Implementation of Feedback System to Improve EBTs for Children in Mental Health

描述(由申请人提供)：公共精神卫生系统的常规临床实践与有效的临床实践之间的差距仍然存在。各国正在通过在全系统传播针对特定儿童障碍的循证治疗(EBTS)来作出反应，目的是改善儿童的结局。纽约州创建了一个循证治疗传播中心(EBTDC)，该中心将在未来两年为800名在MH特许机构工作的治疗师提供培训和为期一年的咨询，这些治疗师从事EBTS治疗破坏性行为障碍的工作。基于社会学习理论的EBT传播研究的结果表明，如果没有一个经常实施、与治疗同时进行并向治疗师提供反馈的衡量系统，儿童的结果不太可能得到改善。这项研究是由纽约国立卫生研究院、5所大学的精神卫生服务研究人员和参与EBTDC的机构工作人员组成的质量实施伙伴关系(QIP)，将检查涉及系统反馈的质量改进干预(QII)对20名治疗师的临床过程(调解者)和背景(调节者)对治疗师行为和儿童结果的影响。 接受4家精神卫生机构服务的160名儿童/家庭。

DESCRIPTION (provided by the applicant): The gap between routine clinical practice in public mental health systems and the uptake of effective clinical practice persists. States are responding through system-wide dissemination of evidence-based treatments (EBTs) for specific childhood disorders with the goal of improving child outcomes. New York State has created an Evidence-based Treatment Dissemination Center (EBTDC), which in the next 2 years will provide training and year-long consultation to 800 therapists working in licensed MH facilities on EBTs for disruptive behavior disorders. Findings from EBT dissemination studies based on social learning theory suggest that children's outcomes are unlikely to improve in the absence of a system of measurement that is administered frequently, is concurrent with treatment, and that provides feedback to therapists. This study, a Quality Implementation Partnership (QIP) between NYS OMH, mental health services researchers at 5 universities, and agency staff participating in the EBTDC will examine the impact of a Quality Improvement Intervention (QII) involving systematic feedback that addresses clinical processes (mediators) and contexts (moderators) on therapist behavior and child outcomes among 20 therapists and 160 children/families receiving services from 4 mental health agencies.