The State Health Authority Yardstick

Bureau of Evidence-Based Services and Implementation Science, New York State Office of Mental Health, Albany, NY, USA.
Community Mental Health Journal (Impact Factor: 1.03). 04/2009; 45(3):228-36. DOI: 10.1007/s10597-009-9181-z
Source: PubMed


State mental health authorities have a leadership role in implementing evidence-based practices (EBPs), but few instruments are available to assess the impact of this role. We describe the development of the State Mental Health Authority Yardstick (SHAY), a behaviorally anchored instrument designed to assess state-level facilitating conditions associated with successful implementation of EBPs in community mental health centers. The SHAY assesses the SMHA role in seven domains: Planning, Financing, Training, Leadership, Policies and Regulations, Quality Improvement, and Stakeholders. Preliminary evidence from the National Evidence-Based Practices Project partially supports the construct and criterion-oriented validity of this instrument for rating state-level activities supporting or blocking the implementation of evidence-based practices.

17 Reads
  • Source
    • "assesses state authority on mental health policy through seven domains of adoption and implementation of EBPs in community health: planning, financing, training, leadership, policies and regulations, quality improvement, and stakeholders. A five-point rating score is used for each item (Finnerty et al. 2009) "
    [Show abstract] [Hide abstract]
    ABSTRACT: Building on a narrative synthesis of adoption theories by Wisdom et al. (2013), this review identifies 118 measures associated with the 27 adoption predictors in the synthesis. The distribution of measures is uneven across the predictors and predictors vary in modifiability. Multiple dimensions and definitions of predictors further complicate measurement efforts. For state policymakers and researchers, more effective and integrated measurement can advance the adoption of complex innovations such as evidence-based practices.
    Administration and Policy in Mental Health and Mental Health Services Research 04/2014; 42(5). DOI:10.1007/s10488-014-0551-7 · 3.44 Impact Factor
  • Source
    • "But as with any evidence-based practice, implementation and maintenance require resources. States need systematic and adequately funded mechanisms for ensuring IPS training, technical assistance, and fidelity and outcome monitoring (Bond et al. submitted; Finnerty et al. 2009; Rapp et al. 2010). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Individual Placement and Support (IPS) is an evidence-based practice for helping people with severe mental illness (SMI) gain competitive employment, yet those who could benefit often find it difficult to obtain IPS services. We summarize the evidence supporting the effectiveness of IPS and the benefits of working, discuss the barriers to implementing IPS in the U.S., and suggest policy changes that could expand its access.
    Administration and Policy in Mental Health and Mental Health Services Research 11/2012; 41(1). DOI:10.1007/s10488-012-0444-6 · 3.44 Impact Factor
  • Source
    • "In the mental health field, Rapp and colleagues identified seven tasks for implementing and sustaining EBPs, including strategic planning, by which state mental health authorities (SMHA) position themselves to meet new challenges (Rapp, Bond, Becker, Carpinello, Nikkel, et al., 2005). Additionally, to assess the impact of the SMHAs' leadership role in implementing EBPs, Finnerty, Rapp and colleagues (2009) developed the State Health Authority Yardstick (SHAY) which captures EBP mandates, or explicit policies and regulations that may be incorporated into contracts and other mechanisms (Finnerty, Rapp, Bond, Lynde, Ganju, et al., 2009). In fact, research from mental health suggests that state efforts may be shifting away from leaders who advocate for EBP implementation toward more explicit fiscal and regulatory drivers (Bruns, Hoagwood, Rivard, Wotring, Marsenich, et al., 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: State public health authorities are critical to the successful implementation of science based addiction treatment practices by community-based providers. The literature to date, however, lacks examples of state level policy strategies that promote evidence-based practices (EBPs). This mixed-methods study documents changes in two critical state-to-provider strategies aimed at accelerating use of evidence-based practices: purchasing levers (financial incentives and mechanisms) and policy or regulatory levers. A sample of 51 state representatives was interviewed. Single State Authorities for substance abuse treatment (SSAs) that fund providers directly or through managed care were significantly more likely to have contracts that required or encouraged evidence-based interventions, as compared to SSAs that fund providers indirectly through sub-state entities. Policy levers included EBP-related legislation, language in rules and regulations, and evidence-based criteria in state plans and standards. These differences in state policy are likely to result in significant state level variations regarding both the extent to which EBPs are implemented by community-based treatment providers and the quality of implementation.
    Evaluation and program planning 03/2011; 34(4):366-74. DOI:10.1016/j.evalprogplan.2011.02.003 · 0.89 Impact Factor
Show more