Walker Sarah Cusworth, Sedlar Georganna, Berliner Lucy, Rodriguez Felix I, Davis Paul A, Johnson Savannah, Leith Jessica
1Department of Psychiatry and Behavioral Sciences, University of Washington, 1100 NE Campus Parkway, Box 358015, Seattle, WA 98105 USA.
Harborview Center for Sexual Assault and Trauma, 401 Broadway, Seattle, WA 98104 USA.
Int J Ment Health Syst. 2019 Apr 10;13:25. doi: 10.1186/s13033-019-0280-0. eCollection 2019.
Despite a sustained focus by policymakers and researchers on improving the standard of clinical care in public mental health services, the use of evidence-based practice remains low. Among other challenges, this reflects the difficulty of translating clinical research into useable policy that can be feasibly funded and monitored by state or large healthcare systems.
In this paper we present a case study of Washington State's strategy for monitoring the use of clinical elements at the session level for all Medicaid-funded children's mental health services. The implementation of this strategy reflects policy actions to promote effective practice while also actively influencing multiple other levels of the implementation ecology. The approach is informed by the Policy Ecology Framework, the Consolidated Framework for Implementation Research, the evidence-based policymaking literature, and common ontology and clinical elements models.
We found the strategy developed in Washington State to be a feasible method of collecting session level information about the use of effective clinical mental health practices. In addition, the approach appears to be having influence on multiple layers of the implementation ecology that could be explored through further study.
尽管政策制定者和研究人员持续关注提高公共心理健康服务的临床护理标准，但循证实践的应用率仍然很低。在其他挑战中，这反映了将临床研究转化为可由州或大型医疗系统切实资助和监测的可用政策的困难。
在本文中，我们展示了华盛顿州对所有由医疗补助计划资助的儿童心理健康服务在会话层面监测临床要素使用情况的策略的案例研究。该策略的实施反映了促进有效实践的政策行动，同时也积极影响实施生态的多个其他层面。该方法以政策生态框架、实施研究综合框架、循证政策制定文献以及通用本体和临床要素模型为依据。
我们发现华盛顿州制定的策略是收集有关有效临床心理健康实践使用情况的会话层面信息的可行方法。此外，该方法似乎正在对实施生态的多个层面产生影响，可通过进一步研究加以探索。
