Many measurement systems to monitor the well-being of children and guide services are implemented across the community, state, and national levels in the United States. While great progress has been made in recent years in developing interventions that have been shown to improve the cognitive, affective, and behavioral health of children, many of these tested and effective interventions have yet to be widely implemented. One potential reason for this lag in implementation is a need to further develop and better utilize measures that gauge the success of evidence-based programs as part of a broad effort to prevent negative outcomes and foster children's health and well-being.

To address this issue, the Institute of Medicine Forum on Promoting Children's Cognitive, Affective, and Behavioral Health held a workshop in Washington, DC, on November 5-6, 2014. The workshop featured presentations on the use of data linkage and integration to inform research and practice related to children's cognitive, affective, and behavioral health; the use of quality measures to facilitate system change in health care, classroom, and juvenile justice settings; and tools developed to measure implementation of evidence-based prevention programs at scale to support sustainable program delivery, among other topics. Workshop presenters and participants discussed examples of innovative design and utilization of measurement systems, new approaches to build on existing data systems, and new data systems that could support the cognitive, affective, and behavioral health and well-being of children. This report summarizes the presentation and discussions of the event.

Contents

• THE NATIONAL ACADEMIES
• PLANNING COMMITTEE FOR THE WORKSHOP ON INNOVATIONS IN DESIGN AND UTILIZATION OF MEASUREMENT SYSTEMS TO PROMOTE CHILDREN'S COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH
• FORUM ON PROMOTING CHILDREN'S COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH
• Reviewers
• Abbreviations and Acronyms
• 1. Introduction
  • HIGHLIGHTS FROM THE WORKSHOP
  • ORGANIZATION OF THE REPORT
  • REFERENCES
• 2. Maximizing the Value of National, State, and Local Measurement Systems
  • DATA ON CHILDREN'S HEALTH AND WELL-BEING IN THE STATE OF MARYLAND
  • HEALTH CARE EXPENDITURES FOR CHILDREN WITH DISRUPTIVE BEHAVIOR DISORDERS IN MEDICAID/CHIP
  • MULTIPLE SERVICE SYSTEMS USE AMONG ILLINOIS FAMILIES
  • USING DATA TO IMPROVE PATIENT-CENTERED OUTCOMES: A PERSPECTIVE FROM THE MEDICAID MEDICAL DIRECTORS
  • REFERENCES
• 3. Measurement Systems to Assess Individual- and Population-Level Change
  • EVALUATING SUBSTANCE ABUSE PREVENTION ON A LARGE SCALE ACROSS STATE POPULATIONS
  • CLOSING RESEARCH DATA GAPS TO PREVENT YOUTH SUICIDES
  • HOW DATA REPOSITORIES ARE OPENING ACCESS TO RESEARCH DATA ON AUTISM AND MENTAL HEALTH ILLNESSES
  • USING DATA TO INFORM DECISION MAKING IN MARYLAND PUBLIC SCHOOLS
  • MEASURING POPULATION-LEVEL PROGRESS IN THE FIGHT FOR DRUG-FREE COMMUNITIES
  • REFERENCES
• 4. Using Quality Measures to Facilitate System Change
  • ENSURING HIGH QUALITY IN MEASURES OF CHILD CARE AND PRESCHOOL: A CAUTIONARY TALE
  • THE JUVENILE JUSTICE REFORM AND REINVESTMENT INITIATIVE
  • CAN CHILD MENTAL HEALTH CROSS THE QUALITY CHASM
  • QUALITY MEASURES AND IMPROVEMENT IN HEALTH CARE
  • REFERENCES
• 5. Toward Efficient and Sustainable Delivery of Interventions
  • MEASURING IMPLEMENTATION OF EVIDENCE-BASED PREVENTION: LESSONS FROM COMMUNITIES THAT CARE
  • THE STAGES OF IMPLEMENTATION COMPLETION
  • IMPLEMENTING PROGRAMS WITH FIDELITY
  • MEASURING IMPLEMENTATION FIDELITY USING COMPUTATIONAL METHODS
  • REFERENCES
• 6. Breakout Group Discussions
  • MEASUREMENT AT THE INDIVIDUAL LEVEL
  • MEASUREMENT AT THE COMMUNITY LEVEL
  • MEASUREMENT AT THE STATE AND SYSTEMS LEVEL
  • FINAL COMMENTS
• APPENDIXES
  • A Workshop Agenda
  • B Biographies of Workshop Speakers

Rapporteurs: Steve Olson and Noam I. Keren.

This activity was supported by contracts between the National Academy of Sciences and the American Academy of Pediatrics (Unnumbered Award); the American Board of Pediatrics (Unnumbered Award); the Annie E. Casey Foundation (213.0427); Autism Speaks (Unnumbered Award); the Centers for Disease Control and Prevention (200-2011-38807, TO #16); the Department of Justice Office of Juvenile Justice and Delinquency Prevention (2013-MU-MU-0002); the National Institutes of Health (HHSN26300035); the Robert Wood Johnson Foundation (71071); the Substance Abuse and Mental Health Services Administration (HHSP233201300244P); and the William T. Grant Foundation (182528). Additional support came from the American Orthopsychiatric Association, the American Psychological Association, the Hogg Foundation for Mental Health, the Society for Child and Family Policy and Practice, the Society of Clinical Child and Adolescent Psychology, and the Society of Pediatric Psychology. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

Suggested citation:

IOM (Institute of Medicine) and NRC (National Research Council). 2015. Innovations in design and utilization of measurement systems to promote children's cognitive, affective, and behavioral health: Workshop summary. Washington, DC: The National Academies Press.

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.