Behavioral Incentives for Increasing Quality Care in Children's Mental Health: WA BIIQ Study

EBPI is launching a pilot study on streamlining monitoring and support options for improving client outcomes in children’s mental health and behavioral health systems. The study includes three areas of focus:

1) Assessing the feasibility of an organizational capacity assessment that aids decision-making for supporting high quality children’s mental health care

2) Examining the acceptability and value of incentives applied towards agency performance benchmarks

3) Validating the administrative reporting of evidence-based practices through billing codes.

Study recruitment will start with four community mental health agencies located in Yakima, Tri-Cities, and Wenatchee, WA


Reporting Guide

Utilizing a research-grounded and innovative approach to monitor evidence-based practices at the state-level, the EBP Reporting Guide provides step-by-step instructions for clinicians to report R/EBPs for children’s public mental health care (under 18 years of age). Following the common element framework we developed previously, EBPI continued to improve the Reporting Guide by including a broader range of training entities and programs as suggested by the most recent clinical guideline papers and frontline providers. The current version also includes expanded treatment plan documentation examples and core element listing. In previous years, these evidence based practices were only reported by behavioral health agencies in a Behavioral Health Organization (BHO) region.  As the state expanded the number of regions that are fully integrated into managed care, the Service Encounter Reporting Instructions (SERI) were updated for all providers in the state that bill Medicaid.  This will result in capturing all children’s mental health encounters in every region of the state including the low to moderate intensity cases that were not part of BHO contracted work.

Click the picture to the left to view the 2019 Reporting Guides.

Click here for some commonly asked questions on the Reporting Guides and the use of EBPs.

EBPI recorded the Reporting Guides Workshop has be rolled out across Washington State. You can view the workshop here.

Rapid Evidence Review

Rapid reviews have emerged as a useful approach to provide actionable and relevant evidence in a timely and cost-effective manner. Rapid reviews are a type of knowledge synthesis for which the steps of the systematic review are streamlined or accelerated to produce evidence in a shortened timeframe. In a range of circumstances, there is value in accelerating the review process and fast-tracking knowledge synthesis for pressing policy and systems decisions.

The EBPI can perform Rapid Evidence Reviews on topics related to child and adolescent behavioral health upon request. For more information about this opportunity, please contact



Washington State Inventory of Evidence-Based, Research-Based and Promising Practices (WSIPP Inventory)

In 2019, EBPI and Washington State Institute of Public Policy (WSIPP) will review program manuals, evaluations, treatment models, and relevant research to reach consensus on the designation new evidence-based practices. The 2019 Inventory will be released in December 2019.

To view the 2018 Washington State Institute of Public Policy’s (WSIPP) Inventory of Evidence-Based, Research-Based, and Promising Practices For Prevention and Intervention Services for Children and Juveniles in Child Welfare, Juvenile Justice, and Mental Health Systems, please click here.

To apply to become promising, research-based, and evidence-based practice, please click here.

WA state and regional ebp reports


To assess data accuracy, EBPI conducted a survey to verify how well the quarter 2 data (April to June 2018) matched with agencies’ reported and actual used rate of EBPs. Among the 32 clinical directors who responded to our survey, 41.9% indicated this data matched “very well” with their reported use of EBPs; 22.6% indicated the match as “a little”; and 35.5% responded “not well.” 18.8% of clinical supervisors/directors indicated that the state data represented “very well” their actual use of EBPs; 12.5% rated “a little”; 59% rated “not well”; 9.4% of agencies did not respond to this question. Most agencies estimated their actual use of EBPs to be in the range from 31-50%, followed by 51-70%.

Our qualitative results show that many agencies identified difficulties with using electronic health records, administrative burdens, heavy case load, and EBP training costs as primary barriers to accurate reporting.

Click here for EBP Performance reports for WA state and by BHO region.

cultural responsiveness paper

EBPI developed a survey in 2013 as part of a deliverable within the state funded contract to assess the cultural responsiveness of evidence-based practices across the 3 child serving systems at the time (Mental Health, Juvenile Rehabilitation, Children’s Administration). The survey was distributed to providers via an online survey link and received a total of 71 responses. The results of the survey were developed into a report and submitted to the state at the end of the state FY14.

EBPI staff and faculty have now been working on analyzing both the quantitative and qualitative data to develop a manuscript for publication. The survey explores participant’s perspectives about specific EBPs and their cultural responsivity, as well as specific elements and strategies within those EBPs. Additionally, participants were asked to note specific cultural characteristics of the clients in which they reported differences or no differences between group responsiveness to specific EBPs and EBP elements.We are currently in the final stages of analyzing the results of this data, and plan to submit for publication by the end of the year.