Implementation Feasibility and Hidden Costs of Statewide Scaling of Evidence-Based Therapies for Children and Adolescents

Psychiatric Services, Journal Year: 2024, Volume and Issue: 75(5), P. 461 - 469

Published: Jan. 25, 2024

Objective: State mental health systems are retraining their workforces to deliver services supported by research. Knowledge about evidence-based therapies (EBTs) for child and adolescent disorders is robust, but the feasibility of statewide scaling has not been examined. The authors reviewed implementation 12 commonly used EBTs, defining as an EBT having at least one study documenting acceptability, facilitators barriers, or fidelity; with a racially ethnically diverse sample; entity training, certification, licensing; fiscal data reflecting costs implementation. Methods: materials EBTs being scaled in New York conducted literature review search terms relevant Costs certification information were supplemented discussions treatment developers implementers. Results: All had examined feasibility, only three scaling. Eleven studied populations racial-ethnic diversity, few sufficient power subgroup analyses demonstrate effectiveness these samples. certifying licensing entities. per-clinician ranged from $500 $3,500, overall ongoing ranging $100 $6,000. A analysis revealed hidden $5,000 $24,000 per clinician, potentially limiting sustainability. Conclusions: evidence necessary embedding state notable gaps that may hinder Research-funding agencies should prioritize studies focus on practical aspects assist states they retrain workforces.

Language: Английский

Characterizing supervision-as-usual: Findings from two provider surveys.

Psychological Services, Journal Year: 2023, Volume and Issue: 20(2), P. 248 - 255

Published: Feb. 27, 2023

Although clinical supervision is widely seen as critical for professional training and safeguarding promoting client well-being in mental health care, it understudied, particularly publicly funded services. In surveys of two large samples youth service providers (a state sample billing Medicaid [

Language: Английский