White Papers, Issue Briefs, and Articles

Our white papers, issue briefs, and articles spotlight areas of improvement for social policies and programs, changing the way we see the world a little bit at a time.

Health

How Even the Best Evidence Can Yield Bad Decisions, and What We Can Do About It

While evaluation evidence is the best evidence for identifying “what works,” it is still imperfect. In evidence-based policymaking, the imperfections create a significant risk we will implement programs that do not work, and we will suffocate programs that do—or at least can—work. Numerous factors, including limitations of external validity, an overreliance on p-values and hypothesis testing, underpowered research, and even our intolerance for false positives can lead to incorrect conclusions. This paper discusses various ways evidence-based decisions can still be bad decisions. The paper identifies two trends that can address these shortcomings: the use of Bayesian statistical methods and continuous quality improvement. The paper concludes with six recommendations for strengthening evidence-based policymaking.

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Training Professionals in Service Delivery: Key Findings From an Evaluation of the Autism CARES Developmental-Behavioral Pediatrics Training Program

This brief presents findings from a study of the DBP training program grantees awarded through HRSA’s Maternal and Child Health Bureau (MCHB) Autism CARES Act funds. HRSA’s Autism CARES investments have one overarching goal: enable all infants, children, and adolescents who have or are at risk of developing ASD/DDs to reach their full potential by developing a system of services that includes developmental screening of children as early as possible for ASD/DDs, conducting early interdisciplinary evaluations to confirm or rule out ASD/DDs, and providing early evidence-based interventions when a diagnosis is confirmed. The study was part of a comprehensive evaluation designed to assess grantee’s effectiveness in reaching this goal by improving autism spectrum disorder service delivery nationwide. Overall, the evaluation highlighted the efforts of nearly 100 grantees who worked to conduct research, provide professional training, and improve comprehensive coordinated State systems of care for people with autism spectrum disorder.

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Training Professionals in Service Delivery: Key Findings From an Evaluation of the Autism CARES Leadership Education in Neurodevelopmental and Other Related Disabilities Training Program

This brief presents findings from a study of the LEND training program grantees awarded through HRSA’s Maternal and Child Health Bureau (MCHB) Autism CARES Act funds. HRSA’s Autism CARES investments have one overarching goal: enable all infants, children, and adolescents who have or are at risk of developing ASD/DDs to reach their full potential by developing a system of services that includes developmental screening of children as early as possible for ASD/DDs, conducting early interdisciplinary evaluations to confirm or rule out ASD/DDs, and providing early evidence-based interventions when a diagnosis is confirmed. The study was part of a comprehensive evaluation designed to assess grantee’s effectiveness in reaching this goal by improving autism spectrum disorder service delivery nationwide. Overall, the evaluation highlighted the efforts of nearly 100 grantees who worked to conduct research, provide professional training, and improve comprehensive coordinated State systems of care for people with autism spectrum disorder.

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Building and Improving Systems of Care: Key Findings From an Evaluation of the Autism CARES State Systems Grant Program

This brief presents findings from a study of the Autism CARES State Systems Grant Program grantees awarded through HRSA’s Maternal and Child Health Bureau (MCHB) Autism CARES Act funds. HRSA’s Autism CARES investments have one overarching goal: enable all infants, children, and adolescents who have or are at risk of developing ASD/DDs to reach their full potential by developing a system of services that includes developmental screening of children as early as possible for ASD/DDs, conducting early interdisciplinary evaluations to confirm or rule out ASD/DDs, and providing early evidence-based interventions when a diagnosis is confirmed. The study was part of a comprehensive evaluation designed to assess grantee’s effectiveness in reaching this goal by improving autism spectrum disorder service delivery nationwide. Overall, the evaluation highlighted the efforts of nearly 100 grantees who worked to conduct research, provide professional training, and improve comprehensive coordinated State systems of care for people with autism spectrum disorder.

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Building the Evidence Base: Key Findings From an Evaluation of the Autism CARES Research Program

This brief presents findings from a study of the Autism CARES Research Program grantees awarded through HRSA’s Maternal and Child Health Bureau (MCHB) Autism CARES Act funds. HRSA’s Autism CARES investments have one overarching goal: enable all infants, children, and adolescents who have or are at risk of developing ASD/DDs to reach their full potential by developing a system of services that includes developmental screening of children as early as possible for ASD/DDs, conducting early interdisciplinary evaluations to confirm or rule out ASD/DDs, and providing early evidence-based interventions when a diagnosis is confirmed. The study was part of a comprehensive evaluation designed to assess grantee’s effectiveness in reaching this goal by improving autism spectrum disorder service delivery nationwide. Overall, the evaluation highlighted the efforts of nearly 100 grantees who worked to conduct research, provide professional training, and improve comprehensive coordinated State systems of care for people with autism spectrum disorder.

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