5-Minute Update The NC Child Treatment Program Dana Hagele, MD, MPH NC CTP Co-Director April 2014 The NC Child Treatment Program 2013 and beyond Implementation platform for the delivery and support of evidence-based mental health treatments (EBTs) in multiple treatment settings across North Carolina Established 2006 1
NC Child Treatment Program: Supports Child MH Performance and Outcomes in a Cost-Effective Manner Public Health Approach High Service Need Low Productivity Low Service Need High Productivity NC CTP: Public-Private Partnership NC CTP Faculty and Staff Center for Child and Family Health Duke Evidence-Based Practices Implementation Center School of Public Health, UNC-Chapel Hill UCLA-Duke National Center for Child Traumatic Stress NC CTP Contracting/Oversight Agency NC Division of Mental Health/Developmental Disabilities/Substance Abuse Services NC CTP Partners NC DMH/DD/SAS, NC DMA, NC DSS, DPS, DPI Managed Care Organizations (MCOs) Agencies/clinicians SOC support agencies 2
NC CTP Administration and Leadership Administrative Home Center for Child and Family Health NC CTP Co-Directors Lisa Amaya-Jackson, MD, MPH Dana Hagele, MD, MPH NC CTP Faculty and Staff Jean Steinberg, PhD Director of Implementation Strategies Ashley Alvord, MPH Managing Director Experts in evidence-based treatment and implementation (19 FTE) Institutional Funding and Support Per NC General Assembly (2013) $1.8 million annually-recurring funds to support: Program expansion and statewide dissemination Focus: Workforce development and support Improve MH outcomes through evidence-base treatment Achieve cost-savings across the population $500,000 over two years to support expansion of a data exchange platform, the NC Performance and Outcomes Platform (NC POP 2.1) Program management (Goal: performance and outcomes assurance) Report to authorized entities 3
NC CTP Cornerstones: Evidence-based treatment (EBT) specific training and coaching platform Treatment in community-based and restricted settings Performance and outcomes data platform (NC POP) Public roster of NC CTP-trained clinicians Collaboration with professionals and state entities to support public MH system Cornerstone: Expanded Service Array Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Parent and Child Interaction Therapy (PCIT) Child-Parent Psychotherapy (CPP) Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) Disruptive behavior treatment model, enhancing parenting skills (TBD) 4
Cornerstone: Roster of Trained EBP Clinicians Cornerstone: NC CTP Performance and Outcomes Platform Analytics Clinicians/Agencies Independent Monitors Data Input NC POP 2.1 Case-level data Population-level data Clinicians/Agencies State agencies and NC FAST Third Party Payers Data Access 5
NC CTP Performance and Outcomes Platform Version 2.1 (NC POP) supports: Training platform Public roster(s) of trained clinicians EBP implementation (treatment) Utilization monitoring Fidelity and clinical outcomes tracking Data-sharing with stakeholders: Case and aggregate levels Embedded analytics III. NC CTP Early Performance October 2013- February 2014 6
I. Performance: Learning Collaboratives Clinician-Trainee Enrollment Since October 2013 Target: 230 clinician-trainees (70 senior leaders) Achievement: 192 clinician-trainees (54 senior leaders Clinician-Trainee Retention Target: 85% retention Achievement: 96% Outcomes collected Clinical-trainee model fidelity Improved organizational capacity Client outcomes and service utilization II. Performance: Public MH Support Activities EBP Breakthrough Series EBP cost modeling Service definition and performance-based contract Consensus Panel Disruptive behavior treatment model Support of LC Program Graduates Graduate listserve and online workspaces Advanced training for program graduates Graduate access to clinical consultation Web-based public roster 7
IV. Vision for NC Child Treatment Program Expanded Program Activities NC POP Version 3.0 development (Potential) Expanded NC CTP Activities to Achieve Clinical Outcomes Expand the current EBP service array and delivery environments Mental health core concept/skills training Incorporate prevention models Partner with caregiver treatment providers to address: Trauma Behaviors/self-regulation Substance abuse Incorporate youth sex offender evaluation and treatment Integrated data exchange tool (NC POP version 3.0) 8
Vision for NC POP Version 3.0 Supporting an Outcomes-Driven, Cost-Effective Child MH Service Delivery Platform Cross-System Analytics SOC Administrative Databases Clinicians/Agencies Independent Monitors Data Input NC POP 3.0 Case-level data Population-level data Youth Clinicians Agencies SOC Professionals Third Party Payers Data Access Retrospective Data Current Data Prospective Data Questions and Comments Dana Hagele, MD, MPH dana_hagele@med.unc.edu 9