The Journal of Behavioral Health Services & Research

, Volume 42, Issue 4, pp 504–518

The Role of Lean Process Improvement in Implementation of Evidence-Based Practices in Behavioral Health Care


    • Group Health Cooperative
  • Jennifer Scott
    • Children’s Hospital
  • Gavin Vilander
    • Group Health Cooperative
  • Larry Marx
    • Group Health Cooperative
  • Michael Quirk
  • Julie Lindberg
    • Molina Healthcare of Washington
  • Kelly Koerner
    • Evidence Based Practice Institute

DOI: 10.1007/s11414-013-9386-3

Cite this article as:
Steinfeld, B., Scott, J., Vilander, G. et al. J Behav Health Serv Res (2015) 42: 504. doi:10.1007/s11414-013-9386-3


To effectively implement evidence-based practices (EBP) in behavioral health care, an organization needs to have operating structures and processes that can address core EBP implementation factors and stages. Lean, a widely used quality improvement process, can potentially address the factors crucial to successful implementation of EBP. This article provides an overview of Lean and the relationship between Lean process improvement steps, and EBP implementation models. Examples of how Lean process improvement methodologies can be used to help plan and carry out implementation of EBP in mental health delivery systems are presented along with limitations and recommendations for future research and clinical application.

Copyright information

© National Council for Behavioral Health 2014