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Our current educational system places the onus on individual professions to create large-scale change within the field of child maltreatment. Historically, each profession has expended significant time and resources to personally create and traverse their own pathway in addressing the prevention and treatment of child abuse and neglect. The siloed structure of our current educational system inherently limits our collective vision and impact toward a safer future for children. Our greatest collective failing has been the failure to effectively shift the focus across professional disciplines from post-maltreatment intervention to that of primary prevention. Our vision for breaking down educational silos begins at the undergraduate level, continues throughout the graduate and post-graduate progression, and culminates in professional leadership training and mentorship. We are convinced that this multi-tiered educational approach will create the necessary foundation to support a collaborative approach to the design, dissemination, and implementation of a new era of within- and cross-systems best practices in child abuse prevention. Our paper will focus on the creation of the EndCAN Academy to serve as the unifying leader in this vision.

Background: Physician burnout has been identified as a significant occupational hazard for decades. Burnout prevention may target individual and workplace environment factors; however, a gold standard approach to prevention has yet to be established. Components for Enhancing Clinician Experience and Reducing Trauma (CE-CERT) is both a practice and peer supervision model for promoting wellness among helping professionals. This study sought to explore the experiences of a group of attending physicians at a mid-size pediatric residency program in an urban free-standing children’s hospital as they learned and implemented CE-CERT. Methods: A total of seven attending physicians participated in CE-CERT during the academic year between 2020 and 2021. Semi-structured interviews were conducted with five of the seven participants (71%) after completion of the program to explore their experiences with CE-CERT in their personal and professional lives. Through constructivist grounded theory methods, attending physician experiences with CE-CERT were systematically analyzed. Results: Rigorous analysis revealed six common themes around the attending experiences with the CE-CERT model in their personal and professional lives. The six themes were as follows: 1) It’s given me a framework, 2) It’s given me insight, 3) Taking a minute, 4) Gave me skills to use, 5) You can do this without being overwhelmed, and 6) We connected. The themes were organized in a pictorial representation of their interactions. Conclusions: This study found that the CE-CERT program taught skills and concepts to our sample of attending physicians that were applicable and promoted self-motivation with potential to mitigate burnout and promote compassion satisfaction and professional quality of life.

Background: Increased availability of evidence-based practices (EBPs) is essential to alleviating the negative public health and societal effects of behavioral health problems. A major challenge to implementing and sustaining EBPs broadly is the limited and fragmented nature of available funding. Method: We conducted a scoping review that assessed the current state of evidence on EBP financing strategies for behavioral health based on recent literature (i.e., post-Affordable Care Act). We defined financing strategies as techniques that secure and direct financial resources to support EBP implementation. This article introduces a conceptualization of financing strategies and then presents a compilation of identified strategies, following established reporting guidelines for the implementation strategies. We also describe the reported level of use for each financing strategy in the research literature. Results: Of 23 financing strategies, 13 were reported as being used within behavioral health services, 4 had potential for use, 5 had conceptual use only, and 1 was potentially contraindicated. Examples of strategies reported being used include increased fee-for-service reimbursement, grants, cost sharing, and pay-for-success contracts. No strategies had been evaluated in ways that allowed for strong conclusions about their impact on EBP implementation outcomes. Conclusion: The existing literature on EBP financing strategies in behavioral health raises far more questions than answers. Therefore, we propose a research agenda that will help better understand these financing strategies. We also discuss the implications of our findings for behavioral health professionals, system leaders, and policymakers who want to develop robust, sustainable financing for EBP implementation in behavioral health systems. Plain language abstract: Organizations that treat behavioral health problems (mental health and substance use) often seek to adopt and use evidence-based practices (EBPs). A challenge to adopting EBPs broadly is the limited funding available, often from various sources that are poorly coordinated with one another. To help organizations plan effectively to adopt EBPs, we conducted a review of recent evidence (i.e., since the passage of the 2010 Affordable Care Act) on strategies for financing EBP adoption in behavioral health systems. We present definitions of 23 identified strategies and describe each strategy’s reported (in the research literature) level of use to fund EBP adoption in behavioral health services. Of the 23 financing strategies, 13 strategies had evidence of use, 4 had potential for use, 5 had conceptual use only, and 1 was potentially contraindicated. Examples of strategies with evidence of use include increased fee-for-service reimbursement, grants, cost sharing, and pay-for-success contracts. This comprehensive list of EBP financing strategies may help guide decision-making by behavioral health professionals, system leaders, and policymakers. The article also presents a research agenda for building on the current research literature by (1) advancing methods to evaluate financing strategies’ effects, (2) partnering with stakeholders and decision-makers to examine promising financing strategies, (3) focusing on strategies and service systems with the greatest needs, (4) improving methods to guide the selection of financing strategies, and (5) paying greater attention to sustainable long-term financing of EBPs.

American Indians and Alaska Natives are vulnerable populations with significant levels of trauma exposure. The Indian Country Child Trauma Center developed an American Indian and Alaska Native (AI/AN) adaptation of the evidence-based child trauma treatment, trauma-focused cognitive-behavioral therapy. Honoring Children, Mending the Circle (HC-MC) guides the therapeutic process through a blending of AI/AN traditional teachings with cognitive-behavioral methods. The authors introduced the HC-MC treatment and illustrated its therapeutic tools by way of a case illustration.

As our knowledge of adolescents who commit illegal sexual behaviors has grown, so has our understanding of this population’s diverse intervention needs and the relevance of family and social ecology to successful treatment and long-term delinquency risk reduction. This chapter offers ideas and resources that treatment providers may use to support parents and other caregivers of adolescents who have engaged in illegal sexual behavior. Treatment topics discussed include methods for supervision, behavior management, strengthening the parent–adolescent relationship, and family reunification. With effective treatment and family involvement, the risk for sexual and non-sexual recidivism is low for adolescents who have engaged in illegal sexual behaviors, paving the way for safe and healthy family functioning.