Journal of Child and Family Studies

, Volume 16, Issue 2, pp 169–182 | Cite as

Evidence-based Practice Use, Training and Implementation in the Community-Based Service Setting: A Survey of Children’s Mental Health Service Providers

  • Angela K. Sheehan
  • Christine M. Walrath
  • E. Wayne Holden
Original Paper

Abstract

Data from the Evidence-Based Treatment (EBT) Survey of providers affiliated with CMHS-funded systems-of-care were analyzed to describe the use of evidence-based practices (EBPs). Descriptive analyses were used to summarize the use of a broad range of EBPs among direct service providers (N=446) and to describe the characteristics of providers of the six most frequently identified EBPs. Provider characteristics and training and treatment implementation factors differed by the type of EBP. Providers received training from a variety of sources depending on the reported EBP and reported a low level of full treatment implementation, particularly for those practices that have standardized guidelines and procedures in place for implementation. Implications for children’s mental health service agency administrators and service providers related to workforce issues will be discussed.

Keywords

Evidence-based practice Children, training Public mental health Systems-of-care 

References

  1. Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research, 6, 61–74.PubMedCrossRefGoogle Scholar
  2. Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K., & Force, M. M. (2004). Assessing fidelity to a community-based treatment for youth: The wraparound fidelity index. Journal of Emotional & Behavioral Disorders, 12, 79–89.Google Scholar
  3. Burns, B. J. (1999). A call for a mental health services research agenda for youth with serious emotional disturbance. Mental Health Services Research, 1, 5–20.CrossRefGoogle Scholar
  4. Burns, B. J. & Hoagwood, K. (2002). Community treatment for youth: Evidence-based interventions for severe emotional and behavioral disorders. New York: Oxford University Press.Google Scholar
  5. Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review, 2, 199–254.PubMedCrossRefGoogle Scholar
  6. Burns, B. J. & Friedman, R. M. (1990). Examining the research base for child mental health services and policy. The Journal of Mental Health Administration, 17, 87–98.CrossRefGoogle Scholar
  7. Center for Mental Health Services (1999). Annual report to Congress on the evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program, 1999. Atlanta, GA: ORC Macro.Google Scholar
  8. Chambless, D. L. & Hollen, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.PubMedCrossRefGoogle Scholar
  9. Coatsworth, J. D., Santisteban, D. A., McBride, C. K., & Szapocznik, J. (2001). Brief strategic family therapy versus community control: Engagement, retention, and an exploration of the moderating role of adolescent symptom severity. Family Process, 40, 313–332.PubMedCrossRefGoogle Scholar
  10. Dillman, D. A., Phelps, G., Tortora, R., Swift, K., Kohrell, J., & Berck, J. (2001). Response rate and measurement differences in mixed mode surveys using mail, telephone, interactive voice response and the internet. Retrieved April 2006 from http://survey.sesrc.wsu.edu/dillman/papers/Mixed%20Mode%20ppr%20_with%20Gallup_%20POQ.pdf
  11. England, M. J. (1997). Training the existing work force. Administration and Policy in Mental Health, 25, 23–26.Google Scholar
  12. Franco, E., Soler, R. E., & McBride, M. (2005). Introducing and evaluating parent-child interaction therapy in a system of care. Child and Adolescent Psychiatric Clinics of North America, 14, 351–366.PubMedCrossRefGoogle Scholar
  13. Henggler, S., Schoenwald, S. K., Liao, J. G., Letourneau, E. J., & Edwards, D. L. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child & Adolescent Psychology, 31, 155–167.CrossRefGoogle Scholar
  14. Hoagwood, K. (1997). Interpreting nullity: The fort bragg experiment–A comparative success or failure? American Psychologist, 52, 546–550.PubMedCrossRefGoogle Scholar
  15. Hoge, M. A. (2002). The training gap: An acute crisis in behavioral health education. Administration and Policy in Mental Health, 29, 305–317.PubMedCrossRefGoogle Scholar
  16. Hoge, M. A., Jacobs, S., Belitsky, R. & Migdole, S. (2002). Graduate education and training for contemporary behavioral health practice. Administration and Policy in Mental Health, 29, 335–357.PubMedCrossRefGoogle Scholar
  17. Holden, E. W., Santiago, R. L., Manteuffel, B. A., Stephens, B. L., Soler, R., Liao, Q., Brashears, F., Zaro, S., & Brannan, A. M. (2003). System of care demonstration projects: Innovation, evaluation and sustainability. In A. Pumariega and N. Winters (Eds.), Handbook of community systems of care: the new child and adolescent community psychiatry (pp 432–458). San Francisco, CA: Jossey Bass.Google Scholar
  18. Holden, E. W., Friedman, R. M., & Santiago, R. L. (2001). Overview of the national evaluation of the comprehensive community mental health services for children and their families program. Journal of Emotional and Behavioral Disorders, 9, 4–12.CrossRefGoogle Scholar
  19. Huang, L., Macbeth, G., Dodge, J., & Jacobstein, D. (2003). Transforming the workforce in children’s mental health. Administration and Policy in Mental Health, 1–34.Google Scholar
  20. Hyde, P. S., Falls, K., Morris, J. A., & Shoenwald, S. (2003). Turning knowledge into practice: A manual for behavioral health administrators and practitioners about understanding and implementing evidence-based practices. The Technical Assistance Collaborative, Inc. (TAC) and The American College of Mental Health Administration (ACMHA), 127.Google Scholar
  21. Jensen, P., Hoagwood, K., & Petti, P. (1996). Outcomes of mental health care for children and adolescents: II. Literature review and application of a comprehensive model. Journal of the American Academy of Child and Adolescence Psychiatry, 35, 1064–1077.CrossRefGoogle Scholar
  22. Ladner, M. D., Wingenbach, G. J., & Raven, M. R. (2004). Internet and paper based data collection methods in agricultural education research. Retrieved April 2006 from http://aaaeonline.ifas.ufl.edu/publications/SRJAE/Internet.PDF.
  23. Leighton, H. Y. (2002). Problems in behavioral health care: Leap-frogging the status quo. Administration and Policy in Mental Health, 29, 403–419.CrossRefGoogle Scholar
  24. Meyers, J., Kaufman, M., & Goldman, S. (1999). Promising practices: Training strategies for serving children with serious emotional disturbance and their families in a system of care. Systems of Care: Promising Practices in Children’s Mental Health, 1998 Series, Volume V. Washington D.C., Center for Effective Collaboration and Practice, American Institute for Research: 128.Google Scholar
  25. Morris, J. & Hanley, J. (2001). Human resource development: A critical gap in child mental health reform. Administration and Policy in Mental Health, 28, 219–227.PubMedCrossRefGoogle Scholar
  26. Morris, J. & Stuart, G. W (2002). Training and education needs of consumers, families, and front-line staff in behavioral health practice. Administration and Policy in Mental Health, 29, 377–402.PubMedCrossRefGoogle Scholar
  27. National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment. (2001). Blueprint for change: Research on child and adolescent mental health. Washington DC: National Institute of Mental Health.Google Scholar
  28. New Freedom Commission on Mental Health (2003). Achieving the promise: Transforming mental health care in America. Final report. (DHHS Pub. No. SMA-03-3832), Rockville, MD.Google Scholar
  29. Plante, T. G., Andersen, E. N., & Boccaccini, M. T. (1999). Empirically supported treatments and related contemporary changes in psychotherapy practice: What do clinical ABPPs think? The Clinical Psychologist, 52, 23–31.Google Scholar
  30. Santisteban, D. A., Coatsworth, J. D., Perez-Vidal, A., Kurtines, W. M., Schwartz, S. J., LaPerriere, A., & Szapocznik, J. (2003). Efficacy of brief strategic family therapy in modifying hispanic adolescent behavior problems and substance use. Journal of Family Psychology, 17, 121–133.PubMedCrossRefGoogle Scholar
  31. Schoenwald, S. K., & Hoagwood, K. (2001) Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52, 1190–1197.PubMedCrossRefGoogle Scholar
  32. Schoenwald, S. K., Sheidow, A. J., & Letourneau, E. J. (2004). Toward effective quality assurance in evidence-based practice: Links between expert consultation, therapist fidelity, and child outcomes. Journal of Clinical Child & Adolescent Psychology, 33, 94–104.CrossRefGoogle Scholar
  33. Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22, 171–182.PubMedCrossRefGoogle Scholar
  34. Sleek, S. (1997). The “cherrypicking” of treatment research: Psychologists claim the managed-care industry selectively applies outcomes research to justify the limits it places on psychotherapy benefits. APA Monitor, 29(12), 1–21.Google Scholar
  35. Stroul, B. A., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances (REVISED edition). Washington DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.Google Scholar
  36. U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.Google Scholar
  37. Weisz, J. R., Dononberg, G. R., Han, S. S., & Weiss, B. (1995). Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63, 688–701.PubMedCrossRefGoogle Scholar
  38. Wells, K. B. (1999). Treatment research at the crossroads: The scientific interface of clinical trials and effectiveness research. American Journal of Psychiatry, 156, 5–10.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Angela K. Sheehan
    • 1
  • Christine M. Walrath
    • 1
  • E. Wayne Holden
    • 2
  1. 1.Applied Research DivisionORC Macro International, Inc.New YorkUSA
  2. 2.ORC Macro International, Inc.AtlantaUSA

Personalised recommendations