Scaling Up Evidence-Based Practices for Children and Families in New York State: Toward Evidence-based Policies on Implementation for State Mental Health Systems
Scaling Up Evidence-Based Practices for Children and Families in New York State: Toward Evidence-based Policies on Implementation for State Mental Health Systems
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DOI：
10.1080/15374416.2013.869749
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发表时间：
2014-03-01
影响因子：
4.2
通讯作者：
Hogan, Michael
中科院分区：
文献类型：
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作者：
Hoagwood, Kimberly Eaton;Olin, S. Serene;Hogan, Michael
创新的传播被广泛认为是制度改进的必要条件。至少有24个州正在针对儿童和家庭推出以证据为基础的心理健康实践，通过培训、咨询、网络研讨会和学习合作来提高质量和成果。在纽约州（NYS），一组研究人员、政策制定者、提供者和家庭支持专家自2002年以来一直合作重新设计和评估儿童心理健康系统。由基于经验的实践驱动并在国家支持的基础设施内组织的五种系统战略已在拥有2000多家提供者的儿童和家庭服务系统中使用：(a)商业实践，(b)在质量改进中使用卫生信息技术，(c)针对常见儿童疾病的具体临床干预措施，(d)父母激活，以及(e)质量指标制定。纽约卫星系统为自然主义实验提供了一个实验室。我们描述了这些举措、主要发现和挑战、扩大规模的经验教训，以及在州系统中创建基于证据的实施政策的影响。
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.