Moving Science Into State Child and Adolescent Mental Health Systems: Illinois' Evidence-Informed Practice Initiative
| Autor: | Kathryn Conley Wehrmann, Marc S. Atkins, Renee Mehlinger, Tara G. Mehta, Matthew S. Hesson-McInnis, Amy C. Starin, Ané M. Maríñez-Lora |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Mental Health Services Parents Adolescent Health Personnel media_common.quotation_subject medicine.medical_treatment Child Health Services education Child Behavior Disorders Evidence informed Child and adolescent State (polity) Nursing Developmental and Educational Psychology medicine Humans Program Development Child media_common Cognitive Behavioral Therapy Health Policy Stakeholder Mental health Cognitive behavioral therapy Clinical Psychology Mental Health Adolescent Health Services Evidence-Based Practice Practice Guidelines as Topic Parent training Female Illinois Implementation research Psychology Program Evaluation |
| Zdroj: | Journal of Clinical Child & Adolescent Psychology. 43:169-178 |
| ISSN: | 1537-4424 1537-4416 |
| DOI: | 10.1080/15374416.2013.848772 |
| Popis: | In 2005, the Illinois State Mental Health Authority embarked on an initiative to close the gap between research and practice in the children's mental health system. A stakeholder advisory council developed a plan to advance evidence informed practice through policy and program initiatives. A multilevel approach was developed to achieve this objective, which included policy change, stakeholder education, and clinician training. This article focuses on the evidence-informed training process designed following review of implementation research. The training involved in-person didactic sessions and twice-monthly telephone supervision across 6 cohorts of community based clinicians, each receiving 12 months of training. Training content initially included cognitive behavioral therapy and behavioral parent training and was adapted over the years to a practice model based on common element concepts. Evaluation based on provider and parent report indicated children treated by training clinicians generally showed superior outcomes versus both a treatment-as-usual comparison group for Cohorts 1 to 4 and the statewide child population as a whole after 90 days of care for Cohorts 5 to 6. The results indicated primarily moderate to strong effects for the evidence-based training groups. Moving a large public statewide child mental health system toward more effective services is a complex and lengthy process. These results indicate training of community mental health providers in Illinois in evidence-informed practice was moderately successful in positively impacting child-level functional outcomes. These findings also influenced state policy in committing resources to continuing the initiative, even in difficult economic times. |
| Databáze: | OpenAIRE |
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