Results First Initiative Overview: Informing Evidence-Based Decision-Making in Minnesota
The Results First Initiative in Minnesota partners with various stakeholders to identify services offered, anticipate outcomes, and inform decision-making processes by producing evidence-based information. Stakeholders include agencies, counties, providers, and key partners like community groups and service providers across various sectors such as mental health, criminal justice, substance use, juvenile justice, child welfare, and more. The goal is to generate trusted and utilized evidence for policy-makers at state and local levels.
- Results First Initiative
- Evidence-based decision-making
- Stakeholder partnerships
- Minnesota
- Policy-makers
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Presentation Transcript
Health and Human Services Finance Committee Laura Kramer and Weston Merrick, Results First Coordinators, MMB
Overview Overview of Minnesota s Results First Initiative Defining evidence Results First projects Tools for finding evidence-based information Minnesota Inventory Research clearinghouses Use of evidence-based services in Minnesota 2 11/14/2024 Results First | mn.gov/mmb/results-first
Minnesotas Results First Initiative 11/14/2024 Optional Tagline Goes Here | mn.gov/websiteurl 3
What is Results First? Results First partners with agencies, counties, providers, and other stakeholders to answer: What services do we offer in a programmatic area? If we deliver the service effectively, what outcomes can we anticipate? How can we use this information to inform decision-making? 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 4
Our Goal Goal: Produce evidence-based information that is understood, trusted, and used by policy-makers at the state and local level. Results First Projects Stakeholders Complete: Adult Mental Health Adult Criminal Justice Substance Use Juvenile Justice Child Welfare Higher Education Advisory Committee Executive branch Legislative branch Tribal representation County representation Judicial branch Key Partners Community groups Service providers Underway: Children s mental health Health 5 11/14/2024 Results First | mn.gov/mmb/results-first
Defining evidence 11/14/2024 Results First | mn.gov/mmb/results-first 6
Correlation or Causation Before After Better Program Worse 11/14/2024 Results First | mn.gov/mmb/results-first 5
Correlation or Causation Before After Better Program Worse No Program 11/14/2024 Results First | mn.gov/mmb/results-first 5
Correlation or Causation Before After No Program Better Program Worse 11/14/2024 Results First | mn.gov/mmb/results-first 5
Sources of causal evidence Randomized control trial Quasi- experimental 11/14/2024 Results First | mn.gov/mmb/results-first 5
Culture and Evidence-Based Practices Worldview and Cultural Perspectives Cultural Competence (Culturally-Informed) Culture- Informed Practices Evidence- Based Practices Impact evaluation
Levels of evidence A Proven Effective service or practice has a high level of research on effectiveness, determined from of multiple rigorous evaluations (such as randomized controlled trials) or rigorous local evaluations. Proven Effective A Promising service or practice has some research demonstrating effectiveness, such as a single randomized controlled trial or evaluation with a comparison group design not contradicted by other such studies. Promising A Theory Based service or practice has no research on effectiveness or less rigorous research designs that do not meet the above standards. These services and practices typically have a well-constructed logic model or theory of change. This ranking is neutral. Theory Based 11/14/2024 Results First | mn.gov/mmb/results-first 5
Levels of evidence A Mixed Effects service or practice offers a high level of research on the effectiveness of multiple outcomes. However, the outcomes have contradictory effects. Research methods include rigorous evaluations, such as randomized controlled trials or rigorous local evaluations. Mixed Effects A service or practice with No Effect has no statistically significant impact on the measured outcomes. Research methods include rigorous evaluations, such as randomized controlled trials or rigorous local evaluations. No Effect A Proven Harmful service or practice offers a high level of research that shows program participation adversely affects outcomes of interest. Research methods include rigorous evaluations, such as randomized controlled trials or rigorous local evaluations. Proven Harmful 11/14/2024 Results First | mn.gov/mmb/results-first 5
Results First Projects 11/14/2024 Results First | mn.gov/mmb/results-first 14
Program inventory 11/14/2024 16
Return on investment $2.00 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 17
Example BCA: Parent-Child Interaction Therapy 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 18
Tools for finding evidence-based information 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 19
Minnesota Inventory The combined inventory pulls together: 7 programmatic areas 420 services 17 outcome measures 3 years of research from across the state https://mn.gov/mmb/results-first/inventory 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 20
Minnesota Inventory - Tutorial mn.gov/mmb/results-first/inventory 11/14/2024 21
Results First Clearinghouse Results First Clearinghouse 11/14/2024 22
Evidence website MMB s Using Evidence in Policymaking website: https://mn.gov/mmb/evidence/ Definitions of evidence Resources for finding quality evidence Trainings 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 23
Use of Evidence-Based Services 11/14/2024 Optional Tagline Goes Here | mn.gov/websiteurl 24
Use of evidence-based services Service provider survey currently in the field to understand where evidence-based behavioral health and parenting skills services are offered 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 25
Demand for evidence-based services Initial survey responses suggest: Approximately half of providers indicate demand exceeds capacity to deliver at least one evidence-based service Generally providers refer clients elsewhere or delay services but may provider a substitute service or turn them away 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 26
Expanding capacity of evidence-based services Difficult to hire/retain qualified staff Difficult to pay for training and/or certification Service is logistically challenging to deliver Not enough clients to warrant fixed costs Not interested in expanding 0% 5% 10% 15% 20% 25% 30% 35% 40% 11/14/2024 Minnesota Results First | mn.gov/mmb/results-first 27
Questions? Laura Kramer and Weston Merrick Laura.Kramer@state.mn.us | Weston.Merrick@state.mn.us 651-201-8035 Minnesota Results First | mn.gov/mmb/results-first 28 11/14/2024
