Child & Family EBP Consortium Track Monday March 16, 2020
Session 2 10:00 AM – 10:30 AM Bayshore 6 30-Minute Paper
Developing an Evidence-Based Child Welfare Preventive Practice Model
Allison Metz, PhD, National Implementation Research Network, University of North Carolina at Chapel Hill, Carrboro, NC; Suzanne Barnard, Evidence-Based Practice Group, Annie E. Casey Foundation, Baltimore, MD; Leah Bartley, PhD, Amanda Farley, National Implementation Research Network, University of North Carolina at Chapel Hill, Carrboro, NC
The Family First Prevention Services Act (FFSPA) redirects federal funds to provide services to keep children safely with their families and out of foster care. The Annie E. Casey Foundation, with the National Implementation Research Network, developed a preventive practice model to undergird all preventive work with families and align with FFSPA requirements. The model includes evidence-based case management, targeted services to enhance protective factors and mitigate risk factors, and evidence-based models to address specific needs.
10:30 AM – 11:00 AM Bayshore 6 30 Minute Paper
Minding the Implementation Gap: Variability in Fidelity Measurement and Pre-Implementation Supports Within Evidence-Based Psychosocial Treatments
Cricket Mitchell, PhD, Cricket Mitchell Consulting, LLC, Phoenix, AZ; Jennifer Rolls Reutz, MPH, California Evidence-Based Clearinghouse for Child Welfare (CEBC), Chadwick Center for Children and Families, San Diego, CA; Suzanne Kerns, PhD, Center for Effective Interventions, Graduate School of Social Work, University of Denver, Denver, CO
Evidence-based psychosocial treatments feature heavily in recent legislation, including the Family First Prevention Services Act of 2018. While the proliferation of such interventions holds promise for improving behavioral health, there is a well-documented ‘voltage drop’ in effectiveness once interventions transport outside of research studies. Further, many implementation efforts fail altogether. Using programs rated by the California Evidence-Based Clearinghouse (CEBC), this presentation explores the extent to which program purveyors leverage implementation science to support implementation efforts.
11:00 AM – 11:30 AM Bayshore 6 30 Minute Discussion
Addressing FFPSA Requirements: Refining a Tool to Prompt Selection and Sustainable Implementation of Evidence-Supported Programs
Rosalyn Bertram, PhD, University of Missouri-Kansas City, Director, Child and Family Evidence Based Practice Consortium, Kansas City, MO; Dan Edwards, PhD, Evidence-Based Associates (EBA), Alexandria, VA; Jacquie Brown, MES RSW, Child and Family Evidence Based Practice Consortium, Families Foundation, Hilversum, NL; Cricket Mitchell, PhD, Child and Family Evidence Based Practice Consortium, Cricket Mitchell Consulting LLC, Phoenix, AZ
The Family First Prevention Services Act (FFPSA) incentivizes the delivery of evidence-based and informed services. We briefly review the implementation landscape and implications of this transformative legislation. Then, to prompt careful consideration and sustainable implementation of fundable practices, participants will refine and receive pragmatic Child and Family Evidence Based Practice Consortium tools to support their organization’s response to FFPSA requirements.
Session 13 1:00 PM – 1:30 PM Bayshore 6 30-Minute Paper
Do Implementation Contexts Improve Child and Parental Well-Being? Findings From the Pep-2 Child Welfare Study
Antonio Garcia, PhD, College of Social Work, University of Kentucky, Lexington, KY; Minseop Kim, PhD, The Chinese University of Hong Kong, Hong Kong; Christina Myers, University of Illinois at Chicago, Chicago, IL; Xuan Trinh, MSW, University of Pennsylvania, Philadelphia, PA
While previous studies offer insight into which evidence-based practices (EBPs) promote safety and well-being, the underlying contextual implementation conditions that influence these outcomes are less understood. This presentation relies on survey data collected from workers, supervisors, and parents to discuss how devoting attention to increasing research evidence use and appeal to EBPs may improve parental and family well-being. We will also discuss the negative implications of creating a culture of “mandating” EBPs.
1:30 PM – 2:00 PM Bayshore 6 30-Minute Paper
Implementation of an Evidence-Based Early Childhood Home Visiting Intervention Across Diverse Community-Based Service Contexts
Patricia Sattler, MSW, Amy Mendenhall, PhD, Social Welfare, University of Kansas, Lawrence, KS; Kaela Byers, PhD, Chapin Hall, The University of Chicago, Chicago, IL; Zoë Mulkey, Social Welfare, University of Kansas, Lawrence, KS
This paper reflects the results of a mixed-methods implementation evaluation for an evidence-based early childhood home visiting intervention delivered across diverse community-based contexts in one Midwestern state. Through the application of the Consolidated Framework for Implementation Research, we identify multiple facilitators that support and challenges that constrain the successful delivery and implementation of this intervention with at-risk children and families. Findings from this study are informative for community service providers and funders as scale-up is considered.
2:00 PM – 2:30 PM Bayshore 6 30-Minute Paper
A Change Would Do You Good: Assessing Change Over Time to Support Implementation of Evidence-Based Practices
Rachel Kim, PhD, Daniel Cheron, PhD, Robert Franks, PhD, Heather Halko, PhD, Amy Doyle, MPH, MSW, Judge Baker Children’s Center, Boston, MA
This presentation will describe the development of a more comprehensive “Change Toolkit,” which combines a) the Change Package, b) a formal assessment of implementation progress objectives and core components included in the Change Package, and c) an Implementation Planning Guide. This toolkit is used to drive collaborative consultation between expert faculty and site-based implementation teams to support the adoption of the Modular Approach to Therapy for Children (MATCH), an evidence-based psychosocial treatment for children and adolescents.
Session 24 2:45 PM – 3:45 PM Bayshore 6 60-Minute Discussion
Academic Workforce Preparation for Evidence-Based Practice
Rosalyn Bertram, PhD, University of Missouri-Kansas City, Kansas City, MO; Dana Marlowe, PhD, Graduate School of Social Service, Fordham University, West Harrison, NY; Elisabeth Cannata, PhD, Community-Based Family Services & Practice Innovation, Wheeler Clinic, Plainville, CT; Suzanne Kerns, PhD, Center for Effective Interventions, University of Denver – Graduate School of Social Work, Denver, CO
How do masters level professional degree programs prepare future practitioners to deliver evidence-based practice? This discussion synthesizes results from three related North American studies conducted by participants in the Child and Family Evidence-Based Practice Consortium that addressed this question. Findings form the basis for audience discussion of how behavioral health and other service programs are becoming or can more actively collaborate with academic programs for more relevant workforce preparation.
3:45 PM – 4:15 PM Bayshore 6 30-Minute Discussion
Collaboration Amidst Fragmentation: An Examination of Two Interdisciplinary Efforts in the St. Louis Region
Riisa Rawlins-Easley, MSW, Social Work, University of Missouri – St. Louis, Saint Louis, MO; Serena Muhammad, St. Louis Mental Health Board, St, Louis, MO; Angela Brown, St. Louis Regional Health Commission, St. Louis, MO; Mockia Shelton, MSW, Cornerstones of Care, Kansas City, MO
This discussion will focus on the challenges of multi-sector collaboration by examining two federally funded regional initiatives designed to enhance integrated service delivery. The System of Care – St. Louis Region and the University of Missouri collaborative’s Behavioral Health Workforce Education and Training Initiative work to understand and address underutilization rooted in system fragmentation from both a systems and practice level. Stakeholder feedback across both initiatives suggest infrastructure, convenience, and reciprocal communication are essential to successful integration efforts. This discussion will discuss the implications of these findings for future multi-sector collaboration efforts.
Session 41 4:30 PM – 5:30 PM Palma Ceia 2 60-Minute Discussion
Scaling-Up Evidence-Based Programs Using Medicaid: The Louisiana Experience
Stephen Phillippi, PhD, Sonita Singh, PhD, Lindsay Simpson, MPH, Kaylin Beiter, PhD Candidate, Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, Center for Evidence to Practice, New Orleans, LA
The Center for Evidence to Practice is a university-state partnership working to advance evidence-based practices (EBPs) in Louisiana. In this discussion hour, we will present the primary strategies implemented in Louisiana for advancing early childhood EBPs in a Medicaid system. Participants will be encouraged to discuss the challenges and successes experienced in their respective states’ behavioral health systems.
Child & Family EBP Consortium Track Tuesday March 17, 2020
Session 46 10:00 AM – 10:30 AM Bayshore 6 30-Minute Paper
Development and Testing of an Efficient, Research-Based, and Scalable School Mental Health Strategy: The Brief Intervention for School Clinicians (BRISC)
Eric Bruns, PhD, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA
School mental health services are a critical component of Systems of Care but are often not based on evidence, efficient, or well-integrated into schools. The Brief Intervention Strategy for School Clinicians (BRISC) provides an efficient, flexible, four-session, engagement, assessment, brief intervention, and triage approach. Results of a controlled efficacy study that randomly assigned 52 schools (N=458 students) to BRISC or SMH, as usual, found BRISC promoted greater engagement, efficiency, and student mental health functioning.
10:30 AM – 11:30 AM Bayshore 6 60-Minute Symposium
Adaptations to EBTs in Research and Practice
Symposium Chair: Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Discussant: Rochelle Hanson, PhD, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
This symposium describes two approaches to examining Evidence-Based Treatment (EBT) adaptations. First, results of a systematic review of adaptations to EBTs for children suffering from traumatic stress will be described, including the reasons EBTs were adapted, the processes of making adaptations, what was adapted, and whether adaptations affect outcomes. Second, data from 46,000 children receiving behavioral health treatment will show the frequency and effects of EBTs provided to children with an adjustment disorder. Adjustment disorder is among the most frequently diagnosed conditions in children, yet no EBTs were developed to treat it, so adaptations of other EBTs may be used in practice. We will provide research and practice recommendations about adapting EBTs.
Adaptations of Evidence-Based Interventions to Address Traumatic Events Among Children and Adolescents: A Systematic Review
Brittany Lange, DPhil, MPH, Ashley Nelson, BA, Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Shannon Wiltsey-Stirman, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University, Menlo Park, CA
Many evidence-based treatments (EBTs) developed in response to the high prevalence of traumatic events experienced by children and are often adapted to suit individual needs. Despite the frequency of these adaptations, the field lacks synthesized information on why and how these adaptations occur. As such, this systematic review will synthesize information on the reasons for adapting EBTs for child trauma survivors, the process used to make adaptations, what components are adapted, and how these elements affect intervention outcomes. We will make recommendations for practitioners based on these findings.
Commonly Diagnosed but Not Commonly Researched: Adjustment Disorders and Evidence-Based Treatments in Outpatient Child Behavioral Health Clinics
Phyllis Lee, PhD, Department of Psychological Science, Eastern Connecticut State University, Willimantic, CT; Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Tim Marshall, LCSW, Connecticut Department of Children and Families, Hartford, CT
Adjustment disorder is one of the most common diagnoses for children, yet there are no Evidence-Based Treatments (EBTs) developed to treat it. This study examines 46,000 children receiving treatment to determine the frequency of EBT use/adaptations and outcomes for children with adjustment disorder. Nearly one-third of children were diagnosed with adjustment disorder. Children with adjustment disorders were less likely to receive EBTs in general but showed more significant improvements when they received EBTs intended for other conditions.
Session 57 1:30 PM – 2:30 PM Bayshore 6 60-Minute Symposium
Disseminating Trauma-Focused Treatments for Young Children Across a Statewide System of Care
Symposium Chair: Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Discussant: Tim Marshall, LCSW, Connecticut Department of Children and Families, Hartford, CT
This symposium describes the process, initial results, and lessons learned from an ongoing five-year statewide initiative to disseminate trauma-focused EBTs across a statewide system of care for young children (age seven and under). Part one will describe the approach to disseminating two trauma-focused EBTs for young children while also educating the broader early childhood workforce in childhood trauma. Part two will describe the initial outcomes of the project. Clinicians reported improvements in both their agency and individual trauma practices after participation. Children and caregivers completing treatment showed significant reductions in trauma-related and behavioral health symptoms. The discussion will focus on implications of project findings with a focus on the intersection of EBT dissemination, trauma-informed care, and early childhood settings, including the roles of state agencies, systems, and other partners. We will discuss challenges, lessons learned, and recommendations for advancing the field.
Building Statewide Capacity to Support Young Children Exposed to Trauma
Kellie Randall, PhD, Child Health and Development Institute (CHDI), Farmington, CT
This presentation describes the process of disseminating two trauma-informed, evidence-based treatments for young children: Attachment, Self-regulation and Competency, and Child-Parent Psychotherapy. Outpatient agencies across the state participated in Learning Collaboratives to train in the models. We will discuss agency selection processes, implementation barriers, and improvement strategies. We will also highlight the outreach and training undertaken to engage the early childhood workforce and build connections between systems to ensure children receive appropriate services.
Provider and Child Outcomes of Attachment, Regulation, and Competency (ARC) Dissemination in a Statewide Implementation
Christian Connell, PhD, Human Development and Family Studies, Penn State University, University Park, PA
This session will present results of ARC dissemination efforts, including evaluation of participant perceptions of agency and individual-level trauma-related practices and child and family behavioral health outcomes following receipt of ARC. Clinicians involved in learning collaboratives reported significant improvements in agency and individual trauma practices following participation. Children and caregivers completing ARC treatment showed significant improvements in behavioral health symptoms. Results support the effective dissemination of trauma-focused EBTs to address the needs of young children and their families.
Session 68 4:15 PM – 4:45 PM Bayshore 6 30-Minute Paper
Facilitative Implementation Strategies at Differing Stages of Readiness: How We Define Success
Robert P. Franks, PhD, Judge Baker Children’s Center, Harvard Medical School, Boston, MA
By observing trends across statewide initiatives, implementation practitioners can begin to understand better how to assess and predict EBP implementation outcomes and develop strategies to better facilitate success. Measuring continuous constructs of readiness across multiple domains is one way of developing tailored strategies that can help facilitate successful outcomes. Further, implementation trends can help inform how and when to make investments in systems change initiatives and better establish benchmarking and reasonable expectations for implementation outcomes.
4:45 PM – 5:15 PM Bayshore 6 30-Minute Paper
Cultural Considerations of Evidence-Based Practice Implementation: Developing Organizational Culture Assessment Tools to Improve Adoption and Address the Science to Practice Gap
Peggy McElgunn, Juris Doctorate, Zachary McElgunn, BA, Proven Quality Practices, Midlothian, VA
Organizational “readiness” for EBP implementation pivots not only on the fulcrum of understanding research foundations but also on organizational participation in the implementation process. This presentation outlines the impact of organizational culture on implementation, discussing the development of organizational culture assessment tools to aid in the selection and implementation of EBPs best suited to organizational circumstances.
5:15 PM – 5:45 PM Bayshore 6 30-Minute Discussion
Implementation Success: Taking the Hand of the Provider and Community for Successful Evidence-Based Model Implementation
John Burek, MS CJ Admin, PLL Family Systems Treatment Model, Lakeland, FL
Implementation science continues to be challenged to find effective methods to integrate evidence-based programs into community settings. Using case examples from the Parenting with Love and Limits model, participants will learn how to engage stakeholders in the implementation process from the first stages of planning through ongoing fidelity reviews.
Child & Family EBP Consortium Track Wednesday March 18, 2020
Session 79 10:00 AM – 11:00 AM Bayshore 6 60-Minute Discussion
An Evidence Based Approach to Providing Technical Assistance to Child Welfare Agencies in New York City
Melissa Fulgieri, LCSW, Marta Anderson, LCSW, Implementation Support Center, New York Foundling, New York, NY
This presentation will highlight how The Implementation Support Center (ISC) used the Community Development Team (CDT) model to provide technical assistance to child welfare agencies across New York City in preparation for a request for proposals. The presentation will delve into what spurred the creation of the ISC as well as how CDT grounds ISC’S services in an evidence-based framework. The presentation will also showcase the future work ISC will complete on this project.
11:00 AM – 11:30 AM Bayshore 6 30 Minute Discussion
Systems of Care: Implementing EBP’s, EHR, and Information Technology
Arik Hill, The New York Foundling, New York, NY; Sylvia Rowlands, PhD, Evidence Based Community of Programs, The New York Foundling, New York, NY; Thomas Sexton, PhD Functional Family Therapy Associates, Bloomington, IN
This presentation will discuss a spectrum of effective, community-based services and supports for children/youth with or at risk for mental health, child welfare, juvenile justice, or other challenges and their families. The spectrum organized into a cross-sector, coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs to improve their functioning at home, in school, in the community, and throughout life.