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Soc Work Health Care. 2019 Jul;58(6):557-563. doi: 10.1080/00981389.2019.1593281. Epub 2019 Mar 19.

Disseminating clinical and fiscal practices across the New York State behavioral healthcare system.

Author information

a The McSilver Institute for Poverty Policy and Research , New York University Silver School of Social Work , New York , NY , USA.
b Department of Child and Adolescent Psychiatry , New York University School of Medicine , New York , NY , USA.
c The George Warren Brown School of Social Work , Washington University in St. Louis , St. Louis , MO , USA.


In order to facilitate the adoption of innovative practices in the mental health service system, providers require access to both new information and methodologies, and ongoing training, supervision and consultation. Technical Assistance centers have been proposed as a way to disseminate effective interventions through the provision of resources including information, ongoing training and consultation. The purpose of this study is to describe the New York State Technical Assistance Center's reach across the child public mental health service system and variations in characteristics of training activities, including dosage, content and method of format. Between 2011 and 2015, 460 (92.6%) of all New York State mental health clinics attended a training. The most highly attended events focused on business practices, followed by evidence-based treatments and clinic practices, and trauma-informed care. All were delivered via a webinar format, and were less than one day in duration. The behavioral health service system must be equipped to adapt to changing clinical and business practices in order to provide quality care and remain fiscally viable. New York State's TA center reached the majority of child mental health service providers across the state. Next steps are to closely examine the impact of TA supports upon adoption and sustained use of practices. Implications of these findings and additional future directions are presented.


Barriers to adoption of innovative practices; scale-up science; technical assistance center

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