Full Text Full Text (PDF) Supplemental appendix Additional acknowledgment Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Isett, K. R. Articles by Goldman, H. H. Search for Related Content PubMed Citation Articles by Isett, K. R. Articles by Goldman, H. H. Quality of Care, Practice Guidelines Related Articles

The State Policy Context of Implementation Issues for Evidence-Based Practices in Mental Health

OBJECTIVES: This study analyzed implementation issues related to several evidence-based practices for adults with serious mental illness that were included in a national demonstration project. The five evidence-based practices included in this investigation are assertive community treatment, family psychoeducation, illness management and recovery, integrated dual diagnosis treatment, and supported employment. The objective of the study was to assess the role of state mental health authorities as agents of change. METHODS: Two-person teams conducted interviews with state mental health authorities, consumers, families, representatives of local mental health authorities, and representatives of other relevant state agencies—more than 30 individuals at each of the eight sites. Interviews took place at two time points at least one year apart and probed the facilitators and barriers to implementation at the state level. Data were assessed qualitatively to identify common trends and issues across states related to leadership, training, and regulatory issues for each evidence-based practice. RESULTS: Each of the five practices has different critical contingencies for statewide implementation and requires unique assets to address those contingencies by the state mental health authorities. The contingencies are related to these critical areas: financing and regulations, leadership, and training and quality. CONCLUSIONS: States are key to implementing evidence-based practices, but state mental health authorities should note that each of the practices requires different skill sets and involves different stakeholders. Thus implementing many evidence-based practices at once may not yield economies of scale.

Related Articles:

A Family Psychoeducation Group Program for Chinese People With Schizophrenia in Hong Kong

Wai Tong Chien and Ka-Fai Wong
Psychiatr Serv 2007 58: 1003-1006. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

				T. Marshall, C. A. Rapp, D. R. Becker, and G. R. Bond Key Factors for Implementing Supported Employment Psychiatr Serv, August 1, 2008; 59(8): 886 - 892. [Abstract] [Full Text] [PDF]

				L. A. Palinkas, S. K. Schoenwald, K. Hoagwood, J. Landsverk, B. F. Chorpita, and J. R. Weisz An Ethnographic Study of Implementation of Evidence-Based Treatments in Child Mental Health: First Steps Psychiatr Serv, July 1, 2008; 59(7): 738 - 746. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2007 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us