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Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
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Appendix A

Data Sources and Methods

The Institute of Medicine (IOM) Committee on Developing Evidence-Based Standards for Psychosocial Interventions for Mental Disorders was tasked with developing a framework for the establishment of efficacy standards for psychosocial interventions used to treat individuals with mental disorders (inclusive of addictive disorders). The committee also explored strategies that different stakeholders might use to help establish these standards for psychosocial treatments. To respond comprehensively to its charge, the committee examined data from a variety of sources, including a review of the literature, open-session meetings and conference calls, public testimony and input, and other publicly available resources. The study was contracted over an 18-month period.

COMMITTEE EXPERTISE

The IOM formed a committee of 16 experts to conduct a study to respond to the study charge. The committee comprised members with expertise in health care policy, health care quality and performance, health systems research and operation, implementation science, intervention development and evaluation, primary care, professional education, clinical psychology and psychiatry, recovery-oriented care, and peer support services. Appendix B provides biographical information for each committee member.

Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
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LITERATURE REVIEW

Several strategies were used to identify literature relevant to the committee’s charge. A search of bibliographic databases, including PubMed, SCOPUS, and Web of Science, was conducted to obtain articles from peer-reviewed journals. Staff reviewed recent literature on psychosocial care to identify articles relevant to the committee’s charge and created an End-Note database. In addition, committee members, meeting participants, and members of the public submitted articles and reports on these topics. The committee’s database included more than 300 relevant articles and reports.

PUBLIC MEETINGS

The committee deliberated from March 2014 through December 2014 to conduct this expert assessment. During this period, the committee held five 2-day meetings, and committee members also participated in multiple conference calls. Two public meetings were held in conjunction with the committee’s May and July 2014 meetings, which allowed committee members to obtain additional information on specific aspects of the study charge (see Boxes A-1 and A-2).

The first public meeting focused on approaches to quality measurement both in and outside the mental health care field. The second public meeting focused on approaches to quality improvement both in and outside the mental health care field, and included speakers with expertise in the fields of treatment fidelity, implementation, and health technology.

Each open-session meeting included a public comment period in which the committee invited input from any interested party. All open-session meetings were held in Washington, DC. A conference call number and online public comment tool were provided to allow opportunity for input from those unable to travel to the meetings. A link to the public comment tool was made available on the National Academies’ website from January 2014 to March 2015, and all online comments were catalogued in the study’s public access file. Any information provided to the committee from outside sources or through the online comment tool is available by request through the National Academies’ Public Access Records Office. The agendas for the two open-session committee meetings are presented below.

Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
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BOX A-1
Agenda for Public Workshop on Quality Measurement

Keck Center, Room 101
The National Academies
500 Fifth Street, NW
Washington, DC

May 19, 2014

1:00 p.m. Welcome and Introductions
Mary Jane England, M.D., Chair
1:10 p.m. Panel Discussion: Broad Issues in Quality Measurement
Sarah Hudson Scholle, Dr.P.H., M.P.H., Panel Moderator

Helen Burstin, M.D., M.P.H.

Senior Vice President for Performance Measures

National Quality Forum

Shari M. Ling, M.D.

Deputy Chief Medical Officer

Center for Clinical Standards and Quality

Centers for Medicare & Medicaid Services

Eric C. Schneider, M.S., M.D.

Senior Scientist

Distinguished Chair in Health Care Quality

RAND Corporation

2:10 p.m. Panel Discussion: Measuring Quality in Behavioral Health Services
Kermit Crawford, Ph.D., Panel Moderator
Gregory J. McHugo, Ph.D.

Professor of Community and Family Medicine and of Psychiatry

Associate Director, Dartmouth Psychiatric Research Center

Dartmouth University

Kimberly Hepner, Ph.D.

Senior Behavioral Scientist

RAND Corporation

Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Jodie Trafton, Ph.D.

Director, VA Program Evaluation and Resource Center, Office of Mental Health Operations, U.S. Department of Veterans Affairs

Health Science Specialist, Center for Innovation to Implementation, VA Palo Alto

Jim Chase, M.A.

President

MN Community Measurement

3:10 p.m. Break
3:30 p.m. Panel Discussion: Measuring Quality in Other Fields
Harold Pincus, M.D, Panel Moderator
Matthew M. Hutter, M.D.

Assistant Professor in Surgery, Harvard Medical School

Associate Visiting Surgeon, Massachusetts General Hospital

Frank G. Opelka, M.D., FACS

President and Chief Executive, Louisiana State University Healthcare Network

Associate Medical Director, American College of Surgeons Division of Advocacy and Health Policy

Chair, American Medical Association–convened Physician Consortium for Performance Improvement

Kurt C. Stange, M.D., Ph.D.

Promoting Health Across Boundaries

Editor, Annals of Family Medicine

Professor of Family Medicine and Community Health, Epidemiology and Biostatistics, Oncology and Sociology

Case Western Reserve University

Kevin Larsen, M.D.

Medical Director of Meaningful Use

Office of the National Coordinator for Health Information Technology

U.S. Department of Health and Human Services

4:30 p.m. Discussion
5:00 p.m. Adjourn
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×

BOX A-2
Agenda for Public Workshop on Quality Improvement

Keck Center, Room 101
The National Academies
500 Fifth Street, NW
Washington, DC

July 23, 2014

1:00 p.m. Welcome and Introductions
Mary Jane England, M.D., Chair
1:10 p.m. SAMHSA Criteria for Evaluating Evidence-Based Psychosocial Treatments
Lisa C. Patton, Ph.D.

Branch Chief, Quality, Evaluation, and Performance

Center for Behavioral Health Statistics and Quality

Substance Abuse and Mental Health Services Administration (SAMHSA)

1:30 p.m. Panel Discussion: Implementation
Enola Proctor, Ph.D., Panel Moderator
Tracey L. Smith, Ph.D.

Mental Health Services, VA Central Office, Washington, DC

Virna Little, Psy.D., LCSW-R, SAP

Institute for Family Health

Abe Wandersman, Ph.D.

University of South Carolina

Gregory Aarons, Ph.D.

University of California, San Diego

2:40 p.m. Panel Discussion: Treatment Fidelity
Rhonda Robinson-Beale, M.D., Panel Moderator
Amy Dorin, LCSW

Federation Employment and Guidance Service (FEGS)

Sonja Schoenwald, Ph.D.

Medical University of South Carolina

Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
David Clark, D.Phil., CBE, FBA, FMedSci, HonFBPs

Improving Access to Psychological Therapies (IAPT)

3:50 p.m. Break
4:00 p.m. Panel Discussion: Health IT
Sarah Hudson Scholle, Dr.P.H., M.P.H., Panel Moderator
David Mohr, Ph.D.

Northwestern University

Robert Gibbons, Ph.D.

University of Chicago

Armen Arevian, M.D., Ph.D.

University of California, Los Angeles

Grant Grissom, Ph.D.

Polaris Health Directions

4:30 p.m. Discussion
5:00 p.m. Adjourn

July 24, 2014

9:00 a.m. Health Reform and the Implications for Psychosocial Interventions
Richard Frank, Ph.D.

Assistant Secretary for Planning and Evaluation (ASPE)

U.S. Department of Health and Human Services

10:00 a.m. Adjourn
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Page 159
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Page 160
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Page 161
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Page 162
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Page 163
Suggested Citation:"Appendix A Data Sources and Methods." Institute of Medicine. 2015. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. Washington, DC: The National Academies Press. doi: 10.17226/19013.
×
Page 164
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Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and current practice and offers recommendations for how best to address this gap by applying a framework that can be used to establish standards for psychosocial interventions.

The framework described in Psychosocial Interventions for Mental and Substance Use Disorders can be used to chart a path toward the ultimate goal of improving the outcomes. The framework highlights the need to (1) support research to strengthen the evidence base on the efficacy and effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements that drive an intervention's effect; (3) conduct systematic reviews to inform clinical guidelines that incorporate these key elements; (4) using the findings of these systematic reviews, develop quality measures - measures of the structure, process, and outcomes of interventions; and (5) establish methods for successfully implementing and sustaining these interventions in regular practice including the training of providers of these interventions.

The recommendations offered in this report are intended to assist policy makers, health care organizations, and payers that are organizing and overseeing the provision of care for mental health and substance use disorders while navigating a new health care landscape. The recommendations also target providers, professional societies, funding agencies, consumers, and researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is provided to individuals receiving mental health and substance use services.

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