Advanced Center for State Research to Scale Up EBPs for Children

拟议的为儿童扩大EBPS的州研究高级中心(以下称为中心)将设在纽约州心理健康办公室(OMH)内。拟议中心的使命是提高国家为儿童和家庭推出EBP质量改进的有效性和效率。我们拟建的中心将建立在我们目前以州为基础的P20发展中心的基础上，该中心旨在为州系统中的儿童实施EBPS。中心设在国家系统(纽约州)的位置允许多层次和多方面的执行工作，这对于仅设在学术机构内的中心来说是不可能的。 该中心的研究将遵循费尔德斯坦和格拉斯哥的实用、稳健的实施和可持续发展模型(PRISM)，以确保应用创新的混合方法来促进对多个层面的实施过程和结果的理解(即，国家、机构、供应商和消费者)。利用纽约州精神卫生系统作为“实验室”，该中心处于独特的地位，可以在州系统中开发和测试创新的实施战略，这可以作为全国其他州的典范。该中心的研究活动围绕三个确定的执行挑战展开：(1)参与EBP倡议(在机构、提供者和消费者层面)；(2)整合数据决策支持系统，以监测服务的提供和成果；(3)务实的混合方法和措施，以支持在各国动态的政策环境中有效实施。 该中心将利用创新机制，在全国范围内加强研究成果的相关性、可持续性和传播。其中包括一个加速政策分析股，以利用与国家为儿童和家庭执行环境政策方案有关的时间敏感机会，以及一个国家政策研究咨询委员会，以双向传播有关州一级执行工作最新发展情况的信息。重要的是，该中心还提供了一个基础设施，通过提供机会从事具有高度公共卫生意义的实施研究，促进新的和早期调查人员的发展。

The proposed Advanced Center for State Research to Scale Up EBPs for Children (hereafter called Center) will be housed within the New York State Office of Mental Health (OMH). The mission of the proposed Center is to improve the effectiveness and efficiency of state roll-outs of EBP quality improvements for children and families. Our proposed Center will build on our current state-based P20 Developing Center on Implementation of EBPs for Children in a State System. The location of the Center in a State system (NY) allows for multi-level and multi-faceted implementation efforts not possible for Centers housed solely within academic institutions. The Center's research will be guided by an adaptation of Feldstein and Glasgow's Practical, Robust Implementation and Sustainability Model (PRISM) to ensure that innovative mixed methods are applied to advance understanding of implementation processes and outcomes across multiple levels (i.e.. States, agencies, providers, and consumers). Using the New York State mental health system as a "laboratory," this Center is in a unique position to develop and test innovative implementation strategies in a State system, which can serve as a model for other States across the nation. The Center's research activities are framed around three identified implementation challenges: (1) engagement in EBP initiatives (at agency, provider and consumer levels); (2) integration of data decision support systems for monitoring service delivery and outcomes; and (3) pragmatic mixed methods and measures to support efficient implementation in the dynamic policy environments of States. The Center will use innovative mechanisms to enhance the relevance, sustainability and dissemination of research findings nationally. These include an Accelerated Policy Analysis Unit to capitalize on time sensitive opportunities relevant to State EBP implementation for children and families and a National Policy Research Advisory Board to serve as a two-way disseminator of information about recent developments in State-level implementation. Importantly, this Center also provides an infrastructure to foster the development of new and early stage investigators by providing opportunities to engage in implementation research of high public health significance.