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Identifying gaps and using evidence-based practices to serve the behavioral health treatment needs of medicaid-insured children

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  • Phillippi, Stephen
  • Beiter, Kaylin
  • Thomas, Casey
  • Vos, Saskia

Abstract

The goal of this study was to examine gaps in Evidence-Based Practices (EBPs) implementation among behavioral health providers of Medicaid-insured youth. Providers (N = 222) representing 146 unique behavioral health programs were surveyed about EBPs implementation both directly and indirectly. Indirect measures included program characteristics common to EBPs. Frequency, heat mapping, bivariate, and multivariate analyses were performed. Statistical tests included T-tests, analysis of variance, and the Pearson correlation. Self-reported EBPs use was 66.2%, while indirect measures indicated lower actual EBP use (40%). Findings indicate EBPs are not effectively implemented by all behavioral health providers treating Medicaid-insured youth. Further research is needed to understand how these findings impact youths’ behavioral health outcomes. Policies should address the lack of EBP uptake and fidelity by increasing support for providers of Medicaid-insured populations.

Suggested Citation

  • Phillippi, Stephen & Beiter, Kaylin & Thomas, Casey & Vos, Saskia, 2020. "Identifying gaps and using evidence-based practices to serve the behavioral health treatment needs of medicaid-insured children," Children and Youth Services Review, Elsevier, vol. 115(C).
    • Handle: RePEc:eee:cysrev:v:115:y:2020:i:c:s0190740920303509
    DOI: 10.1016/j.childyouth.2020.105089
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    References listed on IDEAS

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    1. David L. Sackett & William M. C. Rosenberg, 1995. "On the need for evidence‐based medicine," Health Economics, John Wiley & Sons, Ltd., vol. 4(4), pages 249-254, July.
    2. Aarons, G.A. & Wells, R.S. & Zagursky, K. & Fettes, D.L. & Palinkas, L.A., 2009. "Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2087-2095.
    3. Han, B. & Gfroerer, J. & Kuramoto, S.J. & Ali, M. & Woodward, A.M. & Teich, J., 2015. "Medicaid expansion under the affordable care act: Potential changes in receipt of mental health treatment among low-income nonelderly adults with serious mental illness," American Journal of Public Health, American Public Health Association, vol. 105(10), pages 1982-1989.
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