Table 3

Pre-Implementation Phase: Innovative Implementation Activities and Strategies for Project EBPs*
Innovations: Pre-Implementation
 ACT
 FPE
 IDDT
 IMR
 SE
State Infrastructure Building and Commitment




• Technical Assistance Center for state and Toolkit efforts established
 X



• Participation in other demonstrations to ready state for EBPs



X
• Modifications to Toolkit made to fit state context of implementing EBPS
 X

X
• White Paper written by consumers to modify EBP


X
• State sponsored research establishing evidence base to implement EBPs

X
 X
Stakeholder Relationship Building and Communication




• State-wide meetings, workshops, conferences, technical assistance activities to address philosophical and clinical practice differences between providers

X
 X
• Broad communication strategies established (e.g. educational forums, peer support programs, statewide consumer and advocacy meetings) to discuss EBPs
X
X
• State-wide meetings to engage consumers and other stakeholders in state and Toolkit efforts
 X
 X
 X
 X
• State-wide Advisory Group established
 X
 X
 X
 X
• State-wide Advisory Committee established, integrating recovery perspectives


X
• Priority to include input and consumers on Advisory Board, Toolkit site Steering Committees
 X
 X
 X
 X
 X
• Reporting of current EBP successes in mass media



X
• Partnership formed between state and consumer community to train clinical staff
X


Financing




• Start-up incentive monies for sites provided by state
 X
 X
 X
 X
 X
• Start-up incentive monies for sites provided by non-state funder


X
 X
• New use of block grant funds to support EBPs
X

X
• Shift of funding from inpatient to community services by state
 X



• Financial incentives, using Medicaid billing, for start-up year
 X



• Approaches to make Medicaid billing easier for EBPs investigated by state
 X
 X
 X
 X
 X
• Education and assurance about Medicaid billing procedures provided to sites by state



X
• White paper written by consumers to address Medicaid reimbursement and coding issues


X
• MOUs signed by community mental health centers to receive start-up funds
X


• State Vocational Rehab Agency established MOUs to solidify payment for services



X
Continuous Quality Management




• New licensing standards developed by non-state experts
 X



• New licensing regulations developed or discussed
 X
 X

X
• New dual certification and licensing standards established

X

• New standards for service delivery established
 X


X
• Association for Behavioral Health Centers formed to discuss reimbursement and administrative rules and incentives for clinical staff to perform services
X


Service Delivery Practices and Training




• Training budget reallocated to be more effective for EBPS
X

X
• Two-year training plan developed through community needs assessment process to deliver training through regional training centers



X
• Tracks in clinical supervision and clinical administration best practices developed by state

X

• Sites to receive incentives for additional training and technical assistance if decide to implement EBP

X

* EBPs:

ACT = Assertive Community Treatment

FPE = Family Psychoeducation

IDDT = Integrated Dual Diagnosis Treatment

IMR = Illness Management and Recovery

SE = Supported Employment

Magnabosco Implementation Science 2006 1:13   doi:10.1186/1748-5908-1-13

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