Involuntary Treatment Act for Substance Use Disorders in Washington State: First Preliminary Report

Before 2016, two separate systems existed for involuntary commitment of individuals in crisis due to mental health or substance use disorders. The 2016 Legislature passed E3SHB 1713—called Ricky's Law—to integrate both conditions into a statewide behavioral health system within Washington’s Involuntary Treatment Act (ITA). WSIPP is required to “evaluate the effect of the integration of the involuntary treatment systems for substance use disorders and mental health.”

In this initial report, we examine the broad changes to Washington’s ITA for substance use disorders that resulted from Ricky’s Law. We provide background on Washington’s behavioral health context and examine the main components of Ricky’s Law. Then, we outline our basic research strategy to examine the effectiveness of this multi-component law.

Our second and third reports are due in June 2021 and 2023. We will examine the impact of Ricky's Law on (1) client outcomes (e.g., substance use, overdose, death, employment, housing, and mental health services); (2) system outcomes; and (3) cost-effectiveness and efficiency of the integrated involuntary behavioral health treatment system.

An Evaluation of Resource and Assessment Centers (RAC): Outcome Evaluation

The Resource and Assessment Center (RAC) program provides short-term emergency crisis care to youth entering foster care in Washington. RAC facilities offer an initial placement option of up to 72 hours for youth ages birth through 12 years old. Two facilities, in Whatcom and Snohomish counties, respectively, operated RACs from 2015-2020 and have served over 1,100 youth.

The 2019 Washington State Legislature directed WSIPP to evaluate the RAC program. Our results indicate that compared to similar youth, those who were first placed in a RAC are more likely to spend their RAC and subsequent placements with a sibling. RAC youth are also more likely to be placed with a relative in their subsequent placement. RAC placement does not have long term effects on the number of placement events or the length of time youth spend in foster care.

Results also suggest that foster parents who received youth from a RAC were more likely than other similar foster parents who only received youth from other settings to retain their license for various follow-up periods.

Washington Offender Needs Evaluation (Washington ONE): Evaluating Community Contact Impacts

WSIPP’s Board of Directors approved a Washington State Department of Corrections (DOC) contract with WSIPP to examine the new DOC risk and needs assessment—the Washington ONE. In 2017, DOC transitioned to the Washington ONE for adults incarcerated in state facilities or under DOC supervision in the community. During the current phase of implementation, contact requirements for community supervision are based on an individual’s initial assessment and are not updated during regularly scheduled reassessments. We examined how the new assessment impacted risk level classification and corresponding contact requirements for community contacts and how these requirements would change if they were updated following reassessments. We found minimal differences between the contact requirements under the previous risk assessment system, the current Washington ONE assessment system, and a more dynamic Washington ONE assessment system. Our analysis found that contact requirements for some individuals would change if contact levels were updated following reassessments. However, we found that a similar number of individuals showed a reduction in risk level and contacts over time as the number of individuals showed an increase in risk level and contacts over time, resulting in little change in DOC’s workload associated with community contacts during the study period.

Updated 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 directed the Washington State Institute for Public Policy (WSIPP) and the University of Washington Evidence-Based Practice Institute (EBPI) 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 tenth update to the initial inventory published in 2012.

The accompanying report describes our standard process for evaluating and classifying research evidence, the process for adding new programs to the inventory, and the reasons that program classifications may change in the current iteration of the inventory. Programs that are new to the inventory or re-reviewed with current evidence are identified in the report.

Find previous versions of the Children's inventory with the following links: ninth update, eighth update, seventh update, sixth update, fifth update, fourth update, third update, second update, first update,and initial inventory.

Advanced Teacher Certification: A 50-State Review

The 2016 Legislature directed WSIPP to examine multiple policies related to advanced teacher certification that could impact the teacher workforce.

With various advanced teaching certificate policy changes in recent years, WSIPP was unable to analyze the effectiveness of specific policies toward expanding the educator workforce. However, in this report, we provide detailed background information on teachers with the professional certificates in Washington and conduct a 50-state review of certification-related policies that could impact teacher recruitment and retention in Washington and other states.

In 2019, nearly 25% of all classroom teachers in Washington held an advanced teacher certificate. However, since they became optional in 2017, the number of new certificates awarded has fallen by nearly 60%. A 50-state review identified 28 states with advanced teacher certificates. Washington is among the majority of these states in using National Board Certification as a requirement toward advanced certification and one of five using it as the primary path. Half of these states, including Washington, offer some sort of financial incentive for teachers to earn an advanced certificate.

Additionally, the review found that teachers in every state have earned micro-credentials, and 64% of states, including Washington, have micro-credential policies allowing them to be used toward some aspect of certification.

Updated Inventory of Evidence-Based and Research-Based Practices: Washington’s K–12 Learning Assistance Program

Washington State provides funding to school districts to help students who score below grade-level standards in English Language Arts (ELA) and mathematics through the Learning Assistance Program (LAP). Districts can use the funding for a variety of activities to support students including tutoring, extended learning time, educator professional development, and family engagement to name a few examples.

The 2013 Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to develop an inventory of evidence-based, research-based, and promising programs and practices for use by school districts in LAP. WSIPP was directed to update the inventory every two years thereafter. This report is the fifth update to the inventory and describes our standard process for evaluating and classifying programs, adding new programs to the inventory, and reasons why program classifications may change over time. We also identify several programs that are relevant to teaching and learning in a remote environment during the novel coronavirus (COVID-19), although that was not the focus of this update. Overall, for this 2020 update, we reviewed 18 programs, added two new programs to the inventory, and reclassified five programs included in previous inventory iterations.

Find previous versions of the LAP inventory with the following links: fourth update, third update, second update, first update, and initial report.

Extended Foster Care in Washington State: Final Report

The 2017 Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to conduct a study of a policy allowing eligible foster youth to receive foster care services between the ages of 18 and 21.

We studied numerous outcomes for youth “aging out” of foster care as they transitioned to adulthood. Between 2006 and 2018, the percentage of youth receiving extended foster care (EFC) services increased from 5% to 80%.

Compared to non-participants, the average youth participating in EFC was more likely to be employed and have greater earnings. EFC also significantly reduced homelessness, receipt of public assistance, use of medical emergency departments, reduced diagnosis of substance abuse and treatment, and criminal convictions. We also found that EFC reduced the involvement of offspring in the child welfare system.

Our benefit-cost analysis found that the EFC program produces $3.95 of lifetime benefits for each $1 invested. Of the total benefits, 40% represents savings and revenue that would accrue to state, local, and federal governments.

In a survey of other states, we found that almost all states provide some foster care services after youth turn 18, although eligibility criteria vary.

Updated Evidence Classifications for Select State-Funded Juvenile Justice Programs in Washington State: A Resource Guide

In 2019, WSIPP updated the full portfolio of juvenile justice meta-analyses, benefit-cost analyses, and the resulting evidence classifications. This work aligned with WSIPP’s ninth update of the Children’s Services Inventory (“the inventory”), published in December 2019. The inventory describes the research evidence and benefit-cost findings for a variety of programs in the areas of juvenile justice, child welfare, and children’s mental health, and classifies each program according to its level of evidence and benefit-cost findings.

WSIPP’s update to the inventory led to changes in the evidence classification for several juvenile justice programs operating in Washington State. Four programs previously classified as either evidence-based or research-based are now promising or null. This resource guide serves as a companion document to the inventory and as a resource for Washington State policymakers and practitioners to understand how changes in the meta-analyses and benefit-cost analyses of juvenile justice programs resulted in changes to evidence classifications.

In the guide, WSIPP explains the specific changes made to all meta-analyses and benefit-cost analyses of juvenile justice programs in 2019. Then, the guide provides details for several programs eligible for Washington State funding for youth involved in the juvenile courts or committed to a Juvenile Rehabilitation facility. For each eligible program, the guide reviews relevant changes to the content in the specific meta-analysis, changes to the calculations of meta-analytic results, changes made to the costs of the program, and changes made to WSIPP’s standard benefit-cost model. While WSIPP classifies a broad array of programs, and these evidence classifications are subject to change over time, this guide focuses specifically on changes to classifications for juvenile justice programs eligible for state dollars.

Washington State’s Juvenile Justice System: Evolution of Policies, Populations, and Practical Research

Over the last 20 years, the Washington State Legislature has taken a number of steps to develop an “evidence-based” juvenile justice system. Through collaboration between the research community and policymakers, reforms have facilitated a significant shift in court practices and characteristics of the populations of court-involved youth.

Recent findings suggest that a new era of juvenile justice research is needed to identify how changes in justice-involved populations and court practices may affect the long-term effectiveness of juvenile court reforms. This report provides an overview of the evolution of legislative and administrative policies, justice-involved populations, and juvenile justice research over the last two decades. The report concludes with a discussion about pathways forward for Washington State’s policymakers and research community.

Updated 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 directed 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 ninth update to the initial inventory published in 2012.

The accompanying report describes our standard process for evaluating and classifying research evidence, the process for adding new programs to the inventory, and the reasons that program classifications may change. Programs that are new to the inventory or have a revised classification based on current evidence are identified in the report.