Table 3 Pre-Implementation Phase: Innovative Implementation Activities and Strategies for Project EBPs*

State Infrastructure Building and Commitment

• Technical Assistance Center for state and Toolkit efforts established

• Participation in other demonstrations to ready state for EBPs

• Modifications to Toolkit made to fit state context of implementing EBPS

• White Paper written by consumers to modify EBP

• State sponsored research establishing evidence base to implement EBPs

Stakeholder Relationship Building and Communication

• State-wide meetings, workshops, conferences, technical assistance activities to address philosophical and clinical practice differences between providers

• Broad communication strategies established (e.g. educational forums, peer support programs, statewide consumer and advocacy meetings) to discuss EBPs

• State-wide meetings to engage consumers and other stakeholders in state and Toolkit efforts

• State-wide Advisory Group established

• State-wide Advisory Committee established, integrating recovery perspectives

• Priority to include input and consumers on Advisory Board, Toolkit site Steering Committees

• Reporting of current EBP successes in mass media

• Partnership formed between state and consumer community to train clinical staff

Financing

• Start-up incentive monies for sites provided by state

• Start-up incentive monies for sites provided by non-state funder

• New use of block grant funds to support EBPs

• Shift of funding from inpatient to community services by state

• Financial incentives, using Medicaid billing, for start-up year

• Approaches to make Medicaid billing easier for EBPs investigated by state

• Education and assurance about Medicaid billing procedures provided to sites by state

• White paper written by consumers to address Medicaid reimbursement and coding issues

• MOUs signed by community mental health centers to receive start-up funds

• State Vocational Rehab Agency established MOUs to solidify payment for services

Continuous Quality Management

• New licensing standards developed by non-state experts

• New licensing regulations developed or discussed

• New dual certification and licensing standards established

• New standards for service delivery established

• Association for Behavioral Health Centers formed to discuss reimbursement and administrative rules and incentives for clinical staff to perform services

Service Delivery Practices and Training

• Training budget reallocated to be more effective for EBPS

• Two-year training plan developed through community needs assessment process to deliver training through regional training centers

• Tracks in clinical supervision and clinical administration best practices developed by state

• Sites to receive incentives for additional training and technical assistance if decide to implement EBP