Implementation of Feedback System to Improve EBT's for Children in Mental Health
This study addresses the gap between routine clinical practice in mental health systems and the adoption of effective clinical practice. The project will assess the feasibility of integrating a measurement feedback system and the impact of the system on therapist adherence to selected evidence-based treatment (EBT) protocols. In addition, the research will examine organizational factors (culture, climate, and structure) as moderators of therapist behavior and child and family outcomes. The study will generate both quantitative and qualitative data focusing on factors that may facilitate or impede the implementation and dissemination of clinical practices across New York State.
A longitudinal randomized design will be used to study the impact of measurement feedback and to examine contextual service moderators. Clinicians providing treatments to youth with behavior disorders in clinics will collect concurrent assessments of clinical process and changes in symptoms/functioning. Half of the clinicians will receive feedback from the measurement feedback system, known as the contextualized feedback system (CFS), developed by L. Bickman, an evidence-based, outcome-driven continuous quality improvement strategy. The design will enable assessment of the impact of feedback on clinical processes, therapist behavior, and patient outcomes.
The study will take place in urban and suburban community mental health centers in New York, which serve primarily low-income, racially and ethnically diverse children and families who require chronic care for disruptive behavior disorders.