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Published in: Administration and Policy in Mental Health and Mental Health Services Research 3/2011

01-05-2011 | Original Paper

Implementing Evidence-Based Practices for Youth in an HMO: The Roles of External Ratings and Market Share

Authors: John Hamilton, Eric Daleiden, Sue Dopson

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2011

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Abstract

A qualitative study of child clinicians in a non-profit HMO examined implementation of evidence-based practices (EBPs) for anxiety and oppositional defiant disorders using interviews and focus groups with 33 clinicians (97% of participants), and ethnography of emails and meetings. Analysis showed statistical measures of access and service—key elements of rating organizations’ “report cards”— were central in creating “pressure” making transition to EBPs difficult. EBPs were secondary to access and service targets. “Research” and “statistics” were perceived as unrealistic, “literature” as lacking authority. Rating organizations should include outcome and fidelity metrics to align market share pressures with children’s health.
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Metadata
Title
Implementing Evidence-Based Practices for Youth in an HMO: The Roles of External Ratings and Market Share
Authors
John Hamilton
Eric Daleiden
Sue Dopson
Publication date
01-05-2011
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2011
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-011-0343-2

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