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Administration and Policy in Mental Health and Mental Health Services Research

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01-11-2016 | Original Paper

Applying the Policy Ecology Framework to Philadelphia’s Behavioral Health Transformation Efforts

Authors: Byron J. Powell, Rinad S. Beidas, Ronnie M. Rubin, Rebecca E. Stewart, Courtney Benjamin Wolk, Samantha L. Matlin, Shawna Weaver, Matthew O. Hurford, Arthur C. Evans, Trevor R. Hadley, David S. Mandell

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2016

Abstract

Raghavan et al. (Implement Sci 3(26):1–9, 2008) proposed that effective implementation of evidence-based practices requires implementation strategies deployed at multiple levels of the “policy ecology,” including the organizational, regulatory or purchaser agency, political, and social levels. However, much of implementation research and practice targets providers without accounting for contextual factors that may influence provider behavior. This paper examines Philadelphia’s efforts to work toward an evidence-based and recovery-oriented behavioral health system, and uses the policy ecology framework to illustrate how multifaceted, multilevel implementation strategies can facilitate the widespread implementation of evidence-based practices. Ongoing challenges and implications for research and practice are discussed.

Philadelphia’s decision making process and ultimate decision to create its own managed care organization rather than allow a private sector health maintenance organization to manage the behavioral health care of Medicaid recipients is documented elsewhere (Guckenberger 2002). What is pertinent to this article is that by taking on the risk of managing Medicaid dollars at the city level, DBHIDS also benefits from any savings that they incur through the provision of more efficient and effective care. They are able to use these saving to reinvest in the system in ways that will improve the quality of behavioral health care for Medicaid recipients. Many of the efforts described in this article are funded in part through these reinvestment dollars.

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Title: Applying the Policy Ecology Framework to Philadelphia’s Behavioral Health Transformation Efforts
Authors: Byron J. Powell
Rinad S. Beidas
Ronnie M. Rubin
Rebecca E. Stewart
Courtney Benjamin Wolk
Samantha L. Matlin
Shawna Weaver
Matthew O. Hurford
Arthur C. Evans
Trevor R. Hadley
David S. Mandell
Publication date: 01-11-2016
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-016-0733-6

At a glance: The STEP trials

Springer Medicine

Applying the Policy Ecology Framework to Philadelphia’s Behavioral Health Transformation Efforts

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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