1. Workshop: Evaluating Implementation and Spread of Evidence-Based Practices in VHA Specialty Mental Health Services

2. Presenters u Robert Rosenheck, MD u Richard Owen, MD u Alexander Young, MD u Sandra Resnick, PhD u Anthony Campinell, PhD u Timothy Cuerdon, PhD

3. Background: Specialty Mental Health u National treatment guidelines u Pervasive national problems with mental health care –low rates of use of evidence-based practices –Assertive Community Treatment, Family Psychoeducation, Supported Employment, clozapine, management of metabolic side-effects u 2002: Presidents New Freedom Commission u 2004: Comprehensive VHA Strategic Plan for Mental Health Services u 2008: Uniform Mental Health Services Package

4. Improving Care u Few successful projects in serious, persistent mental illness –eg, schizophrenia, bipolar disorder u Recent research / practice collaborations –local –regional –national u Expand delivery of evidence-based and recovery-oriented treatment –diverse interventions and policy –systematic process & impact evaluations

5. Workshop Goals u Identify challenges to implementation and spread –successful and unsuccessful approaches u Policy –VHA Office of Mental Health & PCS –dissemination, fidelity, outcomes u Research –Mental Health QUERI –how to collaborate with OMH –research designs to inform policy u Next steps

6. Overview u Presentations (60 minutes) –Rosenheck: improving antipsychotic cost- effectiveness –Owen: improving antipsychotic metabolic monitoring –Young: implementing evidence-based practices in schizophrenia –Resnick: evaluating dissemination of supported employment u Campinell & Cuerdon: OMH u Open discussion / Q & A