Measuring Sustainment of Multiple Practices Fiscally Mandated in Children's Mental Health Services.

Measuring Sustainment of Multiple Practices Fiscally Mandated in Children's Mental Health Services.
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DOI:
10.1007/s10488-016-0731-8
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发表时间:
2016-11
影响因子:
2.6
通讯作者:
Lau, Anna
Lau, Anna
中科院分区:
医学3区
文献类型:
--
作者:
Brookman-Frazee, Lauren;Stadnick, Nicole;Roesch, Scott;Regan, Jennifer;Barnett, Miya;Bando, Lillian;Innes-Gomberg, Debbie;Lau, Anna

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检查多种基于证据的实践的维持对于理解日益普遍的系统驱动实施工作的过程和结果至关重要。本研究使用行政索赔数据来描述 19 个财政季度中六种做法的数量和渗透率,这些做法是在洛杉矶县精神卫生局预防和早期干预服务的系统驱动、财政强制实施工作的背景下初步实施的。随着时间的推移,交易量变化的模式揭示了随着时间的推移,实践索赔的整体上升,但每次实践的交易量和渗透率模式存在差异。调查结果因用于索引和分析交易量和渗透率的方法而异。此外,许多客户案例组合和治疗师特征与治疗师对每种实践的主张相对于他们对其他实践的主张的数量相关。
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.
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