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Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies

Bond, Gary R., Drake, Robert E., McHugo, Gregory J., Peterson, Alison E., Jones, Amanda M., Williams, Jessica·2014·Administration and Policy in Mental Health and Mental Health Services Research

DOI 10.1007/s10488-012-0461-5

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Abstract

This study examined rates of sustainability, defined as program continuation, and factors associated with sustainability 6 years after full implementation of five evidence-based practices in 49 sites in the National Implementing Evidence-Based Practices Project. Based on interviews with agency leaders and state leaders, 47 % of sites sustained the practice for 6 years, 16 % restarted the practice after a period of discontinuation, and 37 % discontinued the practice permanently. Agency leaders from discontinuing sites identified inadequate financial support, lack of prioritization, and workforce issues as barriers to continuation. Adequate financing, ongoing supervision, and monitoring of fidelity and outcome may promote long-term sustainability.

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Authors: Bond, G. R., Drake, R. E., McHugo, G. J., Peterson, A. E., Jones, A. M., & Williams, J.
Affiliations: Dartmouth College (US)
Manila Consulting Group (United States) (US)
Corresponding author: Bond, Gary R.
ORCID: Bond, Gary R.
Drake, Robert E.
McHugo, Gregory J.
Jones, Amanda M.
Williams, Jessica
Venue: Administration and Policy in Mental Health and Mental Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2012-12-25
Volume: 41
Issue: 2
Pages: 228-236
ISSN: 0894-587X (ISSN-L)
1573-3289
DOI: 10.1007/s10488-012-0461-5
OpenAlex: W2045592170
Cited by: 172
References: 25
Citations by year: 2026: 4 · 2025: 7 · 2024: 16 · 2023: 16 · 2022: 18 · 2021: 15 · 2020: 18 · 2019: 28 · 2018: 8 · 2017: 12 · 2016: 12 · 2015: 8 · 2014: 6 · 2013: 3 · 2012: 1
FWCI: 10.24
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
PubMed (publishedVersion)
Funders: Substance Abuse and Mental Health Services Administration
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords: evidence-based practice, sustainability, community mental health centers, program continuation, implementation, barriers to sustainability, financial support, workforce challenges, supervision, fidelity monitoring
MeSH terms: Community Mental Health Services, Humans, Program Evaluation, Evidence-Based Practice

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Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies

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