TY - JOUR
T1 - Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia
AU - Beidas, Rinad S.
AU - Adams, Danielle R.
AU - Kratz, Hilary E.
AU - Jackson, Kamilah
AU - Berkowitz, Steven
AU - Zinny, Arturo
AU - Cliggitt, Lauren Pilar
AU - DeWitt, Kathryn L.
AU - Skriner, Laura
AU - Evans, Arthur
N1 - Funding Information:
We are especially grateful for the support and partnership that the Department of Behavioral Health and Intellectual disAbility Services provided for this project and for the Evidence Based Practice and Innovation (EPIC) group and Ronnie Rubin, PhD. We thank Linda Trinh, John Antonovich, and Kelly Zentgraf for their assistance in manuscript preparation. We are also very grateful to the individuals who have been a part of the Philadelphia Alliance for Child Trauma Services (PACTS), including the therapists, administrators, and families. Funding for this project was supported by a grant from the Substance Abuse and Mental Health Administration SM61087 and NIMH K23 MH 099179 (Beidas).
Publisher Copyright:
© 2016 Elsevier Ltd
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Exposure to traumatic experiences among youth is a serious public health concern. A trauma-informed public behavioral health system that emphasizes core principles such as understanding trauma, promoting safety, supporting consumer autonomy, sharing power, and ensuring cultural competence, is needed to support traumatized youth and the providers who work with them. This article describes a case study of the creation and evaluation of a trauma-informed publicly funded behavioral health system for children and adolescents in the City of Philadelphia (the Philadelphia Alliance for Child Trauma Services; PACTS) using the Exploration, Preparation, Implementation, and Sustainment (EPIS) as a guiding framework. We describe our evaluation of this effort with an emphasis on implementation determinants and outcomes. Implementation determinants include inner context factors, specifically therapist knowledge and attitudes (N = 114) towards evidence-based practices. Implementation outcomes include rate of PTSD diagnoses in agencies over time, number of youth receiving TF-CBT over time, and penetration (i.e., number of youth receiving TF-CBT divided by the number of youth screening positive on trauma screening). We describe lessons learned from our experiences building a trauma-informed public behavioral health system in the hopes that this case study can guide other similar efforts.
AB - Exposure to traumatic experiences among youth is a serious public health concern. A trauma-informed public behavioral health system that emphasizes core principles such as understanding trauma, promoting safety, supporting consumer autonomy, sharing power, and ensuring cultural competence, is needed to support traumatized youth and the providers who work with them. This article describes a case study of the creation and evaluation of a trauma-informed publicly funded behavioral health system for children and adolescents in the City of Philadelphia (the Philadelphia Alliance for Child Trauma Services; PACTS) using the Exploration, Preparation, Implementation, and Sustainment (EPIS) as a guiding framework. We describe our evaluation of this effort with an emphasis on implementation determinants and outcomes. Implementation determinants include inner context factors, specifically therapist knowledge and attitudes (N = 114) towards evidence-based practices. Implementation outcomes include rate of PTSD diagnoses in agencies over time, number of youth receiving TF-CBT over time, and penetration (i.e., number of youth receiving TF-CBT divided by the number of youth screening positive on trauma screening). We describe lessons learned from our experiences building a trauma-informed public behavioral health system in the hopes that this case study can guide other similar efforts.
KW - Evidence-based practices
KW - Implementation science
KW - Trauma-informed system
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U2 - 10.1016/j.evalprogplan.2016.07.004
DO - 10.1016/j.evalprogplan.2016.07.004
M3 - Article
C2 - 27501466
AN - SCOPUS:84980452623
SN - 0149-7189
VL - 59
SP - 21
EP - 32
JO - Evaluation and Program Planning
JF - Evaluation and Program Planning
ER -