Workshop:

Evaluating Implementation and Spread of Evidence-Based Practices in VHA Specialty

Mental Health Services

Presenters

Robert Rosenheck, MD Richard Owen, MD Alexander Young, MD Sandra Resnick, PhD Anthony Campinell, PhD Timothy Cuerdon, PhD

Background: Specialty Mental Health

National treatment guidelines Pervasive national problems with mental

health care– low rates of use of evidence-based practices– Assertive Community Treatment, Family

Psychoeducation, Supported Employment,clozapine, management of metabolic side-effects

2002: Presidents New Freedom Commission 2004: Comprehensive VHA Strategic Plan

for Mental Health Services 2008: Uniform Mental Health Services

Package

Improving Care Few successful projects in serious, persistent

mental illness– eg, schizophrenia, bipolar disorder

Recent research / practice collaborations– local

– regional

– national

Expand delivery of evidence-based and recovery-oriented treatment– diverse interventions and policy

– systematic process & impact evaluations

Workshop Goals Identify challenges to implementation and

spread– successful and unsuccessful approaches

Policy– VHA Office of Mental Health & PCS

– dissemination, fidelity, outcomes

Research– Mental Health QUERI

– how to collaborate with OMH

– research designs to inform policy

Next steps

Overview Presentations (60 minutes)

– Rosenheck: improving antipsychotic cost-effectiveness

– Owen: improving antipsychotic metabolic monitoring

– Young: implementing evidence-based practices in schizophrenia

– Resnick: evaluating dissemination of supported employment

Campinell & Cuerdon: OMH Open discussion / Q & A