Presentation Transcript

1. HB 2536 Implementation Overview

2. Bill Summary Requires DSHS and HCA to expend state funds on: Juvenile justice programs or programs related to the prevention, treatment, or care of juvenile offenders that are evidence-based; Children's mental health programs or programs related to the prevention, treatment, or care of recipients of children's mental health services that are evidence-based; and Child welfare programs or programs related to the prevention, treatment, or care of recipients of child welfare services that are evidence-based.
3. Role of DSHS/HCA By June 30, 2013 compile a baseline assessment of the utilization of evidence-based and research-based practices in child welfare, juvenile rehabilitation and children’s mental health services. Prioritize the assessment of promising practices identified in the inventory with the goal of increasing the number of practices that meet the standards of evidence-based and research-based practices.* By December 30, 2013; 2014 and 2015 produce reports for the Governor and the Legislature that include:
4. Role of DSHS/HCA, Cont’d. Recommended strategies, times and cost for increasing the use of evidence-based and research-based practices Distinguish between the reallocation of existing funding and new funding to support the recommended strategies Expectation that there will be substantial increases above the baseline assessment of the use of evidence-based and research-based practices.
5. Inventory Process Re-defined EBP, RBP, Promising Practice Use existing Information to identify interventions that target outcomes of interest to: Child Welfare Children’s Behavioral Health Juvenile Rehabilitation Administration …that can be purchased by DSHS and HCA Set up promising practice app Short timeline - Only included programs with an existing review
6. Evidence Based Practices Current law definition of EBP requires: At least 2 random-assignment trials Tested across heterogeneous populations (without definition) Proposed definition Permits quasi-experimental studies with good statistical controls Permits single study evidence if study is LARGE Defines heterogeneity – program must have been studied in populations as racially/ethnically diverse as children in Washington Requires that the program benefits exceed the cost
7. Research Based Practices Current law definition of RBP requires: “Some evidence” not to the standard of EBP Proposed definition At least one randomized or well controlled study, with demonstrated sustained outcomes Does not meet other criteria for EBP
8. Promising Practices Current law definition of promising: Based upon preliminary information, program has potential for becoming a research-based or consensus-based practice. Proposed definition Statistical analyses or a well-established theory of change, shows potential for becoming RBP or EBP Or Use of a program that is evidence-based for outcomes other than the alternative use. Short time line - this list is incomplete.
9. Promising Practices Application Need a score of 1 to qualify. Points deducted if the program uses methods known to be harmful or the approach is inappropriate for the target population as judged by reviewer consensus.
10. Promising Practice Application Is the proposed practice/program an intervention that targets outcomes of interest to DSHS child-serving agencies? Child abuse, neglect, need for out of home placement; crime; children’s mental health; education; or employment OR, changes in protective/risk factors known to be associated with these outcomes.
11. Promising Practices Application Does it have initial evidence of effectiveness? Pre-post test indicating changes Well designed qualitative data
12. Promising Practices Application Does it have a “well-established theory of change?” Logic model that rests on empirically supported correlates of change Uses the general principles or model of an existing EBP Is an EBP that is being used for a purpose other than its evidence-base.
13. Technical Assistance Overview
14. Evaluation TA Focus Areas Tiered support that addresses unique needs of programs. Tier 1 Written and archived media that addresses foundational topics: logic models, internal research capacity, EBP definitions and development. Tier 2 Interactive resources for small to large group audiences: webinars, workshops, trainings. Tier 3 One on one support that supports a program’s development toward research/evidence-based by putting them in a better position to secure funding for sophisticated evaluation .
15. TA: Program Evaluation
16. Tier 3: One on One support Program priority will be informed by DSHS priorities Goal for TA will be to move eligible programs to promising practice status focusing on one of the areas below: Assist with logic models Assist with internal research capacity Assist with conducting preliminary research
17. Evaluation TA: Program next steps Can the TA establish a program as Evidence-Based? The Evaluation TA will be primarily focused on building a foundation for moving towards more sophisticated evaluation. Current resources are not sufficient to conduct the kinds of evaluation necessary for a research/evidence-based designation. However, the goal is to put programs in a better position to secure additional funding and/or clarify agency goals in regards to EBP implementation in general.
18. EBP Implementation Assistance Form Complete if: Your agency would like assistance with organizational readiness, training, implementation, sustainability, or adaptation of an existing EBP Form Includes: Opportunity to describe Implementation/Adaptation needs Initial organizational readiness screening Questions about referral stream and QA Caveat: Completion of form does not guarantee assistance PBHJP has limited resources and may be able to help your agency identify additional resources or partners through which your request may be filled
19. TA: Implementation Areas of assistance available currently: Organizational Readiness Assessment Learning about EBPs and training opportunities Decision making re: best EBP fit Cultural enhancements Maximizing implementation efforts
20. TA: Implementation Forms of support can include: Tier 1 Linkages to information on specific EBPS, training opportunities, cultural enhancements/adaptations Tier 2 Interactive resources for small to large group audiences (depending on need) Tier 3 One-on-one Implementation or Adaptation support
21. Take-aways Intent of legislation is to increase use of evidence based and research based practices across systems in WA state DSHS, HCA, WSIPP, and UW have distinct but complimentary roles in implementation DSHS and HCA will complete its baseline assessment by June 30, 2013 WSIPP will publish an updated inventory on January 31st to include promising practices UW will offer technical assistance beginning January 31st (Access Promising Practices Application and EBP Implementation Form here.) Our goal is to assist agencies and providers as they adjust to this legislation.
22. Question and Answer