Implementing Evidence-Based Practice in Community Mental Health Agencies: A Multiple Stakeholder Analysis
Open accessAbstract
Objectives. We sought to identify factors believed to facilitate or hinder evidence-based practice (EBP) implementation in public mental health service systems as a step in developing theory to be tested in future studies. Methods. Focusing across levels of an entire large public sector mental health service system for youths, we engaged participants from 6 stakeholder groups: county officials, agency directors, program managers, clinical staff, administrative staff, and consumers. Results. Participants generated 105 unique statements identifying implementation barriers and facilitators. Participants rated each statement on importance and changeability (i.e., the degree to which each barrier or facilitator is considered changeable). Data analyses distilled statements into 14 factors or dimensions. Descriptive analyses suggest that perceptions of importance and changeability varied across stakeholder groups. Conclusions. Implementation of EBP is a complex process. Cross-system–level approaches are needed to bring divergent and convergent perspectives to light. Examples include agency and program directors facilitating EBP implementation by supporting staff, actively sharing information with policymakers and administrators about EBP effectiveness and fit with clients' needs and preferences, and helping clinicians to present and deliver EBPs and address consumer concerns.
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Aarons, Wells, Zagursky, Fettes, & Palinkas (2009) found among multiple stakeholders implementing EBPs in community mental health agencies that funding was endorsed as both the most important and least changeable factor in implementation success.
“Likewise, Aarons, Wells, Zagursky, Fettes, & Palinkas (2009) found among multiple stakeholders implementing EBPs in community mental health agencies that funding was endorsed as both the most important and least changeable factor in implementation success.”
From Evidence-Based Mental Health Programs in Schools: Barriers and Facilitators of Successful Implementation (2010) · cites this paper as Aarons, Wells, Zagursky, Fettes, & Palinkas (2009)
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“Whether an EBP is part of new services, being integrated into existing services, or replacing existing funded services, fiscal resource availability is critical (Aarons et al. 2009).”
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- Authors
- Aarons, G. A., Wells, R. S., Zagursky, K., Fettes, D. L., & Palinkas, L. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2009-11
- Volume
- 99
- Issue
- 11
- Pages
- 2087-2095
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2759812
- OpenAlex
- W1965434963
- Cited by
- 299
- References
- 62
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 12 · 2023: 7 · 2022: 16 · 2021: 29 · 2020: 32 · 2019: 28 · 2018: 20 · 2017: 20 · 2016: 18 · 2015: 27 · 2014: 22 · 2013: 18 · 2012: 14
- FWCI
- 21.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R03MH070703, R01MH072961)
- 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 barriers and facilitators, community mental health services, youth mental health, stakeholder perspectives, county officials, agency directors, program managers, clinical staff, office workers, consumers, implementation theory
- MeSH terms
- Adolescent, California, Community Mental Health Services, Community-Institutional Relations, Community Participation, Female, Humans, Male, Organizational Case Studies, Evidence-Based Practice
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