Evidence map›Paper›PMID 41874941›Full record

ArticleAdministration and policy in mental health2026

The Impact of Incentives and Programmatic Changes on the Uptake of Evidence-Based Training for Public Sector Youth-Serving Mental Health Providers.

Robert William Garvey, Kimberly Eaton Hoagwood, Elena Conte, Andrew Cleek, Meaghan Baier, Nicole Wang, Aleta Angelosante, Sarah McCue Horwitz

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Article in Administration and policy in mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Robert William GarveyDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York City, NY, USA. robert.garvey@nyulangone.org.ORCID http://orcid.org/0000-0001-9723-3860
Kimberly Eaton HoagwoodDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York City, NY, USA.ORCID http://orcid.org/0000-0002-9920-9896
Elena ConteDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York City, NY, USA.
Andrew CleekMcSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York City, NY, USA.
Meaghan BaierMcSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, New York City, NY, USA.
Nicole WangDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York City, NY, USA.ORCID http://orcid.org/0000-0002-1227-1428
Aleta AngelosanteDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York City, NY, USA.
Sarah McCue HorwitzDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York City, NY, USA.ORCID http://orcid.org/0000-0002-5262-1170

Funding

New York State Office of Mental Health OMH01-C101243-3650000.
6 · The paper itself

Abstract

Despite recent increases in youth mental health challenges, the lack of training in evidence-based treatments (EBTs) has led to alarmingly low rates of their use in public systems. Several states have responded with significant investments in EBT training or technical assistance, but fewer than one-quarter have established incentives to encourage attendance. This study examined the impact of incentives and programmatic changes on participation in a state-wide training initiative for clinicians serving children and youth. Data were drawn from a large cohort of clinicians employed at large Mid-Atlantic state funded youth-serving agencies (N = 3,897) who participated in trainings between 2014 and 2024. The study analyzed the effects of financial incentives, free CEUs, and programmatic changes, including virtual delivery and a briefer training option, on provider engagement, return attendance, dropout rates, and geographical diversity. Varied training options appealed to trainees of different ages and experience levels. Participants in the full MAP training tended to be younger (M = 37.24 ± 11.06) and earlier in their careers (17.44% with < 1 year of experience) compared to participants in the briefer trainings. CEUs were associated with lower dropout rates in the full training (p < .001) but had no impact on briefer trainings. CEUs also attracted younger (33.49 ± 9.65), less experienced trainees (3.88 ± 4.09). Financial incentives to agencies reduced dropout rates (18.90% vs. 51.30%; p < .001) and expanded geographical diversity, attracting more participants from regions outside of the Metropolitan Region (p = .01). Incentives and programmatic modifications can affect participation rates of experienced vs. less experienced clinicians, encourage repeat attendance, reduce dropout rates, and broaden geographical reach. These strategies can inform future training initiatives designed to overcome systemic barriers to EBT adoption in public mental health systems.

Indexed as

Evidence-Based PracticeHealth PersonnelMental Health ServicesMotivationPublic SectorAdolescentAdultFemaleHumansMaleCEUsClinical trainingEvidence-based practicesIncentivesMental health trainingProgrammatic changes

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Registered trials

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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.