Implementation of evidence-based practices for children in four countries: a project of the World Psychiatric Association
Open accessAbstract
OBJETIVE: The present study examined implementation issues in adopting cognitive-behavioral therapies in routine clinical settings in four countries reflecting diverse cultures, languages, settings, and traditions. METHOD: A Director's Systems Survey was administered prior to program implementation and one year later. Therapist ratings on attitudes about evidence-based practices and satisfaction were also gathered. RESULTS: All sites reported successful adoption of the program, although significant variations existed in fiscal support, family involvement, prior experience with cognitive-behavioral therapies, and plans for sustainability. Therapists' ratings indicated overall satisfaction with the implementation of the project. Findings from the Director's Systems Survey pointed to five factors facilitating implementation: 1) early adoption and guidance by innovative leaders (i.e., the Directors); 2) attention to the "fit" between the intervention model and local practices; 3) attention to front-end implementation processes (e.g., cultural adaptation, translation, training, fiscal issues); 4) attention to back-end processes early in the project (e.g., sustainability); and 5) establishing strong relationships with multiple stakeholders within the program setting. CONCLUSIONS: The implementation issues here mirror those identified in other studies of evidence-based practices uptake. Some of the obstacles to implementation of evidence-based practices may be generic, whereas issues such as the impact of political/economic instability, availability of translated materials, constitute unique stressors that differentially affect implementation efforts within specific countries.
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Policies and funding needed for sustained use of practices typically follow from leaders who develop initiatives or set visions that can be maintained over time.
“The policies and funding needed for sustained use of practices typically follow from leaders who develop initiatives or set visions that can be maintained over time (Hoagwood et al. 2006).”
From Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors (2011) · cites this paper as Hoagwood et al. 2006
The Discussion (page unavailable) says innovative leaders aided implementation and that all site Directors made plans for sustainability. The paper does not say that policies and funding typically follow from leaders’ initiatives or visions; it instead notes that continuation in Israel depended on securing funding. (LLM, conf=0.83)
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References 26 · Cited by 16
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- Authors
- Hoagwood, K. E., Kelleher, K., Murray, L. K., & Jensen, P. S.
- Affiliations
- Columbia University (US)
- Venue
- Revista Brasileira de Psiquiatria
- Publisher
- EDITORA SCIENTIFIC
- Published
- 2006-03
- Volume
- 28
- Issue
- 1
- Pages
- 59-66
- ISSN
- 1516-4446 (ISSN-L)
- OpenAlex
- W2061876027
- Cited by
- 16
- References
- 26
- Citations by year
- 2017: 1 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 1
- FWCI
- 4.50
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- New York State Office of Mental Health
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- evidence-based practice, cognitive behavioral therapy, implementation barriers, implementation facilitators, child mental health, cross-cultural adaptation, program sustainability, stakeholder relations, therapist attitudes, World Psychiatric Association
- MeSH terms
- Mental Disorders, Child, Health Surveys, Humans, Mental Health Associations, Mental Health Services, Schizophrenia, Cognitive Behavioral Therapy, Evidence-Based Medicine
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