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. 2016 Nov;43(6):893-908.
doi: 10.1007/s10488-015-0705-2.

A Multi-Level Examination of Stakeholder Perspectives of Implementation of Evidence-Based Practices in a Large Urban Publicly-Funded Mental Health System

Rinad S Beidas  1 , Rebecca E Stewart  2 , Danielle R Adams  2 , Tara Fernandez  2 , Susanna Lustbader  2 , Byron J Powell  2 , Gregory A Aarons  3 , Kimberly E Hoagwood  4 , Arthur C Evans  2   5 , Matthew O Hurford  2   5   6 , Ronnie Rubin  6 , Trevor Hadley  2 , David S Mandell  2 , Frances K Barg  7
Affiliations

A Multi-Level Examination of Stakeholder Perspectives of Implementation of Evidence-Based Practices in a Large Urban Publicly-Funded Mental Health System

Rinad S Beidas et al. Adm Policy Ment Health. 2016 Nov.

Abstract

Our goal was to identify barriers and facilitators to the implementation of evidence-based practices from the perspectives of multiple stakeholders in a large publicly funded mental health system. We completed 56 interviews with three stakeholder groups: treatment developers (n = 7), agency administrators (n = 33), and system leadership (n = 16). The three stakeholder groups converged on the importance of inner (e.g., agency competing resources and demands, therapist educational background) and outer context (e.g., funding) factors as barriers to implementation. Potential threats to implementation and sustainability included the fiscal landscape of community mental health clinics and an evolving workforce. Intervention characteristics were rarely endorsed as barriers. Inner context, outer context, and intervention characteristics were all seen as important facilitators. All stakeholders endorsed the importance of coordinated collaboration across stakeholder groups within the system to successfully implement evidence-based practices.

Keywords: Evidence-based practices; Implementation; Policy.

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References

    1. Aarons GA, Ehrhart MG, Farahnak LR, Hurlburt MS. Leadership and organizational change for implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science. 2015;10(11) doi: 10.1186/s13012-014-0192-y. - DOI - PMC - PubMed
    1. Aarons GA, Fettes DL, Hurlburt MS, Palinkas LA, Gunderson L, Willging CE, Chaffin MJ. Collaboration, negotiation, and coalescence for interagency-collaborative teams to scale-up evidence-based practice. Journal of Clinical Child and Adolescent Psychology. 2014;43(6):915–928. doi: 10.1080/15374416.2013.876642. - DOI - PMC - PubMed
    1. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research. 2011;38(1):4–23. doi: 10.1007/s10488-010-0327-7. - DOI - PMC - PubMed
    1. Aarons GA, Sommerfeld DH, Willging CE. The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform. Psychological Services. 2011;8(4):269–281. doi: 10.1037/a002619. - DOI - PMC - PubMed
    1. Aarons GA, Wells RS, Zagursky K, Fettes DL, Palinkas LA. Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health. 2009;99(11):2087–2095. doi: 10.2105/AJPH.2009.161711. - DOI - PMC - PubMed

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