 50 states and the District of Columbia's Single State Authorities from 2007 to 2009.
  
  
  METHODS
  The study used mixed methods, in-depth, semistructured interviews and quantitative surveys. Interviews assessed state and provider strategies to accelerate implementation of EBPs.
  
  
  RESULTS
  Statewide implementation of psychosocial interventions and MAT increased significantly over 3 years. In the first two assessments, states that contracted directly with providers were more likely to link use of EBPs to reimbursement, and states with indirect contract, through counties and other entities, increased recommendations, and some requirements for provision of specific EBPs. The number of states using legislation as a policy lever to promote EBPs was unchanged.
  
  
  CONCLUSIONS
  Health care reform and implementation of parity in coverage increases access to treatment for alcohol and drug use. Science-based substance abuse treatment will become even more crucial as payers seek consistent quality of care. This study provides baseline data on service delivery, contracting, and financing as state agencies and treatment providers prepare for implementation of the Affordable Care Act.
authors.affiliation: Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR.
authors.forename: Traci
authors.initials: T
authors.lastname: Rieckmann
authors.affiliation: Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Abraham
authors.affiliation: Zwick Healthcare Consultants LLC, Urbandale, IA.
authors.forename: Janet
authors.initials: J
authors.lastname: Zwick
authors.affiliation: Department of Special Education and Clinical Sciences, University of Oregon, Eugene, OR.
authors.forename: Caitlin
authors.initials: C
authors.lastname: Rasplica
authors.affiliation: Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR.
authors.forename: Dennis
authors.initials: D
authors.lastname: McCarty
mesh_terms: D055317:Evidence-Based Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy; D058850:Opiate Substitution Treatment / Q000706:statistics & numerical data; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence*; D016540:Smoking Cessation / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy*; D014481:United States; D014482:United States Substance Abuse and Mental Health Services Administration
keywords: Medication-assisted treatment; evidence-based practices; substance abuse