Evidence map›Paper›PMID 34922540›Full record

ArticleBMC health services research2021

The implementation potential of a method to monitor empirically-supported children's mental health treatment through claims data.

Sarah Cusworth Walker, Noah Gubner, Aniyar Iztguttinov, Felix Rodriguez, Paul Davis, Aaron Lyon, Suzanne Kerns, Eric Bruns, Jiage Qian, Georganna Sedlar

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 30% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

10 authors at 4 institutions in 1 country.

Sarah Cusworth WalkerDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA. secwalkr@uw.edu.ORCID http://orcid.org/0000-0003-2298-7451
Noah GubnerDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Aniyar IztguttinovDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Felix RodriguezWashington State Health Care Authority, P.O. Box 45330, Olympia, WA, 98504-5330, USA.
Paul DavisWashington State Health Care Authority, P.O. Box 45330, Olympia, WA, 98504-5330, USA.
Aaron LyonDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 2012 Skagit Lane, Miller Sall, Box 353600, Seattle, WA, 98195, USA.
Suzanne KernsSchool of Social Work, University of Denver, Craig Hall, 2148 South High, St. Denver, CO, 80210, USA.
Eric BrunsDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 6200 NE 74th Street, Building 29, Suite 110, Seattle, WA, 98115, USA.
Jiage QianJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Georganna SedlarDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.
University of Washington · USWashington State Department of Health · USJohns Hopkins University · USUniversity of Denver · US

Funding

Washington State Health Care Authority 1265-62496
6 · The paper itself

Abstract

backgroundThe delivery of evidence-supported treatments (EST) in children's mental health could be a valuable measure for monitoring mental healthcare quality; however, efforts to monitor the use of EST in real world systems are hindered by the lack of pragmatic methods. This mixed methods study examined the implementation and agency response rate of a pragmatic, claims-based measure of EST designed to be applied as a universal quality measure for child psychotherapy encounters in a state Medicaid system.

methodsImplementation potential of the EST measure was assessed with healthcare leader rankings of the reporting method's acceptability, appropriateness and feasibility (n = 53), and post-implementation ratings of EST rate accuracy. Ability of the healthcare system to monitor EST through claims was measured by examining the agency responsivity in using the claims-based measure across 98 Medicaid-contracted community mental health (CMH) agencies in Washington State.

resultsThe analysis found the reporting method had high implementation potential. The method was able to measure the use of an EST for 83% of children covered by Medicaid with 58% CMH agencies reporting > 0 ESTs in one quarter. Qualitative analyses revealed that the most significant barrier to reporting ESTs was the operability of electronic health record systems and agencies' mixed views regarding the accuracy and benefits of reporting.

conclusionsMeasurement of child mental health ESTs through Medicaid claims reporting has acceptable implementation potential and promising real world responsiveness from CMH agencies in one state. Variation in reporting by agency site and low to moderate perceived value by agency leaders suggests the need for additional implementation supports for wider uptake.

Indexed as

Mental HealthResearch DesignChildHumansPsychotherapyWashingtonChildren’s mental healthEvidence-based treatmentEvidence-supported treatmentPragmatic measuresQuality measuresState systems

Identifiers

PMID34922540
PMCPMC8684062
OpenAlexW4200173737

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.