Updated Inventory of Evidence-Based, Research-Based, and Promising Practices for Prevention and Intervention Services for Children and Juveniles in Child Welfare, Juvenile Justice, and Mental Health Systems

Inventory of Evidence-Based, Research-Based, and Promising Practices
For Prevention and Intervention Services for Children and Juveniles
in the Child Welfare, Juvenile Justice, and Mental Health Systems

The 2012 Legislature passed E2SHB 2536 with the intention that “prevention and intervention services delivered to children and juveniles in the areas of mental health, child welfare, and juvenile justice be primarily evidence-based and research-based, and it is anticipated that such services will be provided in a manner that is culturally competent.”

The bill directs the Washington State Institute for Public Policy (WSIPP) and the University of Washington Evidence-Based Practice Institute (UW) to publish descriptive definitions and prepare an inventory of evidence-based, research-based, and promising practices and services, and to periodically update the inventory as more practices are identified. This is the fourth update to the September 30, 2012 publication. The accompanying report describes the inventory update process, as well as the ongoing technical assistance process by UW.

Washington's Dangerous Mentally Ill Offender Law: Program Costs and Developments

In 1999, legislation was passed to better identify and provide additional mental health treatment for mentally ill offenders who were released from prison, who pose a threat to public safety, and agree to participate in the program. A “Dangerous Mentally Ill Offender” (DMIO) is defined by the legislation as a person with a mental disorder who has been determined to be dangerous to self or others.

As part of its legislative mandate, the Washington State Institute for Public Policy has published a series of reports that evaluate the DMIO program. A 2005 report demonstrated that the DMIO program significantly reduced recidivism after 1 1/2 years, and the 2007 follow-up report found that reductions in recidivism were sustained at the 2 1/2 year mark. The benefit-cost analysis in that report indicated that the reductions in DMIO recidivism generated financial benefits to taxpayers that were more than program costs.

This report examines how DMIO program funds are being used, how services and billings are tracked, changes in mental health funding, interagency collaboration, and how these impact program viability.

Does the Prison Treatment Program Reduce Recidivism?

This report estimates whether the Sex Offender Treatment Program (SOTP) reduces recidivism by comparing the recidivism rates of sex offenders who were willing but did not participate in SOTP with those who did participate in the program.

At-Risk and Runaway Youth in Washington State: Outcomes for Youth Admitted to Secure Crisis Residential Centers and Mandatory Chemical Dependency Treatment

In 1995, Washington State implemented policies for at-risk youth intended to protect children and help families reconcile. Known as the "Becca Bill," the policies include court intervention for at-risk youth and provisions for mandatory treatment of youth with chemical dependency problems. The bill established secure crisis residential centers (CRCs), which prevent youth from leaving CRCs without parent or staff permission. During their stays in secure CRCs, youth and their families are referred to counseling and treatment services. The 2000 Washington State Legislature directed the Washington State Institute for Public Policy to examine outcomes for Becca youth.

Washington's Public Mental Health System: Regional Needs and Approaches

In 2001, the Washington State Legislature directed the Institute to conduct a study of the long-term outcomes of the state’s more than 120,000 public mental health consumers. In Washington, community mental health services are overseen by 13 Regional Support Networks (RSNs) under contract with the state Division of Mental Health.

The purpose of this report is to examine regional variations—related to client characteristics, availability of services, patterns of service utilization, and the extent of evidence-based practices—and lay the groundwork for future analyses of long-term outcomes among adult consumers of mental health services in Washington State.

Evaluating the Washington State Intensive Parole Model for High Risk Juvenile Offenders

In 1997, the Washington State Legislature determined that the system for transitioning the highest-risk youth from state institutions to parole did not provide adequate rehabilitation and public safety. The Legislature found that intensive supervision, as described in the intensive parole model of the Office of Juvenile Justice and Delinquency Prevention (OJJDP) was a promising strategy for reducing recidivism rates for these juvenile offenders. JRA contracted with the Institute to evaluate the program's implementation, determine whether the program reduces recidivism, and analyze its costs and benefits to taxpayers and crime victims. This report describes the implementation of intensive parole to date.

Access to Atypical Antipsychotic Medications: Program Characteristics and Participant Profiles

The 2000 Legislature passed Second Substitute House Bill 2663, providing for the distribution of atypical antipsychotic medications to underserved populations who present a risk of harm to themselves and the community. This interim report provides descriptive statistics on the programs, the participants, and preliminary access and funding results.

Community Public Health and Safety Networks: Projects and Performance Measures

This report analyzes the projects funded by the Community Public Health and Safety Networks during the first year funding cycle (FY1997).  Information was obtained for 544 projects funded by 42 (of 53) Networks.  Project outcomes and measurement tools are examined, as well as the types of work performed and any results produced.  Projects funded for this first year lasted about four months.  Therefore, only initial results are discussed in this report. 

Interventions to Promote Health and Increase Health Care Efficiency: December 2016 Update

WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts, with additional support from the Robert Wood Johnson Foundation, to extend WSIPP’s benefit-cost analysis to certain health care topics.

We present meta-analytic findings for programs in four health care areas: 1) the promotion of healthy pregnancy and birth; 2) therapies to treat opioid use disorder; 3) the integration of behavioral health and primary care, and 4) patient-centered medical homes.

Breast Cancer Programs for Native Communities in Washington's Peer States

The 2023 Legislature directed WSIPP to study breast cancer-related programming for American Indian and Alaska Native (AIAN) women in Washington’s peer states. The legislature specified breast cancer prevention and education programs and post-diagnosis resource and support programs led by states, tribes, or collaborations between states and tribes. In addition, the legislature directed WSIPP to review evidence for identified programs.

We conducted outreach to program representatives across nine peer states. Limited access to screening and treatment, as well as mistrust and cultural barriers, may discourage AIAN women from seeking preventive care and follow-up treatment. All states and some tribes or indigenous-led organizations receive federal grants for breast cancer outreach, education, and screening for low-income, uninsured, or underinsured women. State programs vary in how grants are used to reach AIAN communities. We identified few state- or tribal-led organizations with post-diagnosis supports or resources for AIAN women. Some organizations offer treatment navigation, access to traditional native medicine, or programs to honor breast cancer survivors. The evaluation literature largely supports the effectiveness of identified prevention and post-diagnosis activities; however, there is limited population-specific research on the health outcomes of these interventions with AIAN women.