Implementation of Evidence-Based Practice in Community Behavioral Health: Agency Director Perspectives
Abstract
Despite a growing supply of evidence-based mental health treatments, we have little evidence about how to implement them in real-world care. This qualitative pilot study captured the perspectives of agency directors on the challenge of implementing evidence-based practices in community mental health agencies. Directors identified challenges as limited access to research, provider resistance, and training costs. Director leadership, support to providers, and partnerships with universities were leverage points to implement evidenced-based treatments. Directors' mental models of EBP invoked such concepts as agency reputation, financial solvency, and market niche. Findings have potential to shape implementation interventions.
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Legal, reimbursement, and regulatory factors affect the adoption and sustainability of evidence-based treatments.
“Health policies differ in many ways that impact quality [117], and legal, reimbursement, and regulatory factors affect the adoption and sustainability of evidence-based treatments [118].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [118]
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- Authors
- Proctor, E. K., Knudsen, K. J., Fedoravicius, N., Hovmand, P., Rosen, A., & Perron, B.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Proctor, Enola K.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2007-07-18
- Volume
- 34
- Issue
- 5
- Pages
- 479-488
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- OpenAlex
- W2000766070
- Cited by
- 136
- References
- 55
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 1 · 2020: 15 · 2019: 9 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 11 · 2013: 13 · 2012: 12
- FWCI
- 17.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institutes of Health (5p30mh068579-05)
- National Institute of Mental Health (5 P30 MH068579, T32MH019960)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- evidence-based practice, implementation, community mental health centers, agency directors, mental health service delivery, research accessibility, training costs, university partnerships, mental models, implementation strategies
- MeSH terms
- Mental Disorders, Community Mental Health Services, Diffusion of Innovation, Health Facility Administrators, Humans, Interviews as Topic, United States, Evidence-Based Medicine
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