Describe historical context of sciencetopractice agenda. - PowerPoint PPT Presentation

Title: Describe historical context of sciencetopractice agenda.


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Objectives

• Describe historical context of science-to-practice
  agenda.
• Identify current state of national movement
  toward evidence-based practice.
• Provide childrens model of transition to
  positive system of change.
• Engage in dialogue about organizational,
  structural and sustaining issues/ideas that
  impact on successful implementation of
  evidence-based practices.

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Every time any American--whether a child or an
adult, a member of a majority or a minority, from
an urban or rural area --- comes into contact
with the mental health systems, he or she will
receive excellent care that is consistent with
our scientific understanding of what
works President's New Freedom Commission Report
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Promise to Parents You will have healthcare for
your child based on the best available scientific
knowledge. The health care system promises you
excellence as its standard. Care will not vary
illogically from doctor to doctor or from
provider to provider. You will have the health
care that can help you and avoid the care that
won't help you
Adapted from Crossing the Quality Chasm A New
Health System for the 21st Century (Committee on
Quality of Health Care in America, Institute of
Medicine, Washington, DC, National Academy Press,
2001)
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Every Single Child
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One voice is a whisper carried by the wind, but
many voices are the wind
A Partnership for Change
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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by session participants

• What research is being conducted to measure
  effect of combination of evidence-based practices
  for children and adolescents?
• What are evidence-based practices for early
  intervention through child/adolescent life cycle?
• How do we ensure correct clinical assessment/
  formulation for best evidence-based practices
  fit?
• What is the best measure for organizational
  readiness?
• How do we fund grants that foster innovation, but
  at the same time, limit funding for pet
  projects or small pilots that will not have a
  system-wide impact?
• How do we measure fidelity to system-of-care
  (not just one EBP) as part of comprehensive
  system of care.

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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by panel for discussion purposes

• What priority areas would you like to have NRIs
  CMHQA address?
• What are some specific activities that would help
  EBP implementation efforts in your state?
• What would help you promote EBPs for childrens
  services?
• What are the best mechanisms to share information
  on EBPs and EBP implementation across states?
• How can CMHQA help your grant development
  initiatives?

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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by panel for discussion purposes

• Given the status of the uneven research base on
  the various EBPs, and the challenges to
  implementing even the strongest models, where
  should current research activities be focused?
• What are the largest gaps in constructing a
  unified dissemination and implementation research
  agenda? How can closer connections be made
  between this research agenda and the overall
  child strategic initiatives, again with the goal
  of creating sustainable change?
• Given the need to link these new initiatives both
  horizontally and vertically (across all of the
  child systems and from state policy to
  practitioner and family-driven exercise of
  choice) what are the most effective strategies
  which states can undertake?

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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by panel for discussion purposes

• How can states lead efforts to move EBPs into
  systems while also encouraging evidence farming
  - i.e., identification of promising practices
  from the ground up?
• The empirical evidence has generally not been
  based on samples drawn across different cultures,
  ethnic and racial groups, geographical locations
  and/or socioeconomic class, so how do states
  proceed to promote evidence-based practices in
  light of these limitations?
• What can science tell us about how to create and
  promote culturally relevant services? Can
  science help us know what we need to do? Is there
  evidence that guides us on how to do this?
• Does the current science help us to address the
  needs of diverse populations and improve quality?
  

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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by panel for discussion purposes

• To ensure that people get the most up-to-date,
  effective services, what are special
  considerations in delivering evidence-based
  practices to differing cultures? What are the
  elements of good clinical practice?
• What changes are needed to promote this
  customized care across the mental health system?
  Consider the chain of effect systems category.
• Cultural competence and evidence-based practices
  are converging. There are standards in existence
  from many state and federal entities. What needs
  to happen to make customized care a reality?

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Science and Evidence-Based Practices

• How do we come to understand the meaning and
  beliefs of consumers and how do we design a
  system that is responsive in developing services
  to meet those needs?
• To what degree do racism and bias present a
  critical barrier in promoting customized care?
• What would it take to embed cultural relevance
  throughout mental health practices?
• What is the relationship between good clinical
  practice and culturally relevant practice?

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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by panel for discussion purposes

• To what degree do racism and bias present a
  critical barrier in promoting this rule?
• What would it take to embed cultural relevance
  throughout mental health practices?
• What is the relationship between good clinical
  practice and culturally relevant practice?
• What changes are needed to promote a rule of
  individualization across the mental health
  system. Consider the chain of effect systems
  category.
• Cultural competence and evidence-based practices
  are converging. There are standards in existence
  from many state and federal entities. What needs
  to happen to make individualization a reality?

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Evidence-Based Practices Strategies for
Transforming Childrens Mental Health Care
Questions posed by panel for discussion purposes

• How do we come to understand the meaning and
  beliefs of consumers and how do we design a
  system that is responsive in developing services
  to meet those needs?
• To what degree do racism and bias present a
  critical barrier in promoting individualization?
• What would it take to embed cultural relevance
  throughout mental health practices?
• What is the relationship between good clinical
  practice and culturally relevant practice?