Characteristics of the Agency Overall—Site 2
||Local board of directors (The Board includs professors, professionals, attorneys, family members, consumers, city administrator, state department workers, scientists, etc.)|
||Number of clinical sites
||Two main sites. Services include: Services for Homeless and for Persons with Severe and Persistent Mental Illness (including an Afro-centric and Multi-cultural, Deal/HOH approach), Case Management, Community Treatment Teams, Mobile Psychiatric Outreach and Project Work (Employment Assistance); “Apothecare” Pharmacy; Residential Programs; General Information. Services at the 4th St. Location include: Chemical Dependency Outpatient Services; Criminal Justice Programs; HIV/AIDS Programs/ Older Adult Mental Health Services; GLBTQ Adult and Adolescent Programs/Services|
||Main setting type
||Type of setting of implementing site #2
||Type of setting of implementing site #3
||Type of setting of implementing site #4
||Total annual operating budget of agency
||$16,747,936 for FY 2002|
||Number of consumers served by agency/year
||Total hours of service by agency/year
||141,046.30 units for FY 2002; about 1900-2000 units for SMD services. Outreach activities would account for an additional 1000 units, but may duplicate units already documented.|
||Number of full time equivalents (FTE) in agency
||Agency has a total staff of 236 employees for FY 2002. Of those, 18 are contingent. FTEs for the agency are as follows: 1.0 - 187, .9 - 1, .8 - 3, .6 - 2, .5 - 26, .4 - 4, .3 - and below - 7|
Summary of Internet Survey
||12 Month Followup|
||Guide used primarily as a training tool. Cat used the Guide help integrate EBP principles into practice. The resources in the Guide tied in well with the overall practice.
||Two respondents used the IRK 0 times, five reported using it <3 times.
||Fewer, more concise handouts would be helpful. |
|Kickoff Introductory Power Point Presentation
||Moderate to Very
||Useful and easy to understand. Especially helpful in recognizing that outcomes are measured over longer periods of time.
|The Introductory Video
||Moderate to Very
||The personal testimony in the video was very effective.
||Rated as Moderately useful. All respondents used the video at least once. Video was used to engage staff, consumers, local officials. Video was an effective way to convey a sense of hope.
|Practitioner’s Written Practice Information Sheet
|Skills training Power Point
||Respondents agreed that the PP was easy to understand, gave them more skills, and provided motivation to do practice.
||Moderate to Very
||Respondents agreed that the Workbook was easy to understand, gave them more skills, and provided motivation to do practice.
||Five staff used the Workbook beyond 2-3 times and 2 staff used it more than 6 times.
|EBP-Specific Training Video
||Respondents agreed that the Video was easy to understand, gave them more skills, and provided motivation to do practice. One respondent stated it helped to see what they had learned demonstrated in a clinical setting.
||Three respondents used the video and felt it was helpful after training. Used to look at motivational interviewing styles.
||Could have had more interviews|
|Fidelity Measures for EBP
||Moderate to Very
||At least half of the respondents felt the measures were easy to understand, motivated them, were effective as guidelines and that the measures would be used in the workplace. One respondent felt that the measures were only a modified treatment plan and wasn’t sure how they would be used.
||One respondent used the scale at regular intervals. Scale also used to inform leadership team. One respondent stated it was used to generate change in practice.
||Six of the ten respondents felt the information on outcome measures was helpful in all areas.
||Chapter was encouraging and having a resource for outcomes is helpful. Outcome measures were collected at least 2-3 times.
||Four respondents either did not read the chapter or did not use any of the information. Agency could not ID outcome measures for just DD clients.
||Moderate to Very
||Majority of the ten respondents felt the information on cultural competency was helpful in all areas.
||The information was a good reminder to keep cultural aspects in mind whenever relevant.
||Five out of seven respondents did not read the chapter and most found the chapter only slightly effective.
Characteristics of the SMI Program—Site 2
||Definition of SMI
||As per Clinical Director, using state MHA guidelines; Inclusion criteria were recently changed.|
||Number of consumers (SMI) served /year
||2080 SMD clients served in FY 2002 about 30% were classified as high intensity; 30-35% classified as moderate intensity; about 40% low intensity/recovery|
||Total hours to (SMI) /year
||81,443.9 - AOD: 3745.6; Crisis: 143.2; Assessment: 379.5; Med/Som: 11,868.7 - Ind. Couns: 1,465.7; Grp. Couns: 2,193.4; CSP Ind.: 45,916.9; CSP Grp: 675.1; Vocational: 9,971.9; Mental health/other: 5,083.9|
||Total FTE for SMI program/year
||In SMD, there are 79 employees. FTEs for SMD area are as follows: 1.0 - 75, 2.0+ .75 - 1, 3.0+ .5-.3|
||Focus on professional guilds/Comments
||Segregation by profession/Comments
||Yes/ They do tend to group, but more likely by jobs than by profession, although those often coincide. |
||Teams function in multidisciplinary fashion/Comments
||Yes/ We rotate call, so teams must collaborate |
||Consumers/family members on paid staff/Comments
||Paid peer support specialists/Comments
||Yes/ We developed a consumer clinical package and got it funded by a foundation. We try to move client to role of collaborators on their own treatment. |
||Allegiance to professional organizations (unions)/Comments
Quality Improvement Systems—Site
|Source ||Topic ||Data|
||Nature of staff training program ||Basic CM training in the first 6 months of hire through KU: there
is an orientation and a mentor assigned. Each CM also gets $250 annually for training. Many go to advanced trainings through
||Nature of agency’s management information system ||Memos, administrative meetings, 2 hours
per week. Attending are the Exec and Clincal Dirs and clinical leaders. Other staff is in charge of AIMS.|
|B.8 ||Nature of agency’s quality improvement
program ||We have Utilization Review Committee and Quality Assurance Committee as weekly meetings. Risk
Management Committee review incident reports.|
|B.11.a ||Do practitioners collect consumer outcome data?
||Timely reports to program leaders? ||Yes|
|B11.c ||Timely reports to practitioners?
Tables 1-7 Credit:
Reprinted with permission from the National Implementing Evidence-Based Practices Project. I would like to thank my colleague, Greg McHugo, at the Dartmouth Psychiatric Research Center for helping to identify and providing the site reports from which these displays are drawn. Further information about the project can be found in:
Torrey, W.C., Lynde, D.W., & Gorman, P. (2005). Promoting the implementation of practices that are supported by research: The national implementing evidence-based practice project. Child and Adolescent Psychiatric Clinics of North America, 14, 297-306.
McHugo, G.M., Drake, R.E., Whitley, R., Bond, G.R., Campbell, K., Rapp, C.A., Goldman, H.H., Lutz, W., & Finnerty, M. (2007). Fidelity outcomes in the national implementing evidence-based practices project. Psychiatric Services
, 58, 1279-1284.