Table 1.

Care Improvement Targets for Children’s Mental Health Care Across Intervention Levels

Level of intervention	Care improvement targets
	Service access and engagement	Delivery of evidence-based practices	Outcome accountability
Federal and state policy or funding	Expand coverage for behavioral health services and coordinate across service sectors	Incentivize EB practice and support training and infrastructure development	Build incentives for outcome accountability
Provider organizations	Support integration of mental health and primary care services and outreach to under-served communities	Build/reinforce sustainable infrastructure for EB practices, including optimal organizational culture and climate and secured time for training/supervision	Utilize measurement feedback systems (MFS) to assess treatment processes, client outcomes, and costs
Individual providers	Train on EB engagement strategies, with attention to cultural sensitivity	Provide effective training in EB practices (assessment and treatment) that provides ongoing consultation/supervision	Train on collection and use of MFS outcome data in clinical care
Client/family	Train and support family advocates/peer educators; reduce stigma; empower consumers to engage providers; teach self-advocacy	Educate consumers regarding EB practices and expectations and encourage consumer activation	Educate consumers regarding differential quality in providers and value of outcome monitoring