Table 3.

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

Innovations: Pre-Implementation	ACT	FPE	IDDT	IMR	SE
State Infrastructure Building and Commitment
• Technical Assistance Center for state and Toolkit efforts established	X
• Participation in other demonstrations to ready state for EBPs					X
• Modifications to Toolkit made to fit state context of implementing EBPS	X			X
• White Paper written by consumers to modify EBP				X
• State sponsored research establishing evidence base to implement EBPs			X	X
Stakeholder Relationship Building and Communication
• State-wide meetings, workshops, conferences, technical assistance activities to address philosophical and clinical practice differences between providers			X	X
• Broad communication strategies established (e.g. educational forums, peer support programs, statewide consumer and advocacy meetings) to discuss EBPs		X		X
• State-wide meetings to engage consumers and other stakeholders in state and Toolkit efforts	X	X	X	X
• State-wide Advisory Group established	X	X	X	X
• State-wide Advisory Committee established, integrating recovery perspectives				X
• Priority to include input and consumers on Advisory Board, Toolkit site Steering Committees	X	X	X	X	X
• Reporting of current EBP successes in mass media					X
• Partnership formed between state and consumer community to train clinical staff		X
Financing
• Start-up incentive monies for sites provided by state	X	X	X	X	X
• Start-up incentive monies for sites provided by non-state funder				X	X
• New use of block grant funds to support EBPs		X			X
• Shift of funding from inpatient to community services by state	X
• Financial incentives, using Medicaid billing, for start-up year	X
• Approaches to make Medicaid billing easier for EBPs investigated by state	X	X	X	X	X
• Education and assurance about Medicaid billing procedures provided to sites by state					X
• White paper written by consumers to address Medicaid reimbursement and coding issues				X
• MOUs signed by community mental health centers to receive start-up funds		X
• State Vocational Rehab Agency established MOUs to solidify payment for services					X
Continuous Quality Management
• New licensing standards developed by non-state experts	X
• New licensing regulations developed or discussed	X	X			X
• New dual certification and licensing standards established			X
• New standards for service delivery established	X				X
• Association for Behavioral Health Centers formed to discuss reimbursement and administrative rules and incentives for clinical staff to perform services		X
Service Delivery Practices and Training
• Training budget reallocated to be more effective for EBPS		X			X
• Two-year training plan developed through community needs assessment process to deliver training through regional training centers					X
• Tracks in clinical supervision and clinical administration best practices developed by state			X
• Sites to receive incentives for additional training and technical assistance if decide to implement EBP			X

* EBPs:

ACT = Assertive Community Treatment

FPE = Family Psychoeducation

IDDT = Integrated Dual Diagnosis Treatment

IMR = Illness Management and Recovery

SE = Supported Employment