Dissemination and Implementation of Evidence-Based Practices for Child and Adolescent Mental Health: A Systematic Review
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Objective Although there has been a dramatic increase in the number of evidence-based practices (EBPs) to improve child and adolescent mental health, the poor uptake of these EBPs has led to investigations of factors related to their successful dissemination and implementation. The purpose of this systematic review was to identify key findings from empirical studies examining the dissemination and implementation of EBPs for child and adolescent mental health. Method Of 14,247 citations initially identified, 73 articles drawn from 44 studies met inclusion criteria. The articles were classified by implementation phase (exploration, preparation, implementation, and sustainment) and specific implementation factors examined. These factors were divided into outer (i.e., system level) and inner (i.e., organizational level) contexts. Results Few studies used true experimental designs; most were observational. Of the many inner context factors that were examined in these studies (e.g., provider characteristics, organizational resources, leadership), fidelity monitoring and supervision had the strongest empirical evidence. Albeit the focus of fewer studies, implementation interventions focused on improving organizational climate and culture were associated with better intervention sustainment as well as child and adolescent outcomes. Outer contextual factors such as training and use of specific technologies to support intervention use were also important in facilitating the implementation process. Conclusions The further development and testing of dissemination and implementation strategies is needed to more efficiently move EBPs into usual care.
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Existing reviews tend to focus either on a particular type of complex intervention or on a particular health condition.
“Existing reviews tend to focus either on a particular type of complex intervention (e.g. introduction of new technologies [14] or promoting uptake and use of guidelines [15]) or on a particular health condition (e.g. mental health [16] or diabetes [17]).”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [15]
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“Infrastructure [14, 15, 42, 53, 58, 67, 72, 74, 75, 82, 86, 101, 104] B: Inadequate employment contracts, practice facilities and functioning of the primary care team [85] F: Mechanism of support and infrastructure to support health care professionals [85] √ √ √ √ √”
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Expert recommendations for implementing change (ERIC): protocol for a mixed methods study
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- Authors
- Novins, D. K., Green, A. E., Legha, R. K., & Aarons, G. A.
- Affiliations
- University of Colorado Anschutz (US)
- University of California San Diego (US)
- Corresponding author
- Novins, Douglas K.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 52
- Issue
- 10
- Pages
- 1009-1025.e18
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC3922894
- OpenAlex
- W2143978701
- Cited by
- 270
- References
- 89
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 10 · 2023: 13 · 2022: 24 · 2021: 23 · 2020: 32 · 2019: 29 · 2018: 42 · 2017: 28 · 2016: 16 · 2015: 25 · 2014: 10
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (5r01da022239-04)
- National Institute of Mental Health (P30MH074678, R01MH072961, R25MH080916)
- National Institute on Drug Abuse (R01-DA022239)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- evidence-based practice, dissemination, implementation research, child and adolescent mental health, implementation fidelity, fidelity monitoring, supervision, organizational climate, organizational culture, intervention sustainability, organizational resources, leadership, training, implementation strategies, usual care
- MeSH terms
- Adolescent, Child, Humans, Mental Health, Information Dissemination, Evidence-Based Practice
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