“…The framework is intended to convey the dynamic patterns of influence that arise within and among key elements of the children's mental health system. These key elements include, at the macro level, the government agencies with mandated responsibility for the oversight and financing of services; the provider organizations that are & Fixsen, 1990;Hohmann, 1999, Schoenwald, & Hoagwood, 2001 within or contracted by these state systems and to provide mental health services; the staff who work within these organizations; the specific treatments and services that are delivered; and the children and families themselves. The framework was developed on the basis of a synthesis of theory and research on treatment effectiveness, organizational behavior, health care services improvement, innovation diffusion, technology transfer, and the transport of ESTs to community based mental health settings.…”