Facilitators and Barriers Associated With Implementation of Evidence-Based Psychotherapy in Community Settings

被引:24
作者
Stein, Bradley D. [1 ,2 ]
Celedonia, Karen L. [1 ]
Kogan, Jane N. [3 ]
Swartz, Holly A. [3 ]
Frank, Ellen [3 ]
机构
[1] RAND Corp, Pittsburgh, PA USA
[2] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA USA
[3] Univ Pittsburgh, Med Ctr, Ctr High Value Hlth Care, Pittsburgh, PA USA
基金
美国国家卫生研究院;
关键词
SOCIAL RHYTHM THERAPY; BIPOLAR-I DISORDER; OUTCOMES; DISSEMINATION; ADOPTION; QUALITY; SYSTEMS; CHILD;
D O I
10.1176/appi.ps.201200508
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: Despite widespread use of individual outpatient psychotherapies among community mental health centers (CMHCs), few studies have examined implementation of these psychotherapies. This exploratory qualitative study identified key themes associated with the implementation of an empirically supported psychotherapy in CMHCs. Methods: The authors conducted semistructured interviews with 12 key informants from four CMHCs that had implemented interpersonal and social rhythm therapy (IPSRT). Their responses were categorized into key themes. Results: Five major themes were identified: pretraining familiarity with IPSRT, administrative support for implementation, IPSRT fit with usual practice and clinic culture, implementation team and plan, and supervision and consultation. Discussion of these themes varied among participants from clinics considered successful or unsuccessful implementers. Conclusions: Participants identified both key themes and several strategies for facilitating implementation. The findings suggest that when these key factors are present, outcome-enhancing treatments can be implemented and sustained, even in clinics with limited resources.
引用
收藏
页码:1263 / 1266
页数:4
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