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临床实践之间的差距仍然存在。各国正在全系统推广针对特定儿童疾病的循证治疗，以改善儿童结局为目标。纽约州已经建立了一个基于证据的治疗传播中心（EBTDC），该中心将在未来两年内为800名在特许医院从事破坏性行为障碍的EBTs治疗的治疗师提供培训和长达一年的咨询。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的测量系统，与治疗同时进行，并向治疗师提供反馈，儿童的结果不太可能得到改善。本研究是由纽约州卫生局、5所大学的心理健康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），将研究质量改进干预（QII）对20名治疗师的行为和儿童结局的影响，该干预涉及系统反馈，涉及临床过程（中介）和环境（调节者）

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.