1. Improving Youth Behavioral Health Outcomes: A Feasibility Trial of Electronic Measurement Feedback and Flexible, Evidence-Based Training
Sarah Kate Bearman
Department of Educational Psychology
David Heckler and Jane Gray
Texas Child Study Center, UT Austin Ed Psych/Dell Children’s Medical Center
PsychoEd
Parent
Fear
Ladder
Child
Trauma
Narrative
Exposure
Mainten-
ance
Cognitive
Stop
Wrap Up
Safety
Planning
Positive
Self
PsychoEd
Child
Plans for
Coping
Cognitive
TLC
BLUE
Quick
Calming
Relaxation
Activity
Selection
Problem
Solving
Parent
Engaging
Parents
1 on 1
Time
Booster
Session
Looking
Ahead
Daily
Report
Card
Making
a Plan
Out
Rewards
Effective
Instruct
Active
Ignoring
Praise
PsychoEd
Parent

2. Most Important Findings
Training in a flexible transdiagnostic approach to youth mental health treatment improved provider attitudes towards and knowledge of evidence-based treatments
Increased engagement with the electronic measurement feedback tool prevented declines in patient therapeutic alliance over time
The electronic measurement feedback tool faced implementation challenges
Technological
Administrative
Ideological
Patterns of provider engagement suggest that there is variation by training level and supervisor use

3. Implications for Policy and Practice
Flexible, transdiagnostic approaches are an acceptable, feasible approach to wide-scale up-skilling in evidence-based mental health treatments
Electronic measurement feedback systems have strong scientific support but potential is limited by substantial challenges
High fidelity use may be related to perceptions of accountability

4. Future Research & Collaboration
Chart review comparing patient outcomes at TCSC before and after the training and MFS
Complete second round of qualitative exit interviews with providers
Interprofessional trainings in MATCH-ADTC for behavioral health providers at TCSC, DCMC, and primary care settings
Continued examination of electronic measurement feedback tools to support clinical decision making in other settings