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

01-11-2016 | Original Paper

Measuring Sustainment of Multiple Practices Fiscally Mandated in Children’s Mental Health Services

Authors: Lauren Brookman-Frazee, Nicole Stadnick, Scott Roesch, Jennifer Regan, Miya Barnett, Lillian Bando, Debbie Innes-Gomberg, Anna Lau

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

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Abstract

Examining sustainment of multiple evidence-based practices is crucial to understanding the processes and outcomes of system-driven implementation efforts that are increasingly common. This study used administrative claims data to characterize volume and penetration of six practices over 19 fiscal quarters following initial implementation within the context of a system-driven, fiscally mandated implementation effort in Los Angeles County Department of Mental Health’s Prevention and Early Intervention services. Patterns of volume changes over time revealed an overall ramp up of practice claims over time, but variability in patterns of volume and penetration for each practice. Findings varied by the methods used to index and analyze volume and penetration. Furthermore, a number of client case-mix and therapist characteristics were associated with the volume of therapists’ claims for each practice relative to their claims for the other practices.
Footnotes
1
MAP trainings began in Quarter 2 of FY 2010–2011.
 
2
Inclusion of the total number of psychotherapy claims across the six practices per fiscal quarter as a repeated-measures covariate was considered but was not feasible due to high collinearity between total claim volume and time.
 
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Metadata
Title
Measuring Sustainment of Multiple Practices Fiscally Mandated in Children’s Mental Health Services
Authors
Lauren Brookman-Frazee
Nicole Stadnick
Scott Roesch
Jennifer Regan
Miya Barnett
Lillian Bando
Debbie Innes-Gomberg
Anna Lau
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/s10488-016-0731-8

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