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Coordination of Sustainable Financing for EBTs in Youth Mental Health Services: A Fiscal Mapping Process

Award Number: R21MH122889
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 02/19/2021
PERIOD OF PERFORMANCE END DATE: 01/31/2024

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Coordination of Sustainable Financing for EBTs in Youth Mental Health Services: A Fiscal Mapping Process - PROJECT SUMMARY/ABSTRACT Sustained delivery of evidence-based treatments (EBTs) is essential to addressing the public health and economic impacts of youth mental health problems, as recognized by NIMH’s Strategic Objective 4.2: to develop and validate strategies for sustaining EBTs in partnership with key stakeholders. There remains a particularly significant need for strategic planning tools that can guide coordination of sustainable funding for EBTs among youth mental health service agencies, various public and private funding sources, and purveyor/intermediary organizations (which provide guidance and support on the delivery of specific EBTs). The Specific Aims of the proposed R21 project are to (1) develop and (2) evaluate, with stakeholder input, a fiscal mapping process that will guide strategic planning efforts to finance sustainment of EBTs in youth mental health services. The interdisciplinary project team will employ a mixed method approach – with input from a sample of N = 40 stakeholder participants with expertise in the administration and financing of EBTs – to accomplish these aims. All of the proposed research will focus on two widely-disseminated exemplar EBTs (Parent-Child Interaction Therapy and Trauma-Focused Cognitive-Behavioral Therapy) to maximize generalizability of results within the available resources. Aim 1 of the project is to develop the fiscal mapping process: a multi-step, structured process that guides youth mental health service agencies and their partners in selecting the optimal combination of strategies for financing their EBT sustainment efforts. We will adapt an established intervention mapping process and incorporate a compilation of 23 financing strategies developed by our team. We will engage our stakeholder participants in a modified Delphi exercise to achieve consensus on the key steps of the fiscal mapping process and gather information that can inform selection of financing strategies. Aim 2 of the project, which will proceed concurrently with Aim 1, is to evaluate preliminary impact of the fiscal mapping process on EBT sustainment capacities (i.e., structures and processes that support strategic planning) and outcomes (e.g., intentions to sustain) in youth mental health service agencies. Each participating agency will lead a pilot test of the fiscal mapping process, involving their intermediary and funding agency partners. We will evaluate how the fiscal mapping process impacts capacities and outcomes linked to EBT sustainment using a comparative case study approach, incorporating data from stakeholder focus groups and document review. After pilot testing, the participants will conceptualize the process and outcomes of fiscal mapping in a participatory modeling exercise to help inform future evaluations of the fiscal mapping process. Ultimately, the proposed research will generate a fiscal mapping process that will facilitate the coordination of sustained funding for EBTs in youth mental health services. Consistent with the exploratory objectives of the R21 mechanism, the results of this novel project will directly inform a planned large-scale R01 effectiveness- implementation trial to test the impact of the fiscal mapping process on sustainability of a wide variety of EBTs.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$6,248 )
2024	2022	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Mental Health Research Grants	000	2	6/12/2024	NON-COMPETING CONTINUATION	-$6,248
														Subtotal = -$6,248

Issue Date FY: 2022 ( Subtotal = $262,127 )
2022	2022	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Mental Health Research Grants	000	2	1/14/2022	NON-COMPETING CONTINUATION	$235,913
2022	2022	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Mental Health Research Grants	001	2	6/21/2022	NON-COMPETING CONTINUATION	$26,214
														Subtotal = $262,127

Issue Date FY: 2021 ( Subtotal = $215,985 )
2021	2021	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Mental Health Research Grants	000	1	2/18/2021	NEW	$215,985
														Subtotal = $215,985

Grand Total All Awards = $471,864

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Coordination of Sustainable Financing for EBTs in Youth Mental Health Services: A Fiscal Mapping Process

Award Number: R21MH122889

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 02/19/2021

PERIOD OF PERFORMANCE END DATE: 01/31/2024

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