State Adoption of Incentives to Promote Evidence-Based Practices in Behavioral Health Systems

Psychiatric Services : a Journal of the American Psychiatric Association
Rebecca E StewartDavid Mandell

Abstract

Despite the critical role behavioral health care payers can play in creating an incentive to use evidence-based practices (EBPs), little research has examined which incentives are used in public mental health systems, the largest providers of mental health care in the United States. The authors surveyed state mental health directors from 44 states about whether they used any of seven strategies to increase the use of EBPs. Participants also ranked attributes of each incentive on the basis of key characteristics of diffusion of innovation theory (perceived advantage, simplicity, compatibility, observability, and gradually implementable) and perceived effectiveness. Almost three-quarters of state directors endorsed using at least one financial incentive; most paid for training and technical assistance. Few used other incentives. Strategies perceived as simple and compatible were more readily adopted. Enhanced rates and paying for better outcomes were perceived as the most effective but were the least deployed, suggesting that simplicity and organizational compatibility may be the most decisive factors when choosing incentives. Payers are not using the incentives they perceive as most effective, and they are mostly using only one ...Continue Reading

Citations

Sep 12, 2019·Administration and Policy in Mental Health·Elizabeth M StoneEmma E McGinty
Jul 9, 2020·Administration and Policy in Mental Health·Genevieve Graaf, Lonnie Snowden
Apr 16, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Rebecca E StewartRinad S Beidas

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