Abstract
In their article, “Improving Community-Based Mental Health Care for Children,” Garland and colleagues explore and confront quality issues that are endemic to outpatient specialty mental health care for children in the United States. Their article presents evidence supporting the lack of effectiveness of usual care and draws on implementation science to explore areas for improving the quality of outpatient mental health care for young people. This commentary accepts these basic arguments and strategies, explores policy options that support the suggested reforms, and examines evidence-based programs in a broader context that draws on the systems of care approach. Specific issues addressed in this commentary include workforce capacity, policy options for improving care quality, provider incentives, systematic implementation supports, strategies to incorporate evidence-based approaches into practice, youth-guided and family-driven care, and the need to expand the definition of evidence-based practice to include the concepts of community-defined evidence and practice-based evidence.
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Bellonci, C., Jordan, P.E., Massey, O.T., Lieberman, B., Zubritsky, C., & Edwall, G. (2012). Reframing mental health practices for children, youth, and families. In search of developmental competencies to improve functioning across life domains (Issue Brief). Outcomes Roundtable for Children and Families.
Bickman, L. (2008). A Measurement Feedback System (MFS) is necessary to improve mental health outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 47(10), 1114–1119.
Bickman, L., Kelley, S. D., Breda, C., de Andrade, A. R., & Riemer, M. (2011). Effects of routine feedback to clinicians on mental health outcomes of youths: Results of a randomized trial. Psychiatric Services, 62(12), 1423–1429.
Chorpita, B., Rotheram-Borus, M. J., Daleiden, E., Bernstein, A., Cromley, T., Swendeman, D., et al. (2011). The old solutions are the new problem: How do we better use what we already know about reducing the burden of mental illness? Perspectives on Psychological Science, 6, 493–497.
Cooper, J., Aratani, Y., Knitzer, J., Douglass-Hall, A., Masi, R., Banghart, P., et al. (2008). Unclaimed children revisited, the status of children’s mental health policy in the United States. New York: Columbia University, National Center for Children in Poverty.
Daleiden, E. L., Chorpita, B. F., Donkervoet, C. M., Arensdorf, A. A., & Brogan, M. (2006). Getting better at getting them better: Health outcomes and evidence-based practice within a system of care. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 749–756.
Gallup. (2011) More Americans Uninsured in 2011. Retrieved November 12, 2012, from http://www.gallup.com/poll/152162/americans-uninsured-2011.aspx.
Garland, A. F., Haine-Schlagel, R., Brookman-Frazee, L., Baker-Ericzen, M., Trask, E., & Fawley-King, K. (2013). Improving community-based mental health care for children: Translating knowledge into action. Administration and Policy in Mental Health. doi:10.1007/s10488-012-0450-8.
George, P., Blase, K. A., Kanary, P. J., Worting, J., Bernstein, D., & Carter, W. J. (2008). Financing evidence-based programs and practices: changing systems to support effective service. Retrieved November 12, 2012 from http://www.hhs.gov/ash/oah/news/assets/sts_financing_ebp_practices.pdf.
Health Resources and Services Administration (2012). Shortage designation: Health professional shortage areas & medically underserved areas/populations. Retrieved October 5, 2012, from http://bhpr.hrsa.gov/shortage/index.html.
Honberg, R., Diehl, S., Kimball, A., Gruttadaro, D., & Fitzpatrick, M. (2011, March). State mental health cuts: A national crisis. Arlington, VA: National Alliance on Mental Illness.
Howard, E. (2012). Statewide implementation of child and family evidence-based practices: Challenges and promising practices. Washington, DC: Technical Assistance Partnership for Child and Family Mental Health. Retrieved December 12, 2012, from http://tapartnership.org/enterprise/docs/Evidence-Based_Practice_Brief_Final_03022012.pdf.
Huang, L., Macbeth, G., Dodge, J., & Jacobstein, D. (2004). Transforming the workforce in children’s mental health. Administration and Policy in Mental Health, 32(2), 167–187.
Institute of Medicine. (2006). Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality chasm series. Washington: National Academy.
Lieberman, R., Zubritsky, C., Martínez, K., Massey, O., Fisher, S., Kramer, T., et al. (2010). Issue brief: Using practice-based evidence to complement evidence-based practice in children’s behavioral health. Atlanta: ICF Macro, Outcomes Roundtable for Children and Families.
Manteuffel, B. (2010, March). Lessons learned from the national evaluation. Presentation at the 23rd Annual Children’s Mental Health Research and Policy Conference, Tampa, FL.
Martinez, K., Callejas, L., & Hernandez, M. (2010). Community-defined evidence: A bottom-up behavioral health approach to measure what works in communities of color. Report on Emotional and Behavioral Disorders in Youth, 10(1), 11–16.
Matarese, M., Carpenter, M., Huffine, C., Lane, S., & Paulson, K. (2008). Partnerships with youth for youth-guided systems of care. In B. Stroul & G. Blau (Eds.), The system of care handbook: Transforming mental health services for children, youth and families (pp. 275–300). Baltimore: Paul H. Brookes Publishing Co.
Miller, B. D., Blau, G. M., Christopher, O. T., & Jordan, P. E. (2012). Sustaining and expanding systems of care to provide mental health services for children, youth and families across America. American Journal of Community Psychology, 49(3), 566–579.
Miranda, J., Bernal, G., Lau, A., Kohn, L., Hwang, W. C., & LaFromboise, T. (2005). State of the science on psychosocial interventions for ethnic minorities. Annual Review of Clinical Psychology, 1, 113–142.
National Council for Community Behavioral Healthcare. (2012). HIT adoption and readiness for meaningful use in community behavioral health. Retrieved November 12, 2012 from http://www.thenationalcouncil.org/galleries/business-practice%20files/HIT%20Survey%20Full%20Report.pdf.
National Federation of Families for Children’s Mental Health. (2012a). Certification commission for family support website. Retrieved November 27, 2012, http://certification.ffcmh.org/.
National Federation of Families for Children’s Mental Health. (2012b). Definition and guiding principles of family-driven care. Retrieved November 26, 2012, from http://ffcmh.org/family-driven-definition.
Obrochta, C., Anthony, B., Armstrong, M., Kallal, J., Hust, J., & Kernan, J. (2011). Family-to-family peer support: Models and evaluation (Issue Brief). Atlanta: ICF Macro, Outcomes Roundtable for Children and Families.
Osher, T. W., Osher, D., & Blau, G. (2008). Families matter. In T. Gullotta & G. Blau (Eds.), Family influences on childhood behavior and development evidence-based prevention and treatment approaches (pp. 39–61). New York: Routledge.
Schoenwald, S. K., Chapman, J. E., Kelleher, K., Hoagwood, K. E., Landsverk, J., Stevens, J., et al. (2008). A survey of the infrastructure for children’s mental health services: Implications for the implementation of Empirically Supported Treatments (ESTs). Administration and Policy in Mental Health and Mental Health Services Research, 35, 84–97.
Spencer, S. A., Blau, G. M., & Mallery, C. J. (2010). Family-driven care in America: More than a good idea. Journal of the Canadian Academy Child and Adolescent Psychiatry, 3, 176–181.
Surace, C. (2008). Medicaid Coverage of Multisystemic Therapy. NAMI Beginnings, 10, 5–8.
Weisz, J. R., Chorpita, B. F., Palinkas, L., Schoenwald, S. K., Miranda, J., Bearman, S. K., et al. (2012). Testing standard and modular designs for psychotherapy treatment for depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69, 274–282.
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de Voursney, D., Sondheimer, D., Drumm, A. et al. Improving Community-Based Mental Health Care for Children: A Commentary. Adm Policy Ment Health 40, 33–38 (2013). https://doi.org/10.1007/s10488-012-0457-1
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DOI: https://doi.org/10.1007/s10488-012-0457-1