This study reports on a qualitative study of barriers to EBP implementation in one state that sought to implement supported employment and integrated dual diagnosis treatment. The study found that the most significant obstacles emanated from the behavior of supervisors, front-line staff and other professionals in the agency. A lack of synergy profoundly impeded implementation.
The study results offer promising evidence that higher SMCM fidelity has a positive effect on clients over an 18-month period, thereby providing an effective complement to current mental health treatment.
This study reports on the strategies used to implement the evidence-based practices of supported employment and integrated dual diagnosis treatment. Using qualitative research methods, the study uncovered eight strategies that contributed to successful implementation in six sites.
Results suggest that four interrelated factors contributed to whether agencies successfully implemented Outcome Monitoring-agency data collection methods, agency culture, practitioner skill, and how well "consumer outcomes" are defined.
This study assessed the level of agreement among expert's opinion of the critical ingredients of the strengths model of case management. Twenty-eight experts rated the "significance" to the model of 72 elements/behaviors thought to be important and 8 distracter elements. There were also five open-ended questions asking for opinions on agency structure, service delivery, etc. The results found an extremely high agreement among the experts on virtually all items.
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