GAPS Analysis for Research / Evidence-Based Treatment For Children’s Public Mental Health in Washington State

In 2012, House Bill 2536 required the child serving agencies of the Department of Social and Health Services to document baseline data regarding the use and availability of evidence-based and research-based practices (R/EBPs) in Washington State. In response, the Division of Behavioral Health and Recovery (DBHR) conducted a survey of children’s mental health agencies to obtain a statewide count of these programs to establish a baseline for subsequent reporting years. This report extends the 2012 survey findings and reports on the treatment needs of youth in the public mental health system, the distribution and capacity of R/EBPs around the state to meet these needs, and the gap between need and capacity using a Geographic Information Systems (GIS) approach.

Please click the picture on the right for the GAPS Analysis report.


 
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Inspiring Innovations Behavioral Health Workforce Summit

In order to enhance and expand a behavioral health workforce to meet the health needs of Washington residents, EBPI partnered with the UW AIMS (Advancing Integrated Mental Health Solutions) Center and the Integrated Care Training Program (ICTP) to lead a transformative effort in developing community-academic partnerships. Three different webinar listening sessions were conducted to engage stakeholder groups and inform the Summit planning process. To ensure broad coverage across the state, this Summit was hosted on April 3 in Spokane and again on April 5 in Seattle. Over 100 stakeholders working in education, workforce, and/or policy areas joined this opportunity (37 joined in Spokane; 70 joined in Seattle). A Summit summary along with accompanying materials were sent out to both attendees as well as invitees who were not able to attend the Summit. The Summit included diverse activities, including framing remarks, a keynote, panel discussion, press conference style sessions and break-out sessions.

Key themes of the Summit included:

1) the need to expand incumbent provider skills and rethink provider roles to deliver evidence-based practices (EBPs) within team-based, integrated behavioral and physical healthcare settings;

2) recognizing the increasing workforce shortage and the need to recruit and retain a behavioral workforce;

3) the need to address credentialing, licensing and policy issues, as well as paperwork and documentation burdens.

A follow up webinar was held on June 20, 2019 for Summit attendees and led by EBPI and AIMS faculty. This follow up session focused on learning about what impact the Summit had on their workforce development efforts to date and ways to support integration and collaboration among stakeholders


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STAY Evaluation

STAY is a brief family-based treatment for adolescents with behavior problems. It can be used as a frontline strategy to involve family members in their adolescent’s treatment and provide family members with basic skills to improve communication and reduce conflict. STAY can also be well suited for families who require more intensive intervention where family conflict and behavioral issues are of primary concern.

The model uses a hybrid of evidence based strategies and techniques that include parent management training and components of cognitive behavioral therapy, which are delivered through a multi-step approach over the course of 4 stages (length of treatment depends on the needs of the family).  STAY consists of 4 basic principles and a problem solving framework listed below.

 

The 4 Basic Principles of STAY encourage the family to:

1. Slow down

2. Take interest

3. Assess your role

4. Yield to someone else’s perspective

EBPI has trained 146 master’s level mental health clinicians in the STAY model since its inception in 2017. Throughout the training process, we collected data using training evaluations, a client questionnaire, and a more in depth STAY qualitative interviews.

 

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A majority of the participants reported that their clients had previously been in individual counseling and found STAY as a helpful addition to the therapeutic process. Many reported the STAY model was very effective at improving family communication and increasing parent’s listening skills. The key elements of slowing down and helping the family to manage emotions and explore their interaction cycles appeared to be the most helpful strategies, while many reported that parenting skills were not always needed with a number of their clients


Incorporating EBP into WISe

Wraparound with Intensive Services (WISe) is designed to provide comprehensive behavioral health services and supports to Medicaid eligible individuals, up to 21 years of age, with complex behavioral health needs and their families. The goal of WISe is for eligible youth to live and thrive in their homes and communities, as well as to avoid or reduce costly and disruptive out-of-home placements.

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Topic 1: Understanding Autism Spectrum Disorders and Strategies to Support Positive Behavior:

Learning about ASD psycho-education and evidence-based strategies from the principles of Applied Behavior Analysis

Topic 2: Culture Humility

Understanding how culture impacts client participation and perception of treatment effectiveness can increase participation and motivation


Advancing the State Level Tracking of Evidence-Based Practices: A Case Study

EBPI presented Washington State’s strategy for monitoring the use of clinical elements at the session level for all Medicaid-funded children’s mental health services as a case study of advancing the state-level tracking of evidence-based practices. This article concludes that the strategy developed in Washington State is a feasible method of collecting session-level information about the use of effective mental health practices. This paper is published on the International Journal of Mental Health Systems and presented at the 2018 NIMH Mental Health Services Meeting.

To view the paper, click the picture to the right.



Preliminary Estimate of Costs Associated with Implementing Research and Evidence-Based Practices for Children and Youth in Washington State

This report was funded by the Washington State Division of Behavioral Health and Recovery, through HB1088 and the Evidence Based Practices Institute. The purpose of the project is to provide more accurate guidance about the costs associated with delivery of Evidence-Based Practices for children and youth in Washington State. This report includes information about the study goals, methods, and preliminary results.

To view this report, click the picture to the left.