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-based, Research-based, and Promising Practices, and allows applicants’ access to the UW technical assistance available as part of the HB...

Mental Health Statistics Improvement Program Child/Family Consumer Survey (CFCS)
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)....

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

Evaluation of Psychiatric Residential Treatment Facility (PRTF) Waiver Wraparound Implementation Project

The Home and Community-Based Alternatives to Psychiatric Residential Treatment Facilities (PRTF) Medicaid Demonstration waiver program allowed up to 10 state grantees to compare effective ways of providing care for children  enrolled in the state’s Medicaid grant program in the form of home- and community-based services  (HCBS) vs. care in PRTFs. Most participating states use a team-based approach called Wraparound to provide mental health and medical services to youth with intensive mental health needs. The team - including the youth, family members, care coordinators and service...

Thurston County Wraparound Initiative

The Mason-Thurston Wraparound Initiative (MTWI) provides services to support families with children who are at high risk for justice involvement due to complex problem behaviors and/or mental illness.  School age children/youth through age 20 who are currently affected by mental illness or substance abuse and who have been juvenile justice involved or are at risk for justice system involvement are eligible for the service.  MTWI formal supports are typically provided to families for a maximum duration of 12-18 months. MTWI provides for a community-based family planning process called...

Training and Technical Assistance Network for Children's Mental Health Initiative (CMHI) Grantees

The TA Network provides technical assistance to the Child, Adolescent and Family Branch of SAMHSA'S Center for Mental Health Services and to grantees of the Children's Mental Health Initiative (CMHI) across the nation to support states and communities to expand and sustain their system of care for children, youth, young adults, and their families.  The UW team provides technical assistance, evaluation, and quality assurance support to funded States and communities to implement evidence-based integrated care coordination programs for children with complex needs and their families.  

...

Wraparound Evaluation & Research Team

The Wraparound Evaluation and Research Team seeks to improve the lives of children and their families through research on the implementation and outcomes of the wraparound process. Through development, refinement, and dissemination of the Wraparound Fidelity Assessment System, our team aims to assist implementation of the wraparound process, evaluate effectiveness, identify the need for technical assistance and training, and promote communication within the service delivery and research and evaluation fields. WERT also provides consultation and technical assistance to various types of...

Wraparound Fidelity Assessment System

The Wraparound Fidelity Assessment System (WFAS) is a multi-method approach to assessing the quality of individualized care planning and management for children and youth with complex needs and their families. WFAS instruments include interviews with multiple stakeholders, a team observation measure, and an instrument to assess the level of system support for wraparound. The instruments that comprise the WFAS can be used individually or, to provide a more comprehensive assessment, in combination with one another.

For more info go to:...

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...

King County Department of Youth Services: Juvenile Detention Mental Health Services

The University of Washington (UW) Division of Public Behavioral Health and Justice Policy (PBHJP) provides mental health services to youth detained in King County Juvenile Detention. Youth may be detained in King County Juvenile Detention (KCJD) for a variety of reasons; including arrest, court-ordered warrant, awaiting court process including, serving a sentence, or sanction for probation violation. Non-offenders, including youth who are truant, at-risk youth, or children in need of services, may also be detained for violating court orders.
 
Youth involved with the juvenile...

King County Family Treatment Court Evaluation

The Division of Public Behavioral Health and Justice Policy (PBHJP) conducted a three-year evaluation of the KCFTC. Led by Eric J. Bruns, Ph.D. and Michael Pullmann, Ph.D., this evaluation (1) Updated a 2006 process evaluation of the KCFTC by conducting interviews with Court staff and stakeholders; and (2) Conducted a matched-comparison outcomes evaluation of the KCFTC using parent interview and administrative data for KCFTC participants vs. non-participants who enrolled in the regular dependency court. Currently, we are conducting an analysis exploring whether there are disparate outcomes...

King County Juvenile Drug Court Enhancement Project

The Division of Public Behavioral Health and Justice Policy is the contracted program evaluator for the King County Juvenile Drug Court Enhancement Project (JDCEP). The JDCEP engages youth enrolled in the King County Juvenile Drug Court with evidence-based, youth-specific treatment. King County will partner with current contracted agencies to implement the Adolescent Community Reinforcement Approach (A-CRA) coupled with Assertive Continuing Care (ACC) and Trauma Focused Cognitive Behavioral Therapy (TF-CBT) when appropriate. The target population is youth in the King County Juvenile Drug...

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...

Washington State Juvenile Justice Rehabilitation Administration: Echo Glen Children’s Center Mental Health Services

Echo Glen Children’s Center (EGCC) is a Washington State Juvenile Justice Rehabilitation Administration (JJRA) facility for adjudicated youth, located in Snoqualmie Ridge. The University of Washington (UW) Division of Public Behavioral Health and Justice Policy (PBHJP) provides psychiatric services and consultation to youth adjudicated to Echo Glen Children’s Center, and manages a training site at EGCC for the University of Washington General Psychiatry and Child Psychiatry Residency Programs.
 
Echo Glen Children’s Center is a medium/maximum security facility that is not...

MST and MST-FIT

King County Family Integrated Transitions (FIT) - PrimeTime

The original PrimeTime project was designed to reduce the disproportionate minority confinement of youth in detention.  It adapted an existing Multisystemic Therapy Program (which looked at the behavior of a youth from all the systems:  Family, school, peer, community, and individual), and added elements from Dialectical Behavior Therapy, Motivational Interviewing, and Relapse Prevention.  The model has transitioned into a program to work with youth transitioning back from residential stays, as well as preventing youth from being placed out of home.  

This program currently sees a...

MST-Family Integrated Transitions (FIT)

MST-FIT is predicated upon the notion that treatment is most effective if all of the factors that sustain a problem behavior are addressed in an integrated manner

What is MST-FIT

Family Integrated Transitions (FIT) provides individual and family services to juvenile offenders with mental health and chemical dependency disorders during the period of transition of the youth from incarceration back to the community. The goals of the FIT program include lowering the risk for recidivism, connecting the family with appropriate community...

Multisystemic Therapy (MST) Consultation

Multisystemic Therapy (MST) is an evidence-based program developed to treat delinquent youth by intervening in the various systems in which the youth is embedded (i.e., family, school, peer, community) to change factors that contribute to or maintain problem behaviors. MST is a practical and goal-oriented treatment that draws from social-ecological and family systems theories of behavior. In MST, a single therapist delivers services to 4 – 6 families. For the purposes of supervision, consultation, training, and monitoring, clinical staff are organized into teams of 2 – 4 therapists led by...

Consultation

Consultation in Evidence Based Practices

PBHJP has four areas of emphasis for potential consultation, training, and evaluation, with a special emphasis on evidence-based mental health services:

  • Juvenile Justice: Multisystemic Therapy (MST) and MST-Family Integrated Transitions (MST-FIT)
  • Child welfare and,
  • Child Behavioral Health:  Wraparound, Cognitive Behavorial Therapy (CBT), CBT+, Trauma Focused-CBT, Adolescent Dialectical Behavior Therapy (DBT), Parent-Child Interaction Therapy (PCIT), Triple P (Positive Parenting Program), Motivational Interviewing/Enhancement (MI/ME)
  • Adult Behavioral Health: Program for Assertive Community Treatment (PACT), Supported Employment (SE), Illness Management and Recovery (IMR), Integrated Dual Disorder Treatment (IDDT), Cognitive Behavorial Therapy (CBT), Psychiatric Rehabilitation

We provide consultation that supports service-systems change, organizational change, and clinical change. Our process of consultation will help you plan, implement, and evaluate realistic outcomes over time with self-sufficiency.

Please contact PBHJP if you are interested in Training or Consultation Services. 206-685-2085 or hcs16@uw.edu.

 

 

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Adult Behavioral Health (WIMHRT)

Evidence Based Supported Employment: Individual Placement and Support Model of Supported Employment
WIMHRT Project

IPS (Individual Placement and Support) is an evidence-based practice that was developed to help promote the recovery of people who have serious mental illness through work. This model is well defined by eight practice principles and a 25-item fidelity scale.
 
IPS supported employment helps people with severe mental illness work at regular jobs of their choosing. Although variations of supported employment exist, IPS (Individual Placement and Support) refers to the evidence-based practice of supported employment.
 
Characteristics of IPS Supported Employment...

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 the Adult Consumer Survey (ACS)
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)....

Program of Assertive Community Treatment (PACT) training, consultation and fidelity reviews for Washington State PACT teams
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...

SB 5732: Improving behavioral health services provided to adults in Washington State
WIMHRT Project
  • SB 5732 directs the Department of Social and Health Services (DSHS) to develop a strategy for the improvement of the adult behavioral health system.
  • Requires the DSHS to issue a request for proposals for enhanced services facilities
  • Requires Regional Support Networks to develop an individualized discharge plan for certain patients and arrange for his or her transistion to the community within 21 days of the determination that he or she no longer needs inpatient, active psychiatric treatment

Please see full text of 2SSB 5732 here: ...

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...

Archived Projects & Programs

Gender-Responsive Programming in Juvenile Justice: Girls Aggression Replacement Training (ART) Adaptation
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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...