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Presented at the 18th Annual Research Conference

Implementing Evidence-Based Practices in Publicly-Funded Clinics

Download Handouts: 176kb pdf

Session Number: 06 Room: Salon I

Presentation Type: symposium

Chair: Teresa L. Kramer Discussant: Heather Ringeisen

Synopsis: The mental health care system is in need of substantial retooling to offer evidence-based practices (EBP) for youth and families. Organizational, provider, and consumer factors influence successful implementation of EBP, yet there are few conceptual models to guide this work or innovative methods to systematically assess the initiation and process of change at each level. Presentations in this symposium highlight emerging areas in the implementation of EBP in public sector programs. It is anticipated that a multiple case study approach in which the process of EBP adoption and relevant variables are compared will contribute to theory building for EBP diffusion.

Date: Monday, March 7, 2005

Session Time: 10:15 AM - 11:45 AM

Initial Assessment of Adoption Barriers to EBP Treatment for Adolescents with Co-Occurring Psychiatric and Substance Use Disorders

We're sorry, handouts are not available for this presentation.

Presenting: J. Randy Koch

All Authors for this paper: J. Randy Koch; Teresa Kramer; Robert Cohen; Shirley Ricks

Presentation Type: element of symposium

Synopsis: A survey was conducted of the statewide network of publicly-funded behavioral healthcare agencies in Virginia (N = 40) to obtain preliminary information about the prevalence of co-occurring disorders among adolescents served, the extent to which evidence-based treatments are available to youth, and the barriers to their adoption. The results indicate receptivity to adoption of evidence-based practices among clinical staff, but lack of staff time, resources required for training and program implementation, complexity of treatment models and staff commitment to other treatment models are significant barriers. Implications for state-level dissemination efforts will be discussed.

Changes in Attitudes: New Research on Evidence-Based Practice Implementation

Download Handouts: 162kb pdf

Presenting: Gregory Aarons

All Authors for this paper: Gregory Aarons; Michael Hurlburt

Presentation Type: element of symposium

Synopsis: Models of innovation implementation from business and organizational settings can inform the processes used in implementing evidence-based practices (EBPs) in community mental health settings. Evidence-based practice implementation (EBPI) is affected by and affects organizations, providers, and consumers. A recent model of EBPI will be described and data from two studies will be presented. The first study examines factors associated with provider attitudes toward EBP. The second study presents preliminary data examining contextual and individual factors in a statewide EBP implementation. Both studies inform the proposed theoretical model. Conceptual issues, measurement of key constructs, and preliminary results are discussed.

Adoption and Confirmation Stages of CBT Implementation

Download Handouts: 340kb pdf

Presenting: Teresa Kramer

All Authors for this paper: Teresa Kramer; Barbara Burns

Presentation Type: element of symposium

Synopsis: Science-to-practice models have used diffusion theory to describe the stages associated with implementation of evidence-based practices (EBP). In this study, cognitive behavioral therapy (CBT) for adolescent depression was examined from implementation to confirmation stages in two public-funded clinics. Clinicians were randomized into usual care (n = 10) versus CBT training (n = 9). Five of the trained clinicians treated 11 eligible adolescents using CBT, and only two clinicians continued to provide CBT as trained in the confirmation stage. Multiple inhibiting or activating variables at each phase influenced implementation or confirmation. Findings from this study have numerous implications for practice.

The Innovation Diffusion and Adoption Research Project (IDARP): Moving from the Diffusion of Research Results to Promoting the Adoption of Evidence-Based Innovations in the Ohio Mental Health System

Download Handouts: 391kb pdf

Presenting: Phyllis Panzano

All Authors for this paper: Phyllis Panzano

Presentation Type: element of symposium

Synopsis: Ohio's Innovation Diffusion and Adoption Research Project (IDARP) examines factors that influence organizations' decisions to adopt evidence-based practices (EBPs), and the success of EBPs among adopting organizations. Data gathered over two years involving ninety-one projects provide support for our four research models. Analyses suggest: (1) the decision to adopt an EBP is a risky decision, (2) factors at multiple levels from EBP characteristics to environmental variables influence implementation outcomes, (3) attributes of the decision and decision process have enduring effects on implementation success and, (4) climate for implementation must be maintained in order for the success of EBPs to be sustained.