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. 2020 Mar:110:104774.
doi: 10.1016/j.childyouth.2020.104774. Epub 2020 Jan 22.

Getting to the table: Agency characteristics and evidence-based intervention adoption in children's mental health care

Mimi Choy-Brown  1 , Emily K Hamovitch  2 , Lindsay A Bornheimer  3 , Mary C Acri  4 , Mary M McKay  5
Affiliations

Getting to the table: Agency characteristics and evidence-based intervention adoption in children's mental health care

Mimi Choy-Brown et al. Child Youth Serv Rev. 2020 Mar.

Abstract

Scaling evidence-based interventions (EBI) for children and families across healthcare systems can expand public health impact. Research has identified EBI adoption determinants. However, less understood are characteristics of agencies that opt in across the stages of adoption. This study examined the relationship between agency (N=69) characteristics (e.g., revenue) and four adoption stages during a large-scale trial of an EBI for children with significant behavioral difficulties and their families. 48 (70%) of agencies demonstrated interest, 28 (41%) scheduled an informational meeting, 20 (29%) received training, and 16 (22%) demonstrated EBI uptake. Analyses indicated no differences in characteristics and initial interest. However, agencies with small-sized revenue had significantly reduced odds at other adoption stages. Implications for strategies to bring EBI access to scale are discussed.

Keywords: Organizations; adoption; implementation; mental health; public data; scale-up.

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Conflict of interest statement

Conflict of Interest: This study was funded by the National Institute of Mental Health (Grant # R01-MH-106771). Authors have no potential conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Adoption Behavior and Agency Revenue Size
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References

    1. Aarons GA, Green AE, Willging CE, Ehrhart MG, Roesch SC, Hecht DB, & Chaffin MJ (2014). Mixed-method study of a conceptual model of evidence-based intervention sustainment across multiple public-sector service settings. Implementation Science, 9, 183–194. - PMC - PubMed
    1. Alvaro C, Lyons R, Warner G, Hobfoll S, Martens P, Labonté R, & Brown R (2010). Conservation of resources theory and research use in health systems. Implementation Science, 5(1), 79. - PMC - PubMed
    1. Amodeo M, Lundgren L, Cohen A, Rose D, Chassler D, Beltrame C, & D’ippolito M (2011). Barriers to implementing evidence-based practices in addiction treatment programs: Comparing staff reports on motivational interviewing, adolescent community reinforcement approach, assertive community treatment, and cognitive-behavioral therapy. Evaluation and program planning, 34(4), 382–389. - PubMed
    1. Aratani Y, & Cooper JL (2012). Racial and ethnic disparities in the continuation of community-based children’s mental health services. The journal of behavioral health services & research, 39(2), 116–129. - PubMed
    1. Atkins MS, Rusch D, Mehta TG, & Lakind D (2016). Future directions for dissemination and implementation science: Aligning ecological theory and public health to close the research to practice gap. Journal of Clinical Child & Adolescent Psychology, 45, 215–226. - PMC - PubMed

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