The State Health Authority Yardstick (SHAY)
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State mental health authorities have a leadership role in implementing evidence-based practices (EBPs), but few instruments are available to assess the impact of this role. We describe the development of the State Mental Health Authority Yardstick (SHAY), a behaviorally anchored instrument designed to assess state-level facilitating conditions associated with successful implementation of EBPs in community mental health centers. The SHAY assesses the SMHA role in seven domains: Planning, Financing, Training, Leadership, Policies and Regulations, Quality Improvement, and Stakeholders. Preliminary evidence from the National Evidence-Based Practices Project partially supports the construct and criterion-oriented validity of this instrument for rating state-level activities supporting or blocking the implementation of evidence-based practices.
KeywordsEvidence-based practices Implementation State mental health authority Policy
This work was supported in part by the MacArthur Foundation Network on Mental Health Policy Research. The author Howard H. Goldman is the Director of the MacArthur Foundation Network on Mental Health Policy Research.
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