Adoption of evidence-based practices in community mental health: a mixed-method study of practitioner experience.

School of Social Work, University of Maryland, Baltimore, Baltimore, MD 21201, USA.
Community Mental Health Journal (Impact Factor: 1.03). 04/2008; 44(5):347-57. DOI: 10.1007/s10597-008-9136-9
Source: PubMed

ABSTRACT This mixed method study examined practitioners as they adopted four evidence-based practices (EBPs) in a community mental health center. In-depth semi-structured interviews; a measure of EBPs attitudes; and a final focus-group were used over a 2-year study period to assess 14 mental health practitioners on one immersion team. The framework for data collection was adapted from organizational theories that view culture and climate as mediating factors. Analysis of practitioner themes demonstrated that there were facilitating and impeding factors in the adoption process. Practitioners reported positive changes in their individual competency but two years was inadequate for training on four EBPs. Involvement of agency administration and consistent supervision were regarded by practitioners as crucial to successful adoption of EBPs.

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    Administration and Policy in Mental Health and Mental Health Services Research 11/2013; 42(5). DOI:10.1007/s10488-013-0528-y · 3.44 Impact Factor
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    • "Simple designs were observed in single studies that have a limited objective or scope. For instance, in seeking to determine whether the experience of using mixed methods accounted for possible changes in attitudes towards their use, Gioia and Dziadosz (2008) used semi-structured interview and focus group methods to obtain first-hand accounts of practitioners’ experiences in being trained to use an EBP, and a quantitative measure of attitudes towards the use of EBPs to identify changes in attitudes over time. In contrast, complex designs usually involve more than one study, each of which are linked by a set of related objectives. "
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    • "Key stakeholder perspectives will be gathered mid- and post-intervention, and organizational readiness will be assessed again post-intervention to see if readiness changed over time. This long-term perspective on adoption of innovation has been recommended by others who have noted that change toward evidence-based care in mental health care is a slow and uneven process, warranting a longitudinal perspective.22,23 Issues such as organizational vision and commitment may affect the long-term sustainability of innovations, so ongoing assessment of these issues could be critical.24 "
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