Evidence-based practices: setting the context and responding to concerns

Essock, Susan M.; Goldman, Howard H.; Tosh, Laura Van; Anthony, William A.; Appell, Charity R; Bond, Gary R.; Dixon, Lisa B.; Dunakin, Linda K.; Ganju, Vijay; Gorman, Paul; Ralph, Ruth O.; Rapp, Charles A.; Teague, Gregory B.; Drake, Robert E.

doi:10.1016/s0193-953x(03)00069-8

Cited by 76 publications

(73 citation statements)

References 16 publications

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“…The criticisms of the EBP movement have been strong and widespread (Essock et al, 2003). They have included many valid and thoughtful critiques exposing deficiencies in the basic conceptualization as well as criticisms of specific EBPs.…”

Section: Criticisms Of Evidence-based Practicesmentioning

confidence: 99%

How Evidence-Based Practices Contribute to Community Integration

Bond

Salyers

Rollins

et al. 2004

Community Ment Health J

157

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Since the groundbreaking work of the Robert Wood Johnson Conference in 1998 identifying six evidence-based practices (EBPs) for people with severe mental illness (SMI), the mental health field has moved in the direction of re-examination and redesign of service systems. Surprisingly, one area that has not been fully explicated is the role that EBPs play in promoting community integration. In this paper, we explain how community integration is a unifying concept providing direction and vision for community mental health for people with SMI. As one crucial aspect of the recovery process, community integration clarifies the link between EBPs and recovery. We propose an alternate view, grounded in the empirical literature, to the assertion by Anthony, Rogers, and Farkas [2003, Community Mental Health Journal, 39, 101-114] that ''EBP research has rarely demonstrated a positive impact on recovery related outcomes.'' Gary R. Bond and Michelle P. Salyers are affiliated with the

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Section: Criticisms Of Evidence-based Practicesmentioning

confidence: 99%

How Evidence-Based Practices Contribute to Community Integration

Bond

Salyers

Rollins

et al. 2004

Community Ment Health J

157

View full text Add to dashboard Cite

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“…Correlation analyses and multilevel hierarchical regressions, controlling for effects of provider characteristics, showed that constructive culture was associated with more positive attitudes toward adoption of EBP and poor organizational climates with perceived divergence of usual practice and EBP. Behavioral health organizations may benefit from consideration of how culture and climate affect staff attitudes toward change in practice.Keywords organizational culture; climate; evidence-based practice; attitudes; implementation There is growing momentum to move evidence-based mental health interventions into realworld practice settings (Burns, 2003;Essock et al, 2003;Glisson, 2002;Goldman et al, 2001;Ringeisen & Hoagwood, 2002). Although there is a considerable literature on organizational factors associated with implementation of innovation in business settings (Frambach & Schillewaert, 2002;Klein, & Sorra, 1996) little research has examined organizational factors that may facilitate or hinder the implementation of evidence-based practice (EBP) in mental health settings.…”

mentioning

confidence: 99%

Organizational culture and climate and mental health provider attitudes toward evidence-based practice.

Aarons

Sawitzky

2006

Psychological Services

393

336

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Mental health provider attitudes toward adopting evidence-based practice (EBP) are associated with organizational context and provider individual differences. Organizational culture and climate are contextual factors that can affect staff acceptance of innovation. This study examined the association of organizational culture and climate with attitudes toward adopting EBP. Participants were 301 public sector mental health service providers from 49 programs providing mental health services for youths and families. Correlation analyses and multilevel hierarchical regressions, controlling for effects of provider characteristics, showed that constructive culture was associated with more positive attitudes toward adoption of EBP and poor organizational climates with perceived divergence of usual practice and EBP. Behavioral health organizations may benefit from consideration of how culture and climate affect staff attitudes toward change in practice.Keywords organizational culture; climate; evidence-based practice; attitudes; implementation There is growing momentum to move evidence-based mental health interventions into realworld practice settings (Burns, 2003;Essock et al., 2003;Glisson, 2002;Goldman et al., 2001;Ringeisen & Hoagwood, 2002). Although there is a considerable literature on organizational factors associated with implementation of innovation in business settings (Frambach & Schillewaert, 2002;Klein, & Sorra, 1996) little research has examined organizational factors that may facilitate or hinder the implementation of evidence-based practice (EBP) in mental health settings. Research focusing specifically on the implementation of EBP in mental health settings can inform policymakers, administrators, providers, and researchers about factors that facilitate or hinder the implementation process. A better understanding of such factors can lead to the development of optimal implementation strategies tailored to specific organizational and service contexts.The study of attitudes toward EBP is in its infancy. The recently developed Evidence-Based Practice Attitude Scale (EBPAS; Aarons, 2004) The context into which EBPs are implemented is often complex and recently proposed models identify organizational factors that may facilitate or hinder the implementation of EBP and innovation in mental health settings (Aarons, 2005; Burns & Hoagwood, 2005). Studies have also identified a number of constructs thought to be important in effective implementation of innovation in organizations (Damanpour, 1991;Frambach & Schillewaert, 2002;Glisson, 2002) In particular, organizational culture and climate are two factors thought to influence attitudes toward adoption of innovation in general, and EBP in particular (Aarons, 2005). Management may decide to adopt an innovation but individual acceptance of an innovation is proposed to rely on both organizational and individual factors (Moore, 2002;Rogers, 1995) and to affect the degree to which EBPs are implemented with fidelity and competence. The present study focuses on th...

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Section: Introductionmentioning

confidence: 99%

“…[5][6] Some of the most pressing questions pertain to what type of organizations are "ready" for EBT implementation, 7 and relatedly, how cultural factors may affect the generalizability and implementation of EBTs. [5][6] Few studies have sought to evaluate these questions internationally, where the challenges may be multiplied by a host of logistic, cultural, and organizational variables. Feasibility studies, particularly when working cross-culturally, are an important first step, [8][9] and can lend valuable information on the types of organizational adaptations necessary to enable successful implementation of EBTs into real-world settings.…”

Section: Introductionmentioning

confidence: 99%

An examination of cross-cultural systems implementing evidence-based assessment and intervention approaches

Murray

Fayyad

Jensen

et al. 2006

Rev. Bras. Psiquiatr.

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An examination of cross-cultural systems implementing evidence-based assessment and intervention approaches Exame dos sistemas transculturais que implementam estratégias de intervenção e avaliação baseadas em evidências A b s t r a c t Implementation of evidence-based assessment and intervention approaches for youth with behavioral and/or emotional problems is rising to recognition worldwide. Feasibility research is critical to examine what characteristics of systems allow for success or barriers to the implementation of evidence-based practices into real-world settings, especially when working cross-culturally. This paper briefly reviews the experience of 4 international sites to understand how the overall structure and specific site variables directed the implementation of the World Health Organization and the World Psychiatry Association project. Discussion includes a thematic summary of the successes and challenges experienced by the sites, and future directions of feasibility studies.Keywords: Evidence-based medicine; Outcome and process assessment (Health care); Feasibility studies; Cross-cultural comparison; Case-control study Resumo A implementação de estratégias de intervenção e avaliação baseadas em evidências para jovens com problemas comportamentais e/ou emocionais está assumindo reconhecimento internacional. Estudos de praticabilidade são críticos para examinar quais características dos sistemas permitem êxito ou se constituem em barreiras para a implementação de práticas baseadas em evidências em instituições do mundo real, especialmente quando trabalhando de forma transcultural. Este estudo revisa brevemente a experiência de quatro localidades internacionais para compreender como a estrutura geral e as variáveis específicas da localidade orientaram a implementação do projeto da Organização Mundial de Saúde e da Associação Mundial de Psiquiatria. A discussão inclui um resumo temático dos êxitos e desafios vivenciados pelas localidades e os caminhos futuros de estudos de praticabilidade.Descritores: Medicina baseada em evidências; Avaliação de processos e resultados (Cuidados da saúde); Estudos de praticabilidade; Comparação transcultural; Estudo de caso controle

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Evidence-based practices: setting the context and responding to concerns

Cited by 76 publications

References 16 publications

How Evidence-Based Practices Contribute to Community Integration

How Evidence-Based Practices Contribute to Community Integration

Organizational culture and climate and mental health provider attitudes toward evidence-based practice.

An examination of cross-cultural systems implementing evidence-based assessment and intervention approaches

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