Implementation Research in State System for Children with Behavioral Health Needs

March 24, 2017

Dissemination-Implementation science has emerged over the past decade replete with conceptual models and studies of barriers to the successful implementation of evidence-based programs. This work has been of limited usefulness to state systems that are undergoing massive changes due to changes in the healthcare system. These changes target accountability, costs, and outcomes of state services. In the rush by state health and behavioral health authorities to accommodate these changes, services for children and adolescents are being largely overlooked. Yet ironically the most direct way to address system problems is through redesign of prevention and intervention services for children. This entails closing the gap between evidence-based care and its implementation in real world settings. A body of research is emerging that identifies system-level, organizational-level, and individual-level (child and family) interventions that can dramatically improve services and outcomes for children and adolescents. Approaches include evidence-based framing, strategic collaborative interventions, quality metrics, and data-driven feedback systems. In her talk, Dr. Hoagwood will provide examples of each and recommend a research agenda to accelerate practical progress.

Kimberly Hoagwood is the Cathy and Stephen Graham Professor of Clinical Psychology in Psychiatry and the Vice Chair for Research in the Department of Child and Adolescent Psychiatry at New York University School of Medicine. Hoagwood is the Director and Principal Investigator of the IDEAS Center, an Advanced Center on Implementation and Dissemination Science in States for Children and Families, located at New York University and funded by the National Institute of Mental Health (NIMH). She also has a joint position with the division of Children, Youth and Families at the New York State Office of Behavioral health (NYSOMH) as a Research Scientist. Previously, Dr. Hoagwood was Professor of Clinical Psychology and Psychiatry at Columbia University, where she served as the Acting Director of the Division of Services and Health Policy Research. Prior to her appointment at Columbia University, she was the Associate Director for Child and Adolescent Mental Health Research at NIMH, overseeing the portfolio of research on child and adolescent behavioral health, and she served as the Scientific Editor for the Office of the Surgeon General’s National Action Agenda on Children’s Mental Health. She has continuously received federal and state funding over the course of her academic career, has published over 150 peer-reviewed research articles, and is the editor of numerous books on child behavioral health interventions and services research.