Evidence map›Paper›PMID 29493412›Full record

ArticlePsychiatric services (Washington, D.C.)2018

State Adoption of Incentives to Promote Evidence-Based Practices in Behavioral Health Systems.

Rebecca E Stewart, Steven C Marcus, Trevor R Hadley, Brian M Hepburn, David S Mandell

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rebecca E StewartDr. Stewart, Dr. Hadley, and Dr. Mandell are with the Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, and Dr. Marcus is with the School of Social Policy and Practice, all at the University of Pennsylvania, Philadelphia. Dr. Hepburn is with the National Association of State Mental Health Program Directors, Alexandria, Virginia.
Steven C MarcusDr. Stewart, Dr. Hadley, and Dr. Mandell are with the Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, and Dr. Marcus is with the School of Social Policy and Practice, all at the University of Pennsylvania, Philadelphia. Dr. Hepburn is with the National Association of State Mental Health Program Directors, Alexandria, Virginia.
Trevor R HadleyDr. Stewart, Dr. Hadley, and Dr. Mandell are with the Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, and Dr. Marcus is with the School of Social Policy and Practice, all at the University of Pennsylvania, Philadelphia. Dr. Hepburn is with the National Association of State Mental Health Program Directors, Alexandria, Virginia.
Brian M HepburnDr. Stewart, Dr. Hadley, and Dr. Mandell are with the Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, and Dr. Marcus is with the School of Social Policy and Practice, all at the University of Pennsylvania, Philadelphia. Dr. Hepburn is with the National Association of State Mental Health Program Directors, Alexandria, Virginia.
David S MandellDr. Stewart, Dr. Hadley, and Dr. Mandell are with the Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, and Dr. Marcus is with the School of Social Policy and Practice, all at the University of Pennsylvania, Philadelphia. Dr. Hepburn is with the National Association of State Mental Health Program Directors, Alexandria, Virginia.

Funding

Investigating the Payer Role in the Implementation of EBP in the Public SectorF32MH103960 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI STEWART, REBECCA E · 2014 to 2017
$172k
NIMH NIH HHS F32 MH103960
6 · The paper itself

Abstract

objectiveDespite the critical role behavioral health care payers can play in creating an incentive to use evidence-based practices (EBPs), little research has examined which incentives are used in public mental health systems, the largest providers of mental health care in the United States.

methodsThe authors surveyed state mental health directors from 44 states about whether they used any of seven strategies to increase the use of EBPs. Participants also ranked attributes of each incentive on the basis of key characteristics of diffusion of innovation theory (perceived advantage, simplicity, compatibility, observability, and gradually implementable) and perceived effectiveness.

resultsAlmost three-quarters of state directors endorsed using at least one financial incentive; most paid for training and technical assistance. Few used other incentives. Strategies perceived as simple and compatible were more readily adopted. Enhanced rates and paying for better outcomes were perceived as the most effective but were the least deployed, suggesting that simplicity and organizational compatibility may be the most decisive factors when choosing incentives.

conclusionsPayers are not using the incentives they perceive as most effective, and they are mostly using only one strategy for reasons of simplicity and compatibility. Future work should focus on barriers to measurement that likely hinder the adoption and implementation of paying for better outcomes and enhanced reimbursement rates, with the ultimate goal of measuring the effectiveness of incentives on EBP implementation efforts.

Indexed as

Diffusion of InnovationEvidence-Based PracticeMental Health ServicesMotivationState GovernmentHumansevidence-based practicesFinancing/funding/reimbursementincentivesPublic policy issuesstates

Identifiers

PMID29493412
PMCPMC6993599

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.