Original Article

Administration and Policy in Mental Health and Mental Health Services Research

, Volume 41, Issue 6, pp 788-799

Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?

  • Rinad S. BeidasAffiliated withDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania Email author 
  • , Julie EdmundsAffiliated withCenter for Effective Child Therapy, Judge Baker Children’s Center
  • , Matthew DittyAffiliated withSchool of Social Policy and Practice, University of Pennsylvania
  • , Jessica WatkinsAffiliated withBryn Mawr College
  • , Lucia WalshAffiliated withDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania
  • , Steven MarcusAffiliated withSchool of Social Policy and Practice, University of PennsylvaniaCenter for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center
  • , Philip KendallAffiliated withDepartment of Psychology, Temple University

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Abstract

Among the challenges facing the mental health field are the dissemination and implementation of evidence-based practices. The present study investigated the relationships between inner context variables (i.e., adopter characteristics and individual perceptions of intra-organizational factors) and two implementation outcomes—independently rated therapist fidelity on a performance-based role-play (i.e., adherence and skill) and self-reported penetration of cognitive behavioral therapy for youth anxiety following training. A significant relationship was found between inner context variables and fidelity. Specifically, adopter characteristics were associated with adherence and skill; individual perceptions of intra-organizational factors were associated with adherence. Inner context variables were not associated with penetration. Future directions are discussed.

Keywords

Evidence-based practice Inner context Implementation outcomes