Abstract
This study examined providers’ reflections on delivering managing and adapting practice (MAP), an evidence-informed framework that guides decision-making from scientific and client data. Consensual qualitative research methods were used to analyze the reflections of 201 youth mental health providers. Results indicated that providers approached MAP according to their own preferences and particular cases. While most appeared to approach MAP from a practice management standpoint, when faced with challenging cases, providers used coordination and outcomes management resources. Regardless of approach, most providers came to appreciate the full framework through reflective practice. Their diverse approaches offer lessons for evidence-based practice implementation and sustainment.
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Notes
Not all providers described each domain in their case examples and their perceptions of MAP. Consequently, all percentages reflect the percent of participants who indicated a response (numerator) out of all people who gave a response relevant for the domain (denominator).
Participants were asked which practice guide(s) they used, if any, when describing their successful and challenging cases. No inquiries were made into other MAP resources. Consequently, participants may have been primed to describe these resources more than other resources.
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Bruce F. Chorpita is President and Eric L. Daleiden is Chief Operating Officer of PracticeWise, LLC, a private behavioral health consulting corporation. Kimberly D. Becker is a consultant to PracticeWise, LLC.
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The University of South Carolina’s Institutional Review Board determined that this study was exempt from review.
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Buckingham, S.L., Becker, K.D., Reding, M. et al. Managing and Adapting Practice: Provider Perceptions of an Evidence-Informed Framework for Delivering Mental Health Services. Adm Policy Ment Health 46, 777–789 (2019). https://doi.org/10.1007/s10488-019-00957-8
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DOI: https://doi.org/10.1007/s10488-019-00957-8