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Summary of Strategies for Policymakers |
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| Level in the Policy Ecology |
Strategy |
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| Provider organization |
Developing flexible and enhanced reimbursement strategies that accommodate the increased costs of EBP implementation. |
| Re-engineering continuing education units to support training in EBPs, auditing and feedback, and disallowing of certain courses for CEU credit. |
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| Regulatory or purchaser agency |
Influencing the type of care purchased by changing contracting and bidding procedures. |
| Considering expansion of disease management programs as a model for comprehensive EBP implementation. |
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| Using procedural mechanisms such as prior authorization to support specific EBPs. |
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| Developing and measuring client-level outcomes to assess the effectiveness of EBPs, and aligning purchasing to the attainment of these outcomes. |
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| Political |
Carefully considering enabling legislation to purchase EBPs. |
| Legislating mental health parity, and supporting the reduction of stigma and discrimination of individuals with mental health diagnoses. |
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| Legislating loan forgiveness programs for providers who adopt and promote the use of EBPs. |
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| Identifying and eliminating structural stigma in all legislation. |
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| Involving consumer advocates at all levels of implementation. |
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| Social |
Reducing stigma and discrimination that can prevent access to needed mental health services, including EBPs. |
Raghavan et al. Implementation Science 2008 3:26 doi:10.1186/1748-5908-3-26 |
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