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Principal Investigators: John
Landsverk
Funding: MacArthur Foundation, UCLA Subcontract
(pending) $170,000
In children’s mental health care, the gap between
science and practice is wide and long-standing. Innovative
treatments that have been shown to work in clinical trials
tend to be used only in additional clinical trials, not in
clinical practice. Extensive research on the fate of innovations
shows that effective dissemination requires (a) adapting the
innovation to fit the intended users, and (b) understanding
and addressing organizational and system barriers to change.
The Child & Adolescent Services Research Center (CASRC),
in collaboration with the University of California at Los
Angeles (UCLA), received a grant from the MacArthur Foundation
in 2004 to examine ways to bridge the science-practice gap
and bring beneficial treatment practices to children and adolescents
in mental health service settings.
Two studies are being conducted through this funding. The
first is the Clinic Treatment Project, being conducted by
UCLA, which will test two alternative methods of delivering
evidence-based practices within public community-based mental
health clinics, using training and supervision procedures
designed for the settings and users. The second study is the
Clinic Systems Project, which is being conducted by CASRC,
will investigate the organizational, system, and payment issues
that influence the ability of providers and clinics to use
evidence-based practices.
The findings of these two projects will be used to plan the
next phase of study activity, dissemination of evidence-based
practices to a broad array of clinics, providers, youths,
and families, and assessment of the impact.
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