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1.
Adm Policy Ment Health ; 44(1): 16-28, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25855511

RESUMO

This study was initiated to add to the nascent literature on locally-grown intervention programs in the youth mental health, child welfare, and juvenile justice service sectors, many of which demonstrate practice-based or community-defined evidence, but may not have been subjected to empirical evaluation. Characteristics of applications submitted in response to three public calls for additions to an inventory of research-supported intervention programs were reviewed on evidence for effectiveness, the use of key quality assurance (QA) elements (e.g., clearly specified training or integrity monitoring procedures), and cultural specificity. Findings indicate that four QA processes were identified in approximately half of all submissions: a specific initial training process, the existence of intervention integrity measures, routine outcome monitoring, and ongoing support post-training. An initial training process and integrity measurement were more commonly described among programs determined to have greater research evidence for their effectiveness. Overall, cultural elements were described relatively infrequently and most often reflected surface-level program delivery characteristics (e.g., offering services in languages other than English). Discussion is focused on the alignment of submitted programs with the larger literatures focused on implementation science and cultural competence.


Assuntos
Participação da Comunidade , Prática Clínica Baseada em Evidências , Formulação de Políticas , Criança , Proteção da Criança , Competência Cultural , Humanos , Delinquência Juvenil , Saúde Mental , Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência , Washington
2.
Adm Policy Ment Health ; 44(1): 6-15, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26094027

RESUMO

After nearly two decades of cultivating an evidence based practice milieu in Washington State, the 2012 legislature passed House Bill 2536 (HB 2536) to promote the increased uptake and use of evidence based practices in the child welfare, juvenile justice and child behavioral health systems. The current paper examines stakeholder participation and engagement in HB 2536 during the first year of its implementation. The current paper describes the community response, influence, and engagement during the drafting of the bill language. It then describes initial policy implementation and community engagement efforts within a framework of implementation strategies (Powell et al. in Medical Care Research and Review 69:123-57, 2012). Analysis includes common concerns, statements of support, and suggestions from diverse stakeholder groups. Discussion reviews the lessons learned and future directions, including opportunities for additional collaborations with community stakeholders in the subsequent years of HB 2536 implementation.


Assuntos
Participação da Comunidade , Prática Clínica Baseada em Evidências , Política de Saúde/legislação & jurisprudência , Criança , Comportamento Infantil , Proteção da Criança/legislação & jurisprudência , Humanos , Delinquência Juvenil/legislação & jurisprudência , Washington
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