title: Measuring Sustainment of Multiple Practices Fiscally Mandated in Children's Mental Health Services.
abstract: Examining sustainment of multiple evidence-based practices is crucial to understanding the processes and outcomes of system-driven implementation efforts that are increasingly common. This study used administrative claims data to characterize volume and penetration of six practices over 19 fiscal quarters following initial implementation within the context of a system-driven, fiscally mandated implementation effort in Los Angeles County Department of Mental Health's Prevention and Early Intervention services. Patterns of volume changes over time revealed an overall ramp up of practice claims over time, but variability in patterns of volume and penetration for each practice. Findings varied by the methods used to index and analyze volume and penetration. Furthermore, a number of client case-mix and therapist characteristics were associated with the volume of therapists' claims for each practice relative to their claims for the other practices.
authors.affiliation: Department of Psychiatry, University of California, San Diego, CA, USA. lbrookman@ucsd.edu.|Child and Adolescent Services Research Center, San Diego, CA, USA. lbrookman@ucsd.edu.
authors.forename: Lauren
authors.identifier: 0000-0001-7582-7529
authors.initials: L
authors.lastname: Brookman-Frazee
authors.affiliation: Department of Psychiatry, University of California, San Diego, CA, USA.|Child and Adolescent Services Research Center, San Diego, CA, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Stadnick
authors.affiliation: Department of Psychology, San Diego State University, San Diego, CA, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Roesch
authors.affiliation: Department of Psychology, University of California, Los Angeles, CA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Regan
authors.affiliation: Department of Psychology, University of California, Los Angeles, CA, USA.
authors.forename: Miya
authors.initials: M
authors.lastname: Barnett
authors.affiliation: Prevention and Early Intervention Administration Division, Program Support Bureau, Los Angeles County Department of Mental Health (LACDMH), Los Angeles, CA, USA.
authors.forename: Lillian
authors.initials: L
authors.lastname: Bando
authors.affiliation: Mental Health Services Act Implementation and Outcomes Division, Program Support Bureau, Los Angeles County Department of Mental Health (LACDMH), Los Angeles, CA, USA.
authors.forename: Debbie
authors.initials: D
authors.lastname: Innes-Gomberg
authors.affiliation: Department of Psychology, University of California, Los Angeles, CA, USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Lau
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D055317:Evidence-Based Practice / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015141:Los Angeles; D015397:Program Evaluation; D055815:Young Adult
keywords: Children’s mental health services; Evidence-based practice; Implementation; Sustainment outcomes