Document Detail


Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies.
MedLine Citation:
PMID:  24772411     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs) in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38) supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.
Authors:
Caroline A Bonham; David Sommerfeld; Cathleen Willging; Gregory A Aarons
Publication Detail:
Type:  Journal Article     Date:  2014-03-03
Journal Detail:
Title:  Psychiatry journal     Volume:  2014     ISSN:  2314-4327     ISO Abbreviation:  Psychiatry J     Publication Date:  2014  
Date Detail:
Created Date:  2014-04-28     Completed Date:  2014-04-28     Revised Date:  2014-05-07    
Medline Journal Info:
Nlm Unique ID:  101607838     Medline TA:  Psychiatry J     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  802983     Citation Subset:  -    
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