Meadowcroft Pamela, Townsend Maria Zeglen, Maxwell Art
Meadowcroft and Associates, 4915 Bayard Street, Pittsburgh, PA, 15213, USA.
J Behav Health Serv Res. 2018 Jul;45(3):421-439. doi: 10.1007/s11414-018-9599-6.
Increasingly, jurisdictions are requiring the adoption of certified evidence-based programs (EBPs) for behavioral health and human services for children, youth, and their families. Often, such adoption of proven, prepackaged programs is done without regard to existing, yet effective, locally developed program models. This study presents a replicable six-step process that identifies key researched elements from within existing programs and creates program-specific fidelity scoring and tracking tools for routine use during clinical supervision to assure that these elements are implemented well. A case study is used to demonstrate that a locally developed program model, when implemented with high fidelity, can serve clients with outcomes comparable to its EBP counterpart at a much lower cost. The results underscore the importance of one common element among EBPs and effective services in general: measuring key elements of the service and client outcomes and feeding these data back to clinicians for continuous improvement.
越来越多的司法管辖区要求采用经认证的循证项目（EBP），用于儿童、青少年及其家庭的行为健康和人类服务。通常，采用这些经过验证的预包装项目时，并未考虑现有的、但有效的本地开发的项目模式。本研究提出了一个可复制的六步流程，该流程从现有项目中识别关键的研究要素，并创建特定于项目的保真度评分和跟踪工具，以便在临床监督期间常规使用，以确保这些要素得到良好实施。一个案例研究表明，一个本地开发的项目模式，当以高保真度实施时，可以以低得多的成本为客户提供与循证项目相当的结果。结果强调了循证项目和一般有效服务中一个共同要素的重要性：衡量服务和客户结果的关键要素，并将这些数据反馈给临床医生以持续改进。
