Therapist and Organizational Factors Associated with Participation in Evidence-Based Practice Initiatives in a Large Urban Publicly-Funded Mental Health System
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In recent years, there has been an emphasis on the implementation of evidence-based practices (EBPs) in practice settings. This focus is due to a growing understanding that EBPs are not reaching the most vulnerable, particularly those served by the public health and mental health systems.[1,2] For example, despite there being over 1200 evidence-based treatments for childhood psychiatric disorders, these treatments are rarely found in public mental health settings.[3,4] Implementation science, the study of methods to promote the systematic uptake of research, was developed to understand how to more effectively implement EBP in community settings. Conceptual frameworks,[6,7] corroborated by empirical evidence,[8–10] suggest that EBP implementation necessitates an understanding of the individuals (e.g., provider knowledge and attitudes),[11–13] organizations (e.g., organizational culture and climate),[14,15] and systems (e.g., financing)[16,17]involved, as well as the particular...
We are especially grateful for the support that the Department of Behavioral Health and Intellectual disAbility Services has provided for this project and for the Evidence Based Practice and Innovation (EPIC) group. We would also like to thank the following experts who provided their consultation on this project: Dr. Steven Marcus and Dr. David Mandell.
Compliance with Ethical Standards
Conflict of Interest
Dr. Beidas receives royalties from Oxford University Press and has served as a consultant for Merck and Kinark Child and Family Services. None of the reported disclosures are related to implementation of evidence-based practices for youth in the City of Philadelphia. The remaining authors (Dr. Skriner, Dr. Benjamin Wolk, Dr. Stewart, Ms. Adams, Dr. Rubin, and Dr. Evans) have no disclosures or conflicts of interest to report.
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