Administration and Policy in Mental Health and Mental Health Services Research

, Volume 34, Issue 4, pp 319–330

Predictors of Practitioner Self-reported Use of Evidence-Based Practices: Practitioner Training, Clinical Setting, and Attitudes Toward Research

Original Paper

DOI: 10.1007/s10488-006-0111-x

Cite this article as:
Nelson, T.D. & Steele, R.G. Adm Policy Ment Health (2007) 34: 319. doi:10.1007/s10488-006-0111-x


In light of the recent movement toward evidence-based practice (EBP) in mental health services, practitioner adoption of EBPs in clinical settings has emerged as an important area for study. This paper reports on the results of a national online survey of mental health practitioners in an attempt to identify correlates of self-reported EBP use in practice. The survey consisted of 214 mental health practitioners from 15 states drawn from a diverse set of clinical settings and representing a variety of theoretical orientations. The results indicated that practitioner training (i.e., taking a class in EBPs), the perceived openness of the clinical setting toward EBPs, and the practitioner’s attitudes toward treatment research were significant predictors of self-reported EBP use. The relationship between clinical setting and EBP use was partially mediated by attitudes toward treatment research. Negative attitudes toward treatment research partially mediated the relationship between practitioner training and self-reported EBP use. The findings are presented within the context of efforts to increase EBP use in clinical settings and implications for clinical training, treatment research, and EBP dissemination efforts are discussed.


Evidence-based practicePractitioner attitudesTrainingInstitutional cultureTreatment researchDissemination

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.2006 Dole Human Development CenterUniversity of KansasLawrenceUSA