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Background: Increased availability of evidence-based practices (EBPs) is essential to alleviating the negative public health and societal effects of behavioral health problems. A major challenge to implementing and sustaining EBPs broadly is the limited and fragmented nature of available funding. Method: We conducted a scoping review that assessed the current state of evidence on EBP financing strategies for behavioral health based on recent literature (i.e., post-Affordable Care Act). We defined financing strategies as techniques that secure and direct financial resources to support EBP implementation. This article introduces a conceptualization of financing strategies and then presents a compilation of identified strategies, following established reporting guidelines for the implementation strategies. We also describe the reported level of use for each financing strategy in the research literature. Results: Of 23 financing strategies, 13 were reported as being used within behavioral health services, 4 had potential for use, 5 had conceptual use only, and 1 was potentially contraindicated. Examples of strategies reported being used include increased fee-for-service reimbursement, grants, cost sharing, and pay-for-success contracts. No strategies had been evaluated in ways that allowed for strong conclusions about their impact on EBP implementation outcomes. Conclusion: The existing literature on EBP financing strategies in behavioral health raises far more questions than answers. Therefore, we propose a research agenda that will help better understand these financing strategies. We also discuss the implications of our findings for behavioral health professionals, system leaders, and policymakers who want to develop robust, sustainable financing for EBP implementation in behavioral health systems. Plain language abstract: Organizations that treat behavioral health problems (mental health and substance use) often seek to adopt and use evidence-based practices (EBPs). A challenge to adopting EBPs broadly is the limited funding available, often from various sources that are poorly coordinated with one another. To help organizations plan effectively to adopt EBPs, we conducted a review of recent evidence (i.e., since the passage of the 2010 Affordable Care Act) on strategies for financing EBP adoption in behavioral health systems. We present definitions of 23 identified strategies and describe each strategy’s reported (in the research literature) level of use to fund EBP adoption in behavioral health services. Of the 23 financing strategies, 13 strategies had evidence of use, 4 had potential for use, 5 had conceptual use only, and 1 was potentially contraindicated. Examples of strategies with evidence of use include increased fee-for-service reimbursement, grants, cost sharing, and pay-for-success contracts. This comprehensive list of EBP financing strategies may help guide decision-making by behavioral health professionals, system leaders, and policymakers. The article also presents a research agenda for building on the current research literature by (1) advancing methods to evaluate financing strategies’ effects, (2) partnering with stakeholders and decision-makers to examine promising financing strategies, (3) focusing on strategies and service systems with the greatest needs, (4) improving methods to guide the selection of financing strategies, and (5) paying greater attention to sustainable long-term financing of EBPs.

The Fabry-Perot interferometer (FP) is a well-developed and widely used tool to control and measure wavelengths of light. In optical imaging applications, there is often a need for systems with compact, integrated, and/or widely tunable spectral filtering capabilities. We evaluate the performance of a novel integrated FP filter device consisting of an array of individually tunable MEMS FP etalons designed to operate across the visible light spectrum from 400-750 nm. This design can give rise to a new line of compact spectrometers with fewer moving parts and the ability to perform customizable filtering schemes at the hardware level. The original design was modeled, simulated, and fabricated but not tested and evaluated. We perform optical testing on the fabricated devices to measure the spectral resolution and wavelength tunability of these FP etalons. We collect the transmission spectrum through the FP etalons to evaluate their quality, finesse, and free spectral range. We then attempt to thermally actuate the expansion mechanisms in the FP cavity to validate tunability across the 400 to 750 nm spectrum. The simulated design materials set was modified to create a more practical device for fabrication in a standard CMOS/MEMS foundry. Unfortunately, metal thin film stress and step coverage issues resulted in device heater failures, preventing actuation. This FP filter array proves to be a viable design for an imaging focal plane with individually tunable pixels. However, it will require more optimization and extensive electrical, optical, thermal, and mechanical testing when integrated with a detector array.

Using a quasi-experimental design, this study examined longitudinal outcomes for families previously enrolled in a study of Parent-Child Interaction Therapy (PCIT), a treatment program for young children with disruptive behavior disorders. Comparisons were made between 23 families who completed treatment and 23 families who dropped out of the study before completing treatment, using a structured diagnostic interview, and several parent-report measures. Length of follow-up for both groups ranged from 10 to 30 months after the initial assessment, with the average length of follow-up just under 20 months. Results indicated consistently better long-term outcomes for those who completed treatment than for study dropouts. These results highlight the need to identify salient predictors of treatment engagement and retention to maximize outcomes for young children.

Validated a measure of clinical supervision practices, further validated a measure of therapist adherence, and examined the association between supervisory practices and therapist adherence to an evidence-based treatment model (i.e., multisystemic therapy [MST]) in real-world clinical settings. Evidence of linkages between supervisor adherence to the MST supervisory protocol, as assessed through therapist reports, and therapist adherence to MST principles, as assessed through caregiver reports, was obtained from 285 families of youths presenting serious clinical problems, and 74 therapists and 12 supervisors of 16 teams in 9 organizations providing MST across 3 states. The findings provide a valuable step in examining the determinants of therapist fidelity to complex treatments in real-world clinical settings.

The psychometric properties of a new observation coding system for children's disruptive classroom behavior were evaluated. The Revised Edition of the School Observation Coding System (REDSOCS) was used to observe 51 young children clinic-referred for conduct-disordered behavior and 182 nonreferred children from the classrooms of the referred children. Reference point data for the REDSOCS categories with preschoolers were obtained from the sample of nonreferred children. Interobserver reliability and concurrent validity of the three REDSOCS categories with teacher rating scales of oppositional behavior and hyperactivity were demonstrated. Initial evidence of convergent and discriminant validity was established through correlations of the REDSOCS categories with the subscales of the Revised Conners Teacher Rating Scale. Differences in REDSOCS scores between the nonreferred children and children referred for school behavior problems provided

In light of the persistent nature of conduct problem behavior in children, and its enormous cost to families and society, the importance of developing effective interventions that foster lasting changes is discussed. Parent-management training (PMT) and studies of its associated long-term gains are reviewed. Although studies have demonstrated short-term gains for PMT, evidence for the long-term maintenance of treatment gains is limited. Strategies designed to promote the maintenance of treatment gains are drawn from both the adult and child treatment literature and applied to parent training. The need to reduce dropout and to examine the content and timing of booster sessions using randomized control group designs is emphasized. Future research must address the course of children's conduct problem behaviors, as well as the behaviors of parents and others (e.g., peers, teachers) who influence the child following treatment.

Assessments were performed to evaluate compliance with the airborne radionuclide emission monitoring requirements in the National Emission Standards for Hazardous Air Pollutants (NESHAP - U.S. Code of Federal Regulations, Title 40, Part 61, Subpart H) and Washington Administrative Code (WAC) 246-247: Radiation Protection - Air Emissions. In these assessments, potential unabated offsite doses were evaluated for emission locations at facilities owned by the U.S. Department of Energy and operated by Pacific Northwest National Laboratory (PNNL) on the Hanford Site. This report describes the inventory-based methods and provides the results for the assessment performed in 2003.

The Defense Advanced Research Projects Agency (DARPA) Strategic Computing Program is a large, multi-year effort focused on developing the next generation of computers and machine intelligence. Within this program the Autonomous Land Vehicle (ALV) Project calls for the development and demostration of increasingly sophisticated autonomous land navigation capabilities. As part of this effort, the U.S. Army Engineer Topographic Laboratories (USAETL) has the task of producing a high-resolution, high-accuracy, experimental digital terrain data base of a 12-km 2 test site. This data base will be used in conjunction with inertial navigation and computer vision systems for autonomous traversal by the vehicle. The data base consist of six overlays including landforms, soils, surface drainage, land cover, roads, and a high-density digital elevation model (DEM). ALV application of the terrain data base include route planning and a-priori information for machine vision. Data compilation was performed on the Computer-Assisted Photo Interpretation Research (CAPIR) system at USAETL. CAPIR is an ongoing research effort which addresses the issues of digital terrain data extraction, storage, and exploitation. This paper willaddress data requirements and systems for building terrain dta bases in support of experimental autonomous land vehicle navigation.