Challenges in implementing evidence-based practice into mental health services

Deane, Frank P.; Crowe, Trevor P; King, Robert; Kavanagh, David J.; Oades, Lindsay G.

doi:10.1071/ah060305

Cited by 34 publications

(33 citation statements)

References 13 publications

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“…The authors note that stronger leadership would have contributed to improved results. 41 Conversely, in a study of protocol implementation in the long-term care setting in Ontario, Canada, direct and open communication of the need for change between leaders and the staff who would be carrying out the change was found to be key to the success of the project. 7…”

Section: Staff Qualificationsmentioning

confidence: 99%

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How do health care organizations take on best practices? A scoping literature review

Innis

Dryden-Palmer

Perreira

et al. 2015

International Journal of Evidence-Based Healthcare

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Several gaps were identified by this review. There is a lack of research on how evidence-based practices may be sustained by organizations. Most of the research done to date has been cross-sectional. Longitudinal research would give insight into the relationship between organizational characteristics and the uptake, implementation, and sustainability of evidence-based practice. In addition, although it is clear that financial resources are required to implement evidence-based practice, existing studies contain a lack of detail about the cost of adopting and using new practices. This scoping review contains a number of implications for healthcare administrators, managers, and providers to consider when adopting and implementing evidence-based practices in healthcare organizations.

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Section: Staff Qualificationsmentioning

confidence: 99%

“…In particular, there were 'clinical' and 'disability support' mental health workers within the organization, and disagreements about the responsibilities of both roles was found to be a challenge to adoption of the new care model. 41 …”

Section: Standardization Of Processesmentioning

confidence: 99%

How do health care organizations take on best practices? A scoping literature review

Innis

Dryden-Palmer

Perreira

et al. 2015

International Journal of Evidence-Based Healthcare

View full text Add to dashboard Cite

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“…It has been noted in the literature that case managers act as "gatekeepers" regarding access to evidence-based practices, including support services and other programs for people experiencing mental illness, sometimes limiting such access (Deane, Crowe, King, Kavanagh, & Oades, 2006). It is likely that staff play this role similarly, by extension, for the carers of people experiencing FEP.…”

Section: Psychoeducation and Group Interventions For First Episode Psmentioning

confidence: 99%

Family Perceptions of Benefits and Barriers to First Episode Psychosis Carer Group Participation

Petrakis

Bloom²,

Oxley

2014

Social Work in Mental Health

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Families play an important role in relapse-prevention following a person's first psychotic episode.To evaluate an open-ended family group intervention within a public adult mental health service, semi-structured interviews were conducted with: (1) carers who continually attended; (2) carers who attended once only; (3) carers who never attended; (4) case managers and (5) early psychosis clinicians. Benefits to group participation included: reduced isolation, sense of collective experience, opportunity to feel heard, reduced stigma and shame, increased knowledge about mental illness, and enhanced skills in supporting the care recipient. Barriers included: competing family and work commitments, applicability to own experiences of caring, discomfort with social situations and revealing and hearing emotions, and a belief that experiences are private. While attending the group increased knowledge, the benefits most emphasized were in the social connection with other carers and sharing one's story in a safe and reassuring environment.

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“…This training was based on a philosophy that people with such mental illnesses have the capacity to lead meaningful and productive lives while continuing to experience significant symptoms of their illness. The team has been delivering recovery-based training for mental health clinicians and support workers from public and non-government organisations throughout Australia routinely since 2003, as part of an National Health and Medical Research Council funded research project called Australian Integrated Mental Health Initiative (AIMhi) Deane et al, 2006;Oades et al, 2005). However, training clinicians has not ensured the routine implementation of recovery based practice, with significant difficulties with the transfer of training.…”

Section: Recovery In Australiamentioning

confidence: 99%

Recovery: an international perspective

Slade

Amering

Oades

2008

Epidemiol Psichiatr Soc

328

249

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SummaryAims– To review developments in recovery-focussed mental health services internationally.Methods– Two forms of ‘recovery’ which have been used in the literature are considered, and international examples of recovery-focussed initiatives reviews. A ‘litmus test’ for a recovery-focussed service is proposed.Results– ‘Clinical recovery’ has emerged from professional literature, focuses on sustained remission and restoration of functioning, is invariant across individuals, and has been used to establish rates of recovery. ‘Personal recovery’ has emerged from consumer narratives, focuses on living a satisfying, hopeful and contributing life even with limitations caused by the illness, varies across individuals, and the empirical evidence base relates to stages of change more than overall prevalence rates. Clinical and personal recovery are different. Two innovative, generalisable and empirically investigated examples are given of implementing a focus on personal recovery: the Collaborative Recovery Model in Australia, and Trialogues in German-speaking Europe. The role of medication is an indicator: services in which all service users are prescribed medication, in which the term ‘compliance’ is used, in which the reasoning bias is present of attributing improvement to medication and deterioration to the person, and in which contact with and discussion about the service user revolves around medication issues, are not personal recovery-focussed services.Conclusions– The term ‘Recovery’ has been used in different ways, so conceptual clarity is important. Developing a focus on personal recovery is more than a cosmetic change – it will entail fundamental shifts in the values of mental health services.Declaration of Interest: None.

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Challenges in implementing evidence-based practice into mental health services

Cited by 34 publications

References 13 publications

How do health care organizations take on best practices? A scoping literature review

How do health care organizations take on best practices? A scoping literature review

Family Perceptions of Benefits and Barriers to First Episode Psychosis Carer Group Participation

Recovery: an international perspective

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