Disseminating clinical and fiscal practices across the New York State behavioral healthcare system

Acri, Mary; Fuss, Ashley; Quintero, Patricia; McKay, Mary M.; Cleek, Andrew Frank

doi:10.1080/00981389.2019.1593281

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…While the current crisis has resulted in short-term funding challenges for community mental health organizations, it has also created new opportunities for billing for telehealth and telephonic services, more efficient workflows with fewer no-show visits, and opportunities for more flexible clinic hours (1). Technical assistance with billing and financing can help public-sector organizations and clinicians adopt not only best clinical practices but also best management and fiscal practices that will allow them to remain solvent and recruit and retain high-quality staff (13).…”

Section: Addressing Fiscal Challengesmentioning

confidence: 99%

Supporting the Mental Health Workforce During and After COVID-19

Druss

Cohen

Brister

et al. 2021

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Section: Addressing Fiscal Challengesmentioning

confidence: 99%

Supporting the Mental Health Workforce During and After COVID-19

Druss

Cohen

Brister

et al. 2021

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“…A major gap in the youth mental health services literature is the lack of data on the delivery of EBPs and associated patterns of psychotherapy service utilization in routine care settings. Several county- and state-wide EBP initiatives exist including in Los Angeles County (Regan et al, 2017 ), New York State (Acri et al, 2019 ), and Washington State (Stoner, 2018 ). Despite increasing implementation of EBPs, we know little about youth service utilization patterns within community EBP implementation efforts and what factors may affect patterns of service use in these contexts.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care

Lui

Brookman‐Frazee

Vázquez

et al. 2021

Adm Policy Ment Health

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The current study (1) characterizes patterns of mental health service utilization over 8 years among youth who received psychotherapy in the context of a community implementation of multiple evidence-based practices (EBPs), and (2) examined youth-, provider- and service-level predictors of service use patterns. Latent profile analyses were performed on 5,663,930 administrative claims data furnished by the county department of mental health. Multinomial logistic regression with Vermunt’s method was used to examine predictors of care patterns. Based on frequency, course, cost, and type of services, three distinct patterns of care were identified: (1) Standard EBP Care (86.3%), (2) Less EBP Care (8.5%), and (3) Repeated/Chronic Care (5.2%). Youth age, ethnicity, primary language, primary diagnosis and secondary diagnosis, provider language and provider type, and caregiver involvement and service setting were significant predictors of utilization patterns. Although the majority of youth received care aligned with common child EBP protocols, a significant portion of youth (13.7%) received no evidence-based care or repeated, costly episodes of care. Findings highlight opportunities to improve and optimize services, particularly for youth who are adolescents or transition-aged, Asian-American/Pacific Islander, Spanish-speaking, or presenting with comorbidities.

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Scale-up of Global Child and Youth Mental Health Services: A Scoping Review

Walker,

Wissow,

Gubner

et al. 2024

Adm Policy Ment Health

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Numerous influential policy and scientific bodies are calling for more rapid advances in the scale-up of child and youth mental health services (CYMHS). A number of CYMHS innovations hold promise for advancing scale-up but little is known about how real-world efforts are progressing. We conducted a scoping review to identify promising approaches to CYMHS scale-up across the globe. Searches were completed in six databases (Academic Search Complete, CINAHL, MEDLINE, PsychInfo, PubMed, and Web of Science). Article selection and synthesis were conducted in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) checklist. A second search focused on low-and-middle-income countries (LMIC) was conducted based on the Cochrane Library recommended search filters of the World Bank listed LMIC countries. Authors used a double coding strategy during the title/abstract and full-text review. Twenty-eight articles meeting the eligibility criteria were identified that described 22 initiatives (in 11 different countries). Our review found the majority of published scale-up studies in CYMHS were not informed by scale-up frameworks in design or reporting. The methods and outcomes used in the identified articles were highly variable and limited our ability to draw conclusions about comparative effectiveness although promising approaches emerged. Successes and failures identified in our review largely reflect consensus in the broader literature regarding the need for strategies to better navigate the complexities of system and policy implementation while ensuring CYMHS interventions fit local contexts.

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Disseminating clinical and fiscal practices across the New York State behavioral healthcare system

Cited by 3 publications

References 21 publications

Supporting the Mental Health Workforce During and After COVID-19

Supporting the Mental Health Workforce During and After COVID-19

Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care

Scale-up of Global Child and Youth Mental Health Services: A Scoping Review

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