Implementing Evidence-Based Models (EBMs)
in the Child Welfare and Juvenile Justice Settings
National Academies of Sciences, Engineering , and Medicine
Forum on Promoting Children’s Cognitive, Affective and Behavioral Health
Commissioner Gladys Carrión
June 9, 2016
Investing in EBMs
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Desired Outcomes
Reduce rate of
maltreatment
Prevent foster care
and juvenile justice
placement
Expedite permanency
Decrease in re-arrests
Greater well-being
EBM Features
• Home-based
• Intensive &
comprehensive
• Works with entire family
• Strength-based
• Strong engagement
strategies
• Rigorous supervision and
coaching
Our EBM and
Evidence-Informed Programs
Child Welfare Preventive
Child Welfare Foster Care
Juvenile Justice
ABC
FFT
MST
MST-CAN
MST-SA
BSFT
CPP
SafeCare
Family Connections
FFT-CW
TST
SFT
Boys Town
CBT+
ABC
TFCO
TF-CBT
PTC
KEEP
Diversion/Alternatives
FFT
MDFT
MST
TFCO/MTFC
MST-SA
MST-Psychiatric
Blue Sky
Detention/Placement
Missouri Model
Sanctuary Model
Integrated Treatment Model
STAIR-A
TF-CBT
Aftercare
FFT
MST
MST-FIT
Key Features of our
EBM Implementation
• Services embedded in the community through
over 50 community-based organizations with case
management responsibility
• Use of Implementation Science
• Financing through dedicated state and local
funding sources
Conditions for Good Implementation
• Foundational: Support from the top
Implementation Drivers
• Identification of Models: understanding gaps
and needs
• Aligning, adjusting & adapting
• Contracts vs. Add-ons
• Building the capacity of providers and ACS to
use implementation science
Leadership
Fixsen & Blasé (2008)
• Feedback loops between ACS, providers and
EBM purveyors
• Revising referral pathways
Challenges – Research Questions
• Program Assessments: How do fidelity
measures and scoring correlate with
outcomes we measure?
• How do we create a common
understanding of fidelity to assess the
impact of multiple EBMs?
• Model Adjustments: How can we adjust
models to serve diverse communities?