Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system
Abstract Background System-wide training initiatives to support and implement evidence-based practices (EBPs) in behavioral health systems have become increasingly widespread. Understanding more about organizations who do not participate in EBP training initiatives is a critical piece of the dissemi...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13012-017-0598-4 |
| _version_ | 1818839628752355328 |
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| author | Rebecca E. Stewart Danielle R. Adams David S. Mandell Gayatri Nangia Lauren Shaffer Arthur C. Evans Ronnie Rubin Shawna Weaver Trevor R. Hadley Rinad S. Beidas |
| author_facet | Rebecca E. Stewart Danielle R. Adams David S. Mandell Gayatri Nangia Lauren Shaffer Arthur C. Evans Ronnie Rubin Shawna Weaver Trevor R. Hadley Rinad S. Beidas |
| author_sort | Rebecca E. Stewart |
| collection | DOAJ |
| description | Abstract Background System-wide training initiatives to support and implement evidence-based practices (EBPs) in behavioral health systems have become increasingly widespread. Understanding more about organizations who do not participate in EBP training initiatives is a critical piece of the dissemination and implementation puzzle if we endeavor to increase access in community settings. Methods We conducted 30 1-h semi-structured interviews with leaders in non-participating agencies who did not formally participate in system-wide training initiatives to implement EBPs in the City of Philadelphia, with the goal to understand why they did not participate. Results We found that despite not participating in training initiatives, most agencies were adopting (and self-financing) some EBP implementation. Leadership from agencies that were implementing EBPs reported relying on previously trained staff to implement EBPs and acknowledged a lack of emphasis on fidelity. Most leaders at agencies not adopting EBPs did not have a clear understanding of what EBP is. Those familiar with EBPs in agencies not adopting EBPs reported philosophical objections to EBPs. When asked about quality assurance and treatment selection, leaders reported being guided by system audits. Conclusions While it is highly encouraging that many agencies are adopting EBPs on their own, significant questions about fidelity and implementation success more broadly remain. |
| first_indexed | 2024-12-19T03:57:19Z |
| format | Article |
| id | doaj.art-1f0c170ccce041cd95f1b341a2b8a23c |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-12-19T03:57:19Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-1f0c170ccce041cd95f1b341a2b8a23c2022-12-21T20:36:48ZengBMCImplementation Science1748-59082017-05-011211810.1186/s13012-017-0598-4Non-participants in policy efforts to promote evidence-based practices in a large behavioral health systemRebecca E. Stewart0Danielle R. Adams1David S. Mandell2Gayatri Nangia3Lauren Shaffer4Arthur C. Evans5Ronnie Rubin6Shawna Weaver7Trevor R. Hadley8Rinad S. Beidas9Department of Psychiatry, University of Pennsylvania Perelman School of MedicineDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineCommunity Behavioral HealthCommunity Behavioral HealthDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineAbstract Background System-wide training initiatives to support and implement evidence-based practices (EBPs) in behavioral health systems have become increasingly widespread. Understanding more about organizations who do not participate in EBP training initiatives is a critical piece of the dissemination and implementation puzzle if we endeavor to increase access in community settings. Methods We conducted 30 1-h semi-structured interviews with leaders in non-participating agencies who did not formally participate in system-wide training initiatives to implement EBPs in the City of Philadelphia, with the goal to understand why they did not participate. Results We found that despite not participating in training initiatives, most agencies were adopting (and self-financing) some EBP implementation. Leadership from agencies that were implementing EBPs reported relying on previously trained staff to implement EBPs and acknowledged a lack of emphasis on fidelity. Most leaders at agencies not adopting EBPs did not have a clear understanding of what EBP is. Those familiar with EBPs in agencies not adopting EBPs reported philosophical objections to EBPs. When asked about quality assurance and treatment selection, leaders reported being guided by system audits. Conclusions While it is highly encouraging that many agencies are adopting EBPs on their own, significant questions about fidelity and implementation success more broadly remain.http://link.springer.com/article/10.1186/s13012-017-0598-4Evidence-based practicesSystem-levelPolicyTraining initiativesFidelity |
| spellingShingle | Rebecca E. Stewart Danielle R. Adams David S. Mandell Gayatri Nangia Lauren Shaffer Arthur C. Evans Ronnie Rubin Shawna Weaver Trevor R. Hadley Rinad S. Beidas Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system Implementation Science Evidence-based practices System-level Policy Training initiatives Fidelity |
| title | Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system |
| title_full | Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system |
| title_fullStr | Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system |
| title_full_unstemmed | Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system |
| title_short | Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system |
| title_sort | non participants in policy efforts to promote evidence based practices in a large behavioral health system |
| topic | Evidence-based practices System-level Policy Training initiatives Fidelity |
| url | http://link.springer.com/article/10.1186/s13012-017-0598-4 |
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