Projects & Programs

Behavioral Health and Child Welfare

Evidence Based Practice Institute: ongoing support for maintenance and growth (HB1088)
EBPI Project

In 2007 the Washington State Legislature passed House Bill 1088 which established the Evidence Based Practice Institute (EBPI). The Institute serves as a statewide resource to promote the implementation of evidenced based practices  for children and youth served by the mental health, juvenile justice and child welfare systems of our state..  The EBPI collaborates with the Department of Social Health Services, the Health Care Authority, Regional Support Networks, community stakholders and family and youth advocacy groups in order to support the implementation of culturally...

Creating Connections

The project aims to enhance the safety, permanency and wellbeing of children and youth in foster care, ages three to seventeen years, by facilitating effective linkages to appropriate and research-based mental health services (i.e., evidence-based practices; EBPs). The emphasis will be on areas of wellbeing and family functioning intrinsic to the achievement of safety and timely permanency for children placed out-of-home. While some children and youth currently in the foster care system and those who have been adopted experience mental health problems (including the emotional and...

Evaluation of the Comprehensive Community Supports for Children and their Families Program

The purpose of the Comprehensive Community Supports for Children and their Families Program, also known as the Community Mental Health Initiative or CMHI, is to provide Federal support through grants and cooperative agreements to States, political subdivisions within States, the District of Columbia, and territories to develop integrated home and community-based systems and supports for children and youth with serious emotional disturbances and their families. In the last 20 years, CMHI community grants have funded children’s mental health services in all 50 states, Puerto Rico, Guam, and...

Inventory for Promising, Evidence-based, and Research-based Practices (HB2536)
EBPI Project

For a full list of the current inventory of Evidence-Based, Research-based, and Promising Practices in Washington State, please click here.

Promising Practices

The promising practices application encourages innovation, recommends new Promising Practices for the Inventory of Evidence-...

King County Commercially Sexually Exploited Children Program Evaluation

The Division of Public and Behavioral Health and Justice Policy is contracted to evaluate the efforts of the King County Superior Court’s Commercially Sexually Exploited Children (CSEC) program as they work to build awareness of child trafficking and improve response to and services for CSEC. Children referred to this program are provided with an outreach coordinator who develops a multi-disciplinary team to collaboratively address the child’s needs. Additionally, the program conducts training sessions with individuals who serve children about the risk factors and warning signs of CSEC and...

University of Washington Interdisciplinary Workforce Initiative for Children’s Mental Health
EBPI Project

The University of Washington Workforce Development Task Force was created by the Evidence Based Practice Institute. This initiative has two goals: 1) preparing University of Washington graduate students in service fields to provide and support evidence based practices (EBP’s) for children’s mental health (CMH) when they graduate to the workforce in WA State; and 2) enhance opportunities for community- and University-based professionals to learn about different EBPs, best practices, and novel directions of the field of children’s mental health. To accomplish the first goal, a graduate...

Washington State Systems of Care Implementation Grant
EBPI Project

In 2013, the SAMHSA Center for Mental Health Services awarded a four-year Cooperative Agreement to Washington State to improve the behavioral health outcomes of children and youth with serious emotional disturbances and their families. The federal “Comprehensive Community Mental Health Services for Children and Families” program is intended to support the provision of mental health and related recovery support services to children with serious behavioral health needs along with the implementation of systemic changes in policy, financing, services and supports, training and workforce...

Washington State Triple P Initiative
EBPI Project

In 2012, the Division of Behavioral Health and Recovery (DBHR) utilized Mental Health Block Grant funds to partner with the University of Washington Division of Public Behavioral Health and Justice Policy (UW PBHJP) and Seattle Children’s Research Institute (SCRI) to implement the Positive Parenting Program (Triple P) in three low-resource, rural Prevention Redesign Initiative (PRI)- funded communities in Washington State: Othello, Omak, and Ocean Beach School District. The Washington State Triple P Initiative is intended to support the implementation of a population-level approach to...

School Mental Health

School Mental Health Assessment, Research, and Training (SMART) Center

The overarching mission of the SMART Center is to promote quality improvement of school-based mental/behavioral health services, thereby preventing or ameliorating mental health problems more effectively and promoting the social-emotional and academic development and success of youth across school, home, and community contexts. This mission will be advanced through three interconnected arms, designed to support the identification, implementation, and sustained use of evidence-based practices in schools: (1) Research and Evaluation; (2) Training, Technical Assistance, and Advocacy; and (3)...

Brief Intervention for School Clinicians (BRISC): A Modularized Evidence-Informed Mental Health Treatment for Use by School Clinicians Working with High School Students

In this 3-year project, the researchers will convene national and local experts to review and provide feedback on preliminary BRISC protocols. Based on this input, they will then conduct an initial implementation study to evaluate feasibility and inform the development of fidelity measures. The researchers will conduct a validation study in public high schools with school-based health centers using a multiple case study design. A small-scale randomized control trial will be used to test BRISC's potential for positive impact on student social, behavioral, mental health and academic outcomes...

Implementation of a Measurement Feedback System in School Mental Health

The proposed project draws on the training and expertise above to develop and evaluate a contextually-adapted, web-based measurement feedback system (MFS) for use in school-based mental health service delivery through a series of qualitative, quantitative, and mixed methods research aims. MFS use assessment data to deliver information to clinicians about client progress, represent a structured way to introduce assessment and progress monitoring into service systems, and have the potential to support effective, client-centered care. The current study will use clinician...

Wraparound

Coordinating Wraparound with Evidence-Based Clinical Practices

PBHJP faculty and staff are focused on developing and testing methods for ensuring that states and jurisdictions implementing Wraparound care coordination for youth with complex needs are doing so in a way that actively integrates research-based clinical care. For example, PBHJP is now collaborating with PracticeWise LLC, to train wraparound care coordinators, family partners, and therapists in several sites in two states on the Managing and Adapting Practice (MAP) system, a coordinated method for delivering evidence-informed clinical care. For...

Electronic Behavioral Health Systems for Wraparound Care Coordination

With funding from the University of Maryland Institute for Innovation and Implementation and the Center for Medicaid and Medicare Services (CMS), the Wraparound Evaluation and Research Team at UW PBHJP has partnered with Social TecKnowledgy, Inc., to develop and test TMS-WrapLogic, a web-based data collection, management, and feedback software package...

Fidelity Monitoring and Quality Assurance

The Wraparound Evaluation and Research Team (WERT) seeks to improve the lives of children and their families by supporting quality assurance efforts nationally and conducting research on the implementation and outcomes of the Wraparound process. Through development, refinement, and dissemination of the Wraparound Fidelity Assessment System (WFAS), WERT aims to assist implementation of the Wraparound process, evaluate effectiveness, identify the need for technical assistance and...

National Evaluation of Wraparound Implementation and Outcomes

In addition to federally-funded research, development, and technical assistance, the Wraparound Evaluation and Research Team at UW PBHJP conducts rigorous evaluation studies nationwide. Currently UW WERT is partnering with King County, Washington; Thurston and Mason Counties, Washington; and Broward Co., FL to evaluate raparound initiatives in those localities. As accountability wing of the National Wraparound Implementation Center, UW WERT is now also conducting comprehensive wraparound...

National Technical Assistance

UW PBHJP is co-host of the National Wraparound Initiative (NWI), and the National Wraparound Implementation Center (NWIC). NWIC provides training and implementation support in 10 states on care coordination for youth with complex needs using a research-based Wraparound approach. The NWI and the UW Wraparound Evaluation and Research Team are also core partners in the federally-funded National Technical Assistance Network for Children’s Behavioral Health , which...

Juvenile Justice

Building and Enhancing Criminal Justice Researcher-Practitioner Partnerships

A fundamental assumption of therapeutic interventions is that the positive results of these interventions are due to changes in attitudes, beliefs and skills. Often, however, studies only measure one or the other (skills or attitudes vs. outcomes); and when both are measured, it is uncommon to find a direct test of this pathway. While it could be argued that the mechanisms of change are interesting but not as important as actual outcomes, this logic in particular falls apart for corrections in which progress towards therapeutic change can be critical for making decisions about release. ...

Expansion of HB 1524: Mental Health Diversion in Communities with Low Resources

With funding from the MacArthur Foundation and the Washington State Partnership Council for Juvenile Justice, a project team, including the University of Washington and Center for Children and Youth Justice with guidance from the National Center for Mental Health and Juvenile Justice, convened working and advisory group committees to identify opportunities for reform in state policy that would move us towards reduced use of formal court processes for youth with mental health challenges. The product of these efforts was the development and passage of HB 1524, “Providing for Juvenile Mental...

Seattle Youth Violence Prevention Initiative – Risk Assessment Tool Validation

While Seattle has experienced some of the lowest overall crime rates in the past decade, the number of juvenile violent crime incidents has remained constant.  The Seattle Youth Violence Prevention Initiative (SYVPI) was initiated as an attempt to identify and help our at-risk youth. Specifically, the Initiative invests $3.8 million annually to:

• Help youth with repeat offenses re-enter society from state and county detention programs

• Provide alternatives for youth who are arrested for crimes, but released because they do not meet the admission criteria for county...

Adult Behavioral Health (WIMHRT)

Integration of Illness Management and Recovery within Assertive Community Treatment (ACT+IMR)
WIMHRT Project

The goals of this multi-site, linked R34 research and development grant are to develop and evaluate the feasibility of a novel psychosocial approach for improving the mental health of people with severe mental illness while obtaining preliminary pilot data needed to plan a subsequent R01 research application to further evaluate this intervention.  Specifically, we plan to adapt and pilot an approach for integrating two evidence-based practices for adults with serious mental illness: Illness Management and Recovery (IMR) and Assertive Community Treatment (ACT).  This project has three...

Mental Health Statistics Improvement Program (MHSIP) Surveys
WIMHRT Project

The Mental Health Statistics Improvement Program  (MHSIP) Consumer Surveys measure concerns that are important to consumers of publicly funded mental health services in the areas of Access, Quality/Appropriateness, Outcomes, Overall Satisfaction and Participation in Treatment Planning.
 
The Washington Institute administers the Adult Consumer Survey (ACS) and the Child/Family Consumer Survey (CFCS) to examine the quality of Washington State’s publically funded mental health services and to meet the reporting requirements of the Centers for Medicare and Medicaid Services (CMS)....

Peer Employment Support Group: Training Peers to Facilitate the Development of Readiness for Employment
WIMHRT Project

The intention of the Peer Employment Support Group (PESG) approach is to offer a place for discussion and exploration about employment for consumers unsure about seeking employment.  It is intended to be a low barrier point of entry to employment services. Participants can work through their ambivalence without pressure and talk about whatever concerns they may have about employment in a supportive atmosphere. PESG can and does help attendees develop their readiness to pursue a vocational goal and say “yes” to employment. It is a manualized intervention, but facilitators are not required...

Washington State Cognitive Behavioral Therapy for Psychosis (CBTp) Learning Collaborative
WIMHRT Project

Cognitive Behavioral Therapy for Psychosis (CBTp) is an individualized, first-line intervention for adults with schizophrenia and other serious mental illness (Wood et al, 2013).  CBTp includes the application of cognitive skills aimed toward changing thoughts to improve feelings and behaviors, as well as behavioral strategies, often used to address negative symptoms. CBTp is often used in conjunction with antipsychotic medications.  

According to the Division of Behavioral Health and Recovery (DBHR) in Washington State there are 350-375 community mental health agencies in...

Washington State Illness Management and Recovery (IMR) Pilots
WIMHRT Project

The Illness Management and Recovery (IMR) program was developed in order to help people with schizophrenia or major mood disorders learn how to manage their illnesses more effectively in the context of pursuing their personal goals.  Five empirically supported strategies were identified and incorporated into the program, including psychoeducation about mental illness and its treatment, cognitive-behavioral approaches to medication adherence (e.g., incorporating cues for taking medication into daily routines), developing a relapse prevention plan, strengthening social support by social...

Washington State Integrated Dual Disorder Treatment (IDDT) Pilots
WIMHRT Project

The Integrated Dual Disorder Treatment (IDDT) model is an evidence-based practice for people with co-occurring severe mental illness and substance use disorders by combining substance abuse services with mental health services. It helps people address both disorders at the same time—in the same service organization by the same team of treatment providers.  IDDT emphasizes that individuals achieve big changes like sobriety, symptom management, and an increase in independent living via a series of small, overlapping, incremental changes that occur over time. Therefore, IDDT takes a stages-of...

Washington State Program of Assertive Community Treatment (PACT) training, consultation and fidelity reviews
WIMHRT Project

PACT is an effective, evidence-based, recovery-oriented mental health service delivery model that utilizes a trans-disciplinary team approach providing intensive outreach-oriented services to individuals with severe and persistent mental illnesses and co-occurring disorders.  Utilizing a client-centered approach, team members are responsibilities for addressing the needs of consumers and carry low caseloads to allow for individualized care and frequent contracts (1:10 staffing ratio).  Ideally, services are available 24/7 and are directed to consumer needs with most (70%) treatment...

Archived Projects & Programs

The Children’s Administration- University of Washington Evidence Based Practice Partnership
EBPI Project

The Division of Public Behavioral Health and Justice Policy (PBHJP) has partnered with the Children’s Administration (CA) of the Washington State Department of Social and Health Services (DSHS) to oversee and administer training, coaching, and fidelity monitoring for a selected number of evidence based practices (EBPs) provided to children and families in Washington State involved in the child welfare system. CA’s commitment to increase access to evidence-based practices that are appropriate to meeting the safety, permanency, and well-being needs of children in its care has provided...