Abstract
Sweeping and profound structural, regulatory, and fiscal changes are rapidly reshaping the contours of health and mental health practice. The community-based practice contexts described in the excellent review by Garland and colleagues are being fundamentally altered with different business models, regional networks, accountability standards, and incentive structures. If community-based mental health services are to remain viable, the two-dimensional and flat research and practice paradigm has to be replaced with three-dimensional thinking. Failure to take seriously the changes that are happening to the larger healthcare context and respond actively through significant system redesign will lead to the demise of specialty mental health services.
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Angstman, K. B., DeJesus, R. S., & Williams, M. D. (2009). Initial implementation of a depression care manager model: an observation study of outpatient utilization in primary care clinics. Population Health Management, 12, 227–230.
Bickman, L. (1996). A continuum of care: more is not always better. American Psychologist, 51, 689–701.
Bickman, L., Kelley, S., Breda, C., De Andrade, A., & Riemer, M. (2011). Effects of routine feedback to clinicians on youth mental health outcomes: a randomized cluster design. Psychiatric Services, 62(12), 1423–1429.
Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: a distillation and matching model. Mental Health Services Research, 7(1), 5–20.
Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009). Evidence on the chronic care model in the new millennium. Health Affairs (Project Hope), 28(1), 75–85.
Committee on Science, Engineering, Public Policy, National Academy of Sciences, National Academy of Engineering, Institute of Medicine. (2009). On being a scientist: a guide to responsible conduct in research (3rd ed.). Washington, DC: National Academies Press.
Connor-Smith, J. K., & Weisz, J. R. (2003). Applying treatment outcome research in clinical practice: techniques for adapting interventions to the real world. Child and Adolescent Mental Health, 8, 3–10.
Daleiden, E., & Chorpita, B. F. (2005). From data to wisdom: quality improvement strategies supporting large-scale implementation of evidence based services. Child and Adolescent Psychiatric Clinics of North America, 14, 329–349.
Epping-Jordan, J. E. (2004). Research to practice: international dissemination of evidence-based behavioral medicine. Annals of Behavioral Medicine, 28(2), 81–87.
Garland, A. F., Kruse, M., & Aarons, G. A. (2003). Clinicians and outcomes measurement: what’s the use? Journal of Behavioral Health Services and Research, 30(4), 393–405.
Gionfriddo, P. (2012). How i helped create a flawed mental health system that’s failed millions—and my son. Health Affairs, 31(9), 2138–2142.
Gleacher, A. A., Nadeem, E., Moy, A. J., Whited, A. L., Albano, A. M., Radigan, M., et al. (2011). Statewide CBT training for clinicians and supervisors treating youth: the New York State Evidence Based Treatment Dissemination Center. Journal of Emotional and Behavioral Disorders, 19(3), 182–192.
Hernandez, M., Gomez, A., Lipien, L., Greenbaum, P., Armstrong, K., & Gonzales, P. (2001). Use of the system of care practice review in the national evaluation: evaluating the fidelity of practice to system-of-care principles. Journal of Emotional and Behavioral Disorders, 9, 43–52.
Hoagwood, K.E., Jensen, P., Acri, M., Olin, S.S., Lewandowski, E., & Herman, R. (2012). Outcome domains in child mental health research since 1996: Have they changed and why does it matter? Journal of the American Academy of Child & Adolescent Psychiatry, 51(12), 1241–1260.
Institute of Medicine. (2006). Improving the quality of health care for mental and substance-use condition. Washington, DC: The National Academies Press.
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: building a safer health system. Washington, D.C.: The National Academies Press.
Kolko, D. J., Dorn, L. D., Bukstein, O. G., Pardini, D., Holden, E. A., & Hart, J. (2009). Community vs. clinic-based modular treatment of children with early-onset ODD or CD: a clinical trial with 3-year follow up. Journal of Abnormal Child Psychology, 37, 591–609.
Lin, K. W., & Moutsiakis, D. (2009). Screening for high blood pressure. American Family Physician, 79, 1093–1094.
Lloyd, D. R. (1998). How to maximize service capacity: nuts and bolts solutions for implementing change in behavioral healthcare organizations below the senior management level. Fayetteville: National Council for Community Behavioral Healthcare.
McHugh, R. K., & Barlow, D. H. (2010). Dissemination and implementation of evidence-based psychological interventions: a review of current efforts. American Psychologist, 65(2), 73–84.
McLellan, A. T., Carise, D., & Kleber, H. D. (2003). The national addiction treatment infrastructure: can it support the public’s demand for quality care?. Journal of Substance Abuse Treatment, 25, 117–121.
Morrissey, J. P. (1992). An interorganizational network approach to evaluating children’s mental health service systems. New Directions for Program Evaluation, 1992(54), 85–98.
Pumariega, A. J., Winters, N. C., & Huffine, C. (2003). The evolution of systems of care for children’s mental health: forty years of community child and adolescent psychiatry. Community Mental Health Journal, 39(5), 399425.
Schoenwald, S. K., Hoagwood, K. E., Atkins, M. S., Evans, M. E., & Ringeisen, H. (2010). Workforce development and the organization of work: the science we need. Administration and Policy In Mental Health, 37, 71–80.
Stroul, B., & Friedman, R. (1996). The system of care concept and philosophy. In B. Stroul (Ed.), Children’s mental health. Creating systems of care in a changing society. (pp. 1–22). Baltimore: Paul H. Brookes.
Torrey, W. C., Finnerty, M., Evans, A., & Wyzik, P. (2003). Strategies for leading the implementation of evidence-based practices. Psychiatric Clinics of North America, 26, 883–897.
Unutzer, J., Chan, Y., Hafer, E., Knaster, J., Shields, A., Powers, D., et al. (2012). Quality improvement with pay-for-performance incentives in integrated behavioral health care. American Journal of Public Health, 102, e41–e45.
US Preventive Services Task Force. (2008). Universal screening for hearing loss in newborns: uS Preventive Services Task Force. Pediatrics, 122, 143–148.
Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006). Evidence-based youth psychotherapies versus usual clinical care: a meta-analysis of direct comparisons. American Psychologist, 61(7), 671–689.
Wisdom, J. P., Ford, J. H., Hayes, R. A., Hoffman, K., Edmundson, E., & McCarty, D. (2006). Addiction treatment agencies’ use of data: a qualitative assessment. Journal of Behavioral Health Services and Research, 33, 394–407.
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Hoagwood, K., Olin, S. & Cleek, A. Beyond Context to the Skyline: Thinking in 3D. Adm Policy Ment Health 40, 23–28 (2013). https://doi.org/10.1007/s10488-012-0451-7
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DOI: https://doi.org/10.1007/s10488-012-0451-7