■持续提供循证治疗(EBT)对于解决青年心理健康问题对公共卫生的影响至关重要,但由于青年精神卫生服务机构可获得的资金有限且分散,因此情况变得复杂。需要支持,以指导服务机构获得可持续的EBT资金。我们对财政映射过程进行了试点评估,基于Excel的战略规划工具,可帮助服务机构领导者确定和协调其EBT计划的融资策略。
■在12个月的时间里,与10个青年心理健康服务机构完成了财政映射过程的试点测试,使用以创伤为重点的认知行为疗法或亲子互动疗法。服务机构代表接受了使用该工具的初步培训和每月指导。我们使用案例研究方法来综合所有可用的数据(调查,焦点小组,教练笔记,文件审查)和对比机构的经验,通过解释构建来确定关键发现。
■与使用财政映射过程的过程和结果相关的关键评估结果,以及上下文的影响。过程评估结果有助于澄清该工具的主要用例,并确定了与外部合作者互动的重要性和挑战。成果评价结果记录了财政映射过程对机构报告的维持能力的影响(战略规划,资金稳定性),这充分解释了报告的结局改善(程度和可能性)-尽管这些影响是渐进的。关于背景因素的调查结果记录了环境和组织能力对参与该工具的影响以及对公平影响的关切,而且认为该过程可以有效地推广到其他EBT。
■我们对财政映射过程的试点评估是有希望的。在今后的工作中,我们计划将该工具集成到EBT实施计划中,并测试其对各种EBT的长期维持成果的影响,同时越来越重视公平考虑。
试点测试一种工具,用于规划可持续资助青年心理健康治疗的工作通俗易懂的语言摘要青年心理健康治疗必须始终如一地提供,以改善我们社区的青年心理健康,但是这些治疗的资金通常是有限的,很难获得。青年精神卫生服务机构需要能够帮助指导他们获得可持续资金以进行循证治疗的工具。我们开发了财政映射流程,基于Excel的战略规划工具,用于规划青年心理健康治疗计划的可持续融资,并与10个青年心理健康服务机构进行了为期1年的试点测试评估。我们使用案例研究方法来比较和对比使用该工具的机构经验,与过程有关,结果,以及对使用财政映射过程的上下文影响。主要发现包括澄清贡献者的理想特征和使用该工具的治疗计划;初步确认该工具可以提高机构报告的维持有效治疗和长期维持前景的能力,尽管这些影响是渐进的;并记录环境和组织能力对参与该工具的影响,对公平影响的担忧,和用户认为该过程可以应用于广泛的治疗模型。总之,我们对财政映射过程的试点评估表明,该工具有望支持在青年精神卫生服务中有效的治疗的财务维持。在未来的研究中,我们计划将该工具纳入心理健康服务机构的现实培训计划中,在各种治疗模型中测试其对长期维持的影响,并考虑公平因素。
UNASSIGNED: Sustained delivery of evidence-based treatments (EBTs) is essential to addressing the public health impacts of youth mental health problems, but is complicated by the limited and fragmented funding available to youth mental health service agencies. Supports are needed that can guide service agencies in accessing sustainable funding for EBTs. We conducted a pilot evaluation of the Fiscal Mapping Process, an Excel-based strategic planning tool that helps service agency leaders identify and coordinate financing strategies for their EBT programs.
UNASSIGNED: Pilot testing of the Fiscal Mapping Process was completed with 10 youth mental health service agencies over a 12-month period, using trauma-focused cognitive-behavioral therapy or parent-child interaction therapy programs. Service agency representatives received initial training and monthly coaching in using the tool. We used case study methods to synthesize all available data (surveys, focus groups, coaching notes, document review) and contrast agency experiences to identify key findings through explanation building.
UNASSIGNED: Key evaluation findings related to the process and outcomes of using the Fiscal Mapping Process, as well as contextual influences. Process evaluation findings helped clarify the primary use case for the tool and identified the importance-and challenges-of engaging external collaborators. Outcome evaluation findings documented the impacts of the Fiscal Mapping Process on agency-reported sustainment capacities (strategic planning, funding stability), which fully explained reported improvements in outcomes (extent and likelihood)-although these impacts were incremental. Findings on contextual factors documented the influence of environmental and organizational capacities on engagement with the tool and concerns about equitable impacts, but also the view that the process could usefully generalize to other EBTs.
UNASSIGNED: Our pilot evaluation of the Fiscal Mapping Process was promising. In future work, we plan to integrate the tool into EBT implementation initiatives and test its impact on long-term sustainment outcomes across various EBTs, while increasing attention to equity considerations.
Pilot-Testing a Tool for Planning the Sustainable Financing of Youth Mental Health Treatments that Work Plain Language Summary Youth mental health treatments that work must be consistently available to improve youth mental health in our communities, but funding for these treatments is often limited and hard to access. Youth mental health service agencies need tools that can help guide them in accessing sustainable funding for evidence-based treatments. We developed the Fiscal Mapping Process, an Excel-based strategic planning tool for planning sustainable financing of youth mental health treatment programs, and conducted a 1-year pilot-testing evaluation with 10 youth mental health service agencies. We used case study methods to compare and contrast agency experiences with using the tool, related to the process, outcomes, and contextual influences on using the Fiscal Mapping Process. Key findings included clarification of the ideal characteristics of contributors and treatment programs for using the tool; initial confirmation that the tool can improve agency-reported capacities for sustaining treatments that work and long-term sustainment outlooks, although these impacts were incremental; and documentation of the influence of environmental and organizational capacities on engagement with the tool, concerns about equitable impacts, and user views that the process could be applied to a wide range of treatment models. In summary, our pilot evaluation of the Fiscal Mapping Process showed that this tool is promising for supporting the financial sustainment of treatments that work in youth mental health services. In future research, we plan to incorporate the tool into real-world training initiatives with mental health service agencies, test its impact on long-term sustainment across a variety of treatment models, and incorporate attention to equity considerations.