Selection of a Child Clinical Outcome Measure for Statewide Use in Publicly Funded Outpatient Mental Health Programs

Psychiatric Services, Год журнала: 2019, Номер 70(5), С. 381 - 388

Опубликована: Фев. 28, 2019

This study describes the process of choosing a clinical outcome measure for statewide performance system children receiving publicly funded mental health services in California.The recommendation is based on five-phase approach, including an environmental scan measures used by state agencies; provider survey; scientific literature review; modified Delphi panel; and final rating candidate using nine minimum criteria informed stakeholder priorities, evidence, statute.Only 10 states reported use at least one standardized measurement. In California, most frequently were Child Adolescent Needs Strengths (CANS) (N=33), Behavior Checklist (N=14), Eyberg Inventory (N=12). Based panel ratings, only Achenbach System Empirically Assessment, Difficulties Questionnaire, Pediatric Symptom (PSC) rated average high-equivocal to high range effective care, acceptability, usability, feasibility, overall utility. The PSC met all use. its decision, California Department Health Care Services mandated CANS.There lack capacity compare child outcomes across counties. Frequently often not supported evidence or ratings. Policy action needed promote selection common measurement methodology care.

Язык: Английский

---

An Examination of Factors Affecting State Legislators’ Support for Parity Laws for Different Mental Illnesses

Community Mental Health Journal, Год журнала: 2022, Номер 59(1), С. 122 - 131

Опубликована: Июнь 11, 2022

Язык: Английский

---

Using Policy Briefs to Communicate Dental Research Findings to Policymakers

JDR Clinical & Translational Research, Год журнала: 2023, Номер 9(2), С. 150 - 159

Опубликована: Июнь 15, 2023

Objectives: New scientific knowledge is not always available to decision makers. Policy briefs are a way that dental researchers can communicate research findings policymakers. This study compares usefulness of 2 types policy about sugar-sweetened beverage (SSB) intake and tooth decay. Methods: We developed brief (data focused narrative focused) emailed randomly assigned 825 policymakers staff from 3 levels government (city, county, state) in Washington State. Participants completed 22-item online questionnaire. There were 4 outcomes: whether the was understandable, credible, likelihood use, be shared (each measured on 5-point Likert-like scale). The t test used evaluate outcomes differed by type level (α = 0.05). Results: 108 respondents (adjusted response rate 14.6%). About 41.6% participants city government, 26.9% county 29.6% state government. reported both data- narrative-focused understandable (mean rating [MR] standard deviation [SD]: 4.15 ± 0.68 4.09 0.81, respectively; P 0.65) credible (MR SD: 4.13 0.70 0.70, 0.74), but they likely use 2.71 1.15 2.55 1.28, 0.51) or share it 2.62 1.04 2.66 1.30, 0.87). sharing significantly ( 0.017). at more information 3.10 0.80) than city- county-level 1.27, 2.24 1.21, respectively). Conclusion: Both may useful policymakers, additional steps needed ensure shared. Knowledge Transfer Statement: Researchers should disseminate their maximize impact. Our indicate best ways findings.

Язык: Английский

---

Unintended consequences of disseminating behavioral health evidence to policymakers: Results from a survey-based experiment

Implementation Research and Practice, Год журнала: 2023, Номер 4, С. 263348952311728 - 263348952311728

Опубликована: Янв. 1, 2023

Communication research demonstrates that messages often have unintended consequences, but this work has received limited attention in implementation science. This dissemination experiment sought to determine whether state-tailored policy briefs about the behavioral health consequences of adverse childhood experiences (ACEs), compared national on topic, increased state legislators'/staffers' perceptions brief relevance and parental blame for ACEs, effects differed between Democrats Republicans.A preregistered, web-based survey with U.S. legislators/staffers was conducted 2021 (n = 133). Respondents were randomized view a ACEs included data (intervention condition) or (control then answered questions. Dependent variables perceived ACEs.The mean score 4.1% higher intervention than control condition (p .24), 16.5% .02). When outcomes dichotomized, 61.2% respondents rated parents as "very much blame" 37.1% .01). sample stratified by political affiliation, effect larger magnitude among not significant Republicans. The 22.8% relative .007) doubled proportion rating (52.2% vs. 26.1%, p .03).Despite statistical power, significantly data. Unintended messaging warrant greater practice.Prior studies tested strategies policymakers’ engagement evidence. However, little assessed potential disseminating evidence policymakers. knowledge gap is important because large body communication found negative effects. paper adds literature issues A which (ACEs) tailored present from their presented completed survey. Legislators/staffers who viewed slightly more relevant, also being consequence ACEs. an signals cause caution when policymakers other practice audiences. More broadly, findings highlight need consider practice.

Язык: Английский

---

A More Practical Guide to Incorporating Health Equity Domains in Implementation Determinant Frameworks

Research Square (Research Square), Год журнала: 2020, Номер unknown

Опубликована: Ноя. 18, 2020

Abstract Background: Due to striking disparities in implementation of healthcare innovations, it is imperative researchers and practitioners can meaningfully use determinant frameworks understand why exist access, receipt, use, quality, or outcomes health care. Our prior work documented piloted the first published adaptation an existing framework with equity domains create Health Equity Implementation Framework. We recommended integrating these three frameworks: 1) cultural factors recipients, 2) clinical encounter, patient-provider interaction, 3) societal context (including but not limited social determinants health). This was developed for care practice settings. Some teams have begun using Framework their evaluations asked more guidance. Methods: completed a consensus process our authorship team clarify steps incorporate lens into framework. Results: describe integrate research practice. For each step, we compiled examples practical tools assist applying those steps. domain, definitions supporting literature, showcased illustrative example, suggested sample quantitative qualitative measures. Conclusion: Incorporating within may optimize scientific yield efforts by assessing ideally, addressing, barriers simultaneously. These guidance provided concretely capture facilitators disparities.

Язык: Английский

---