Developing an Evidence-Based Technical Assistance Model: a Process Evaluation of the National Training and Technical Assistance Center for Child, Youth, and Family Mental Health

Olson, Jonathan R.; Coldiron, Jennifer Schurer; Parigoris, Ryan M.; Zabel, Michelle D.; Matarese, Marlene; Bruns, Eric J.

doi:10.1007/s11414-020-09686-5

Cited by 12 publications

(13 citation statements)

References 26 publications

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“…This finding directly contradicts the results of the national study [ 14 ] of over 40 TA purveyors, which found that provision of basic and targeted TA surged after social distancing orders, and that intensive TA only accounted for 5% of all events. The New England ATTC’s ability to increase intensive TA offerings while other TA purveyors were providing predominantly basic or targeted support is noteworthy, especially given prior research indicating that long-term, ongoing TA is associated with better outcomes than one-shot, time-limited efforts [ 9 ]. Furthermore, research on high quality TA provision has suggested that intensive TA should provide frequent, ongoing opportunities for experiential learning [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Each regional ATTC works with expert trainers to provide three different levels of TA that vary in their objectives and duration: basic, targeted, and intensive [ 8 ]. TA is defined as a tailored approach to providing implementation support to, and increasing capacity for, continuous quality improvement [ 9 ]. Training is considered a discrete activity that can be included as part of any TA effort, guided by extensive evidence that training is insufficient for practice implementation and organizational change [ 10 ].…”

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confidence: 99%

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Substance use workforce training needs during intersecting epidemics: an analysis of events offered by a regional training center from 2017 to 2020

et al. 2022

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Background Intersecting opioid overdose, COVID-19, and systemic racism epidemics have brought unprecedented challenges to the addiction treatment and recovery workforce. From 2017 to 2020, the New England Addiction Technology Transfer Center (ATTC) collected data in real-time on the training and technical assistance (TA) requested and attended by the front-line workforce. This article synthesizes practice-based evidence on the types of TA requests, topics of TA, attendance numbers, and socio-demographics of TA attendees over a 3-year period spanning an unprecedented public health syndemic. Methods We assessed TA events hosted by the New England ATTC using SAMHSA’s Performance Accountability and Reporting System post-event survey data from 2017 to 2020. Events were coded by common themes to identify the most frequently requested training types/topics and most frequently attended training events. We also evaluated change in training topics and attendee demographics over the three-year timeline. Results A total of 258 ATTC events reaching 10,143 participants were analyzed. The number of TA events and attendance numbers surged in the 2019–2020 fiscal year as TA events shifted to fully virtual during the COVID-19 pandemic. The absolute number of opioid-related events increased, but the relative proportion remained stable over time. The relative proportions of events and attendance rates focused on evidence-based practice and health equity both increased over the 3-year period, with the largest increase after the onset of the pandemic and the murder of George Floyd. As events shifted to virtual, events were attended by providers with a broader range of educational backgrounds. Conclusions Results of the current analysis indicate that the demand for TA increased during the pandemic, with a prioritization of TA focused on evidence-based practice and health equity. The practice-based evidence generated from the New England ATTC may help other training and TA centers to anticipate and nimbly respond to the needs of the workforce in the face of the intersecting epidemics.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Substance use workforce training needs during intersecting epidemics: an analysis of events offered by a regional training center from 2017 to 2020

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The New England ATTC's ability to increase intensive TA offerings while other TA purveyors were providing predominantly basic or targeted support is noteworthy, especially given prior research indicating that long-term, ongoing TA is associated with better outcomes than one-shot, time-limited efforts (9). Furthermore, research on high quality TA provision has suggested that intensive TA should provide frequent, ongoing opportunities for experiential learning (24,25).…”

Section: Discussionmentioning

confidence: 99%

“…Each regional ATTC works with expert trainers to provide three different levels of TA that vary in their objectives and duration: basic, targeted, and intensive (8). TA is de ned as a tailored approach to providing implementation support to, and increasing capacity for, continuous quality improvement (9).…”

Section: Introductionmentioning

confidence: 99%

Substance Use Workforce Training Needs during Intersecting Epidemics: An Analysis of Events Offered by a Regional Training Center from 2017-2020

Scott

Salas

Bayles

et al. 2021

Preprint

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Background: Intersecting opioid overdose, COVID-19, and systemic racism epidemics havebrought unprecedented challenges to the addiction treatment and recovery workforce. From 2017-2020, the New England Addiction Technology Transfer Center (ATTC) collected data in real-time on the training and technical assistance (TA) requested and attended by the front-line workforce. This article synthesizes practice-based evidence on the types of TA requests, topics of TA, attendance numbers, and socio-demographics of TA attendees over a 3-year period spanning an unprecedented public health syndemic. Methods: We assessed TA events hosted by the New England ATTC using SAMHSA’s Performance Accountability and Reporting System post-event survey data from 2017-2020. Events were coded by common themes to identify the most frequently requested training types/topics and most frequently attended training events. We also evaluated change in training topics and attendee demographics over the three-year timeline.Results: A total of 258 ATTC events reaching 10,143 participants were analyzed. The number of TA events and attendance numbers surged in the 2019-2020 fiscal year as TA events shifted to fully virtual during the COVID-19 pandemic. The absolute number of opioid-related events increased, but the relative proportion remained stable over time. The relative proportions of events and attendance rates focused on evidence-based practice and health equity both increased over the 3-year period, with the largest increase after the onset of the pandemic and the murder of George Floyd. As events shifted to virtual, events were attended by providers with a broader range of educational backgrounds. Conclusions: Results of the current analysis indicate that the demand for TA increased during the pandemic, with a prioritization of TA focused on evidence-based practice and health equity. The practice-based evidence generated from the New England ATTC may help other training and TA centers to anticipate and nimbly respond to the needs of the workforce in the face of the intersecting epidemics.

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“…We know that early interventions are imperative and a number of the articles in this issue concentrate on youth, focusing on ways pediatric behavioral health services might intervene to reduce non-urgent emergency departments visits (in the Keefe et al paper), 1 developing training and technical assistance centers that respond to the special needs of youth with serious emotional disorders (in the Olson et al paper), 2 and assessing the mental health practices that have led to youth "aging out" of the system at 18 years (in the Cohen et al paper). 3 Additionally, we focus on the importance of diversity by highlighting the nature of mental health needs among an emerging Latino community with limited health care information (in the Bucay-Harari et al paper) 4 and examining how telepsychiatry might reduce treatment gaps in LGBT communities (in the Whaibeh et al paper).…”

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confidence: 99%

Our Voice and Our Vote Are More Important Than Ever Before

Ingoglia

2020

J Behav Health Serv Res

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The COVID-19 pandemic has made it clear how vital behavioral health professionals are to our individual health and to the health of our communities. More than ever, behavioral health professionals provide clients with life-saving treatment and services. It is truly hard to imagine where we would be as a nation without care from behavioral health professionals. The need will only intensify in the weeks and months ahead as we face a long period of recovery of our health, spirit, and economy, addressing the inevitable toll of long-term trauma on the nation's mental health.For many of us, the future is uncertain. Clinics providing needed services to some of our nation's most vulnerable, those living with mental illness and addictions and their families, are struggling to keep their doors open. The victims of these closures will not only be their patients and clients, they will be the staff who have bravely put their own fears aside to provide comfort and treatment.While the future is unclear and the full extent of the health crisis is still unfolding, I see promising signs of hope. The behavioral health field has always embodied strength and resilience, and that is certainly true right now.Even in these dark times, I have seen the power of unity and what can happen when we speak with one voice to let our nation's leaders know our wide-ranging contributions and our great needs. The National Council has joined our voices with organizations, policymakers, and individuals within our own community. Our list of victories is inspiring, and it is all because we recognize that we are better together.Our strength was evident as we spoke up to Congress and they listened. We secured policy changes supporting our community, gaining latitude in the use of telehealth and expansion of audio-only telehealth and Medicare coverage for a wider range of providers of telehealth services. Such efforts included Medicaid nonprofits in the Paycheck Protection Program and temporary relief of the Ryan Haight Act which allowed greater flexibility to prescribe controlled substances like antipsychotics and medication-assisted treatment (MAT), among others. In addition, the National Council spearheaded the largest mental health and addiction advocacy request in history, leading the effort for 40 other advocacy organizations to sign a request totaling $38.5 billion for behavioral health providers.However, we still have far to go. As the nation continues to grapple with and recover from COVID-19 and its aftershocks, we need continued investment in behavioral health. There are

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Developing an Evidence-Based Technical Assistance Model: a Process Evaluation of the National Training and Technical Assistance Center for Child, Youth, and Family Mental Health

Cited by 12 publications

References 26 publications

Substance use workforce training needs during intersecting epidemics: an analysis of events offered by a regional training center from 2017 to 2020

Substance use workforce training needs during intersecting epidemics: an analysis of events offered by a regional training center from 2017 to 2020

Substance Use Workforce Training Needs during Intersecting Epidemics: An Analysis of Events Offered by a Regional Training Center from 2017-2020

Our Voice and Our Vote Are More Important Than Ever Before

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