Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies

被引:118
作者
Bond, Gary R. [1 ]
Drake, Robert E. [1 ]
McHugo, Gregory J. [1 ]
Peterson, Alison E. [1 ]
Jones, Amanda M. [2 ]
Williams, Jessica [2 ]
机构
[1] Rivermill Commercial Ctr, Geisel Sch Med Dartmouth, Dartmouth Psychiat Res Ctr, Lebanon, NH 03766 USA
[2] MANILA Consulting Grp Inc, Mclean, VA USA
关键词
Sustainability; Implementation; Evidence-based practices; SUPPORTED EMPLOYMENT; DISORDERS TREATMENT; ILLNESS MANAGEMENT; PRACTICE PROJECT; IMPLEMENTATION; FACILITATORS; SETTINGS; BARRIERS; RECOMMENDATIONS; ORGANIZATIONS;
D O I
10.1007/s10488-012-0461-5
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
This study examined rates of sustainability, defined as program continuation, and factors associated with sustainability 6 years after full implementation of five evidence-based practices in 49 sites in the National Implementing Evidence-Based Practices Project. Based on interviews with agency leaders and state leaders, 47 % of sites sustained the practice for 6 years, 16 % restarted the practice after a period of discontinuation, and 37 % discontinued the practice permanently. Agency leaders from discontinuing sites identified inadequate financial support, lack of prioritization, and workforce issues as barriers to continuation. Adequate financing, ongoing supervision, and monitoring of fidelity and outcome may promote long-term sustainability.
引用
收藏
页码:228 / 236
页数:9
相关论文
共 22 条
[1]  
[Anonymous], 2003, Diffusion of Innovations
[2]  
Atlas.ti 2.0, 2002, ATL TI 2 0
[3]   Fidelity of supported employment: Lessons learned from the National Evidence Based Practice Project [J].
Bond, Gary R. ;
McHugo, Gregory J. ;
Becker, Deborah R. ;
Rapp, Charles A. ;
Whitley, Rob .
PSYCHIATRIC REHABILITATION JOURNAL, 2008, 31 (04) :300-305
[4]   Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US [J].
Bond, Gary R. ;
Drake, Robert E. ;
Becker, Deborah R. .
WORLD PSYCHIATRY, 2012, 11 (01) :32-39
[5]  
Brown JD, 2012, EVIDENCE BASED PRACT
[6]   Implementation of integrated dual disorders treatment: A qualitative analysis of facilitators and barriers [J].
Brunette, Mary F. ;
Asher, Dianne ;
Whitley, Rob ;
Lutz, Wilma J. ;
Wieder, Barbara L. ;
Jones, Amanda M. ;
McHugo, Gregory J. .
PSYCHIATRIC SERVICES, 2008, 59 (09) :989-995
[7]   A Guiding Framework and Approach for Implementation Research in Substance Use Disorders Treatment [J].
Damschroder, Laura J. ;
Hagedorn, Hildi J. .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 2011, 25 (02) :194-205
[8]  
Fixsen D., 2005, Implementation Research: A Synthesis of the Literature, V97
[9]   Diffusion of innovations in service organizations: Systematic review and recommendations [J].
Greenhalgh, T ;
Robert, G ;
Macfarlane, F ;
Bate, P ;
Kyriakidou, O .
MILBANK QUARTERLY, 2004, 82 (04) :581-629
[10]  
Karakus M., 2011, Federal financing of supported employment and customized employment for people with mental illnesses: A final report