Abstract
Background and purposeAccess to evidence-based mental health care for children is an international priority. However, there are significant challenges to advancing this public health priority in an efficient and equitable manner. The purpose of this international colloquium was to convene a multidisciplinary group of health researchers to build an agenda for addressing disparities in mental health care access and treatment for children and families through collaboration among scholars from the United States and Europe engaged in innovative implementation science and mental health services research.Key highlightsGuided by the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework, presentations related to inner, outer, and bridging context factors that impact the accessibility and quality of mental health evidence-based practices (EBPs) for children and families. Three common topics emerged from the presentations and discussions from colloquium participants, which included: 1) the impact of inner and outer context factors that limit accessibility to EBPs across countries, 2) strategies to adapt EBPs to improve their fit in different settings, 3) the potential for implementation science to address emerging clinical and public health concerns.ImplicationsThe common topics discussed underscored that disparities in access to evidence-based mental health care are prevalent across countries. Opportunities for cross-country and cross-discipline learnings and collaborations can help drive solutions to address these inequities, which relate to the availability of a trained and culturally appropriate workforce, insurance reimbursement policies, and designing interventions and implementation strategies to support sustained use of evidence-based practices.
Highlights
Background and purposeAccess to evidence-based mental health care for children is an international priority
The EPIS Framework [24] guided the colloquium, after a brief overview of EPIS and its application the first day of the colloquium focused on work the researchers have done regarding the “Outer Context” of healthcare delivery research examples in the U.S and Europe related to health policy and service system influences on the implementation of evidence-based practices for children and families
Results from the post-colloquium evaluation survey indicated that all colloquium participants (n = 11) strongly agreed that meeting and spending time and interacting with researchers from different countries and with expertise in disciplines distinct from their own was valuable to their work
Summary
Background and purposeAccess to evidence-based mental health care for children is an international priority. There are significant challenges to advancing this public health priority in an efficient and equitable manner The purpose of this international colloquium was to convene a multidisciplinary group of health researchers to build an agenda for addressing disparities in mental health care access and treatment for children and families through collaboration among scholars from the United States and Europe engaged in innovative implementation science and mental health services research. There are a growing number of evidence-based practices with demonstrated efficacy to address youth mental health disorders and problems [5] Access to these EBPs and early intervention are often limited due to challenges implementing them in health and allied health settings, which impedes the potential public health impact of these interventions [6].
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