Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 4/2007

01-07-2007 | Original Paper

Implementation of Evidence-based Practice in Child Welfare: Service Provider Perspectives

Authors: Gregory A. Aarons, Lawrence A. Palinkas

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 4/2007

Login to get access

Abstract

Implementation of evidence-based practices (EBP) in child welfare is a complex process that is often fraught with unanticipated events, conflicts, and resolutions. To some extent, the nature of the process, problems, and solutions may be dependent on the perspectives and experiences of a given stakeholder group. In order to better understand the implementation process in the child-welfare system, we interviewed comprehensive home-based services (CHBS) case managers who were actively engaged in implementing an EBP to reduce child neglect in a state youth services system. Six primary factors were identified as critical determinants of EBP implementation: (1) Acceptability of the EBP to the caseworker and to the family, (2) Suitability of the EBP to the needs of the family, (3) Caseworker motivations for using the EBP, (4) Experiences with being trained in the EBP, (5) Extent of organizational support for EBP implementation, and (6) Impact of EBP on process and outcome of services. These factors reflect two broader themes of attitudes toward or assessments of the EBP itself and experiences with learning and delivering the EBP. Eventual implementation is viewed as the consequence of perseverance, experience, and flexibility.
Literature
go back to reference Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74.PubMedCrossRef Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74.PubMedCrossRef
go back to reference Aarons, G. A. (2005). Measuring provider attitudes toward evidence-based practice: Organizational context and individual differences. Child and Adolescent Psychiatric Clinics of North America, 14, 255–271.PubMedCrossRef Aarons, G. A. (2005). Measuring provider attitudes toward evidence-based practice: Organizational context and individual differences. Child and Adolescent Psychiatric Clinics of North America, 14, 255–271.PubMedCrossRef
go back to reference Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57(8), 1162–1169.PubMedCrossRef Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57(8), 1162–1169.PubMedCrossRef
go back to reference Aarons, G. A. & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 3(1), 61–72.PubMedCrossRef Aarons, G. A. & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 3(1), 61–72.PubMedCrossRef
go back to reference Backer, T. E., Liberman, R. P., & Kuehnel, T. G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting & Clinical Psychology. Special Issue: Psychotherapy Research, 54(1), 111–118. Backer, T. E., Liberman, R. P., & Kuehnel, T. G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting & Clinical Psychology. Special Issue: Psychotherapy Research, 54(1), 111–118.
go back to reference Baron, J. N., Hannan, M. T., & Burton, M. D. (2001). Labor pains: Change in organizational models and employee turnover in young, high-tech firms. American Journal of Sociology, 106(4), 960–1012.CrossRef Baron, J. N., Hannan, M. T., & Burton, M. D. (2001). Labor pains: Change in organizational models and employee turnover in young, high-tech firms. American Journal of Sociology, 106(4), 960–1012.CrossRef
go back to reference Barriere, M. T., Anson, B. R., Ording, R. S., & Rogers, E. (2002). Culture transformation in a health care organization: A process for building adaptive capabilities through leadership development. Consulting Psychology Journal: Practice & Research, 54(2), 116–130.CrossRef Barriere, M. T., Anson, B. R., Ording, R. S., & Rogers, E. (2002). Culture transformation in a health care organization: A process for building adaptive capabilities through leadership development. Consulting Psychology Journal: Practice & Research, 54(2), 116–130.CrossRef
go back to reference Bickman, L., Heflinger, C. A., Lambert, E. W., & Summerfelt, W. T. (1996). The Fort Bragg managed care experiment: Short term impact on psychopathology. Journal of Child & Family Studies, 5(2), 137–160.CrossRef Bickman, L., Heflinger, C. A., Lambert, E. W., & Summerfelt, W. T. (1996). The Fort Bragg managed care experiment: Short term impact on psychopathology. Journal of Child & Family Studies, 5(2), 137–160.CrossRef
go back to reference Bishop, A., & Dougherty, R. (2005). Implementing CQI at the healthcare provider level. Behavioral Healthcare Tomorrow, 14(1), 38–39. Bishop, A., & Dougherty, R. (2005). Implementing CQI at the healthcare provider level. Behavioral Healthcare Tomorrow, 14(1), 38–39.
go back to reference Bro, F., & Kragstrup, J. (2003). From black box to complex adaptive system. Scandinavian Journal of Primary Health Care, 21(1), 1.PubMedCrossRef Bro, F., & Kragstrup, J. (2003). From black box to complex adaptive system. Scandinavian Journal of Primary Health Care, 21(1), 1.PubMedCrossRef
go back to reference Burns, B. J. (2003). Children and evidence-based practice. Psychiatric Clinics of North America, 26(4), 955–970.PubMedCrossRef Burns, B. J. (2003). Children and evidence-based practice. Psychiatric Clinics of North America, 26(4), 955–970.PubMedCrossRef
go back to reference Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child & Family Psychology Review, 2(4), 199–254.CrossRef Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child & Family Psychology Review, 2(4), 199–254.CrossRef
go back to reference Carpinello, S. E., Rosenberg, L., Stone, J., Schwager, M., & Felton, C. J. (2002). New York state’s campaign to implement evidence-based practices for people with serious mental disorders. Psychiatric Services, 53, 153–155.PubMedCrossRef Carpinello, S. E., Rosenberg, L., Stone, J., Schwager, M., & Felton, C. J. (2002). New York state’s campaign to implement evidence-based practices for people with serious mental disorders. Psychiatric Services, 53, 153–155.PubMedCrossRef
go back to reference Cheng, E. W. L., & Ho, D. C. K. (2001). A review of transfer of training studies in the past decade. Personnel Review, 30(1–2), 102–118.CrossRef Cheng, E. W. L., & Ho, D. C. K. (2001). A review of transfer of training studies in the past decade. Personnel Review, 30(1–2), 102–118.CrossRef
go back to reference Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: a distillation and matching model. Mental Health Services Research, 7(1), 5–20.PubMedCrossRef Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: a distillation and matching model. Mental Health Services Research, 7(1), 5–20.PubMedCrossRef
go back to reference Clarke, N. (2002). Job/work environment factors influencing training transfer within a human service agency: Some indicative support for Baldwin and Ford’s transfer climate construct. International Journal of Training & Development, 6(3), 146–162.CrossRef Clarke, N. (2002). Job/work environment factors influencing training transfer within a human service agency: Some indicative support for Baldwin and Ford’s transfer climate construct. International Journal of Training & Development, 6(3), 146–162.CrossRef
go back to reference Dansereau, D. F., & Dees, S. M. (2002). Mapping training: The transfer of a cognitive technology for improving counseling. Journal of Substance Abuse Treatment, 22(4), 219–230.PubMedCrossRef Dansereau, D. F., & Dees, S. M. (2002). Mapping training: The transfer of a cognitive technology for improving counseling. Journal of Substance Abuse Treatment, 22(4), 219–230.PubMedCrossRef
go back to reference Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., et al. (2001). Evidence-based practices for services to families of people with psychiatric disabilities. Psychiatric Services, 52(7), 903–910.PubMedCrossRef Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., et al. (2001). Evidence-based practices for services to families of people with psychiatric disabilities. Psychiatric Services, 52(7), 903–910.PubMedCrossRef
go back to reference Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5(1), 47–52.PubMedCrossRef Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5(1), 47–52.PubMedCrossRef
go back to reference Ferlie, E. B., & Shortell, S. M. (2001). Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q, 79(2), 281–315.PubMedCrossRef Ferlie, E. B., & Shortell, S. M. (2001). Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q, 79(2), 281–315.PubMedCrossRef
go back to reference Filene, J. H., Lutzker, J. R., Hecht, D. B., & Silovsky, J. F. (2005). Project SafeCare: Replicating an ecobehavioral model of child maltreatment prevention. In K. Kendall-Tackett & S. Giacomoni (Eds.), Victimization of children and youth: Patterns of abuse, response strategies. Kingston, NJ: Civic Research Institute, Incorporation. Filene, J. H., Lutzker, J. R., Hecht, D. B., & Silovsky, J. F. (2005). Project SafeCare: Replicating an ecobehavioral model of child maltreatment prevention. In K. Kendall-Tackett & S. Giacomoni (Eds.), Victimization of children and youth: Patterns of abuse, response strategies. Kingston, NJ: Civic Research Institute, Incorporation.
go back to reference Fraser, D. (2000). QSR NVivo NUD*IST Vivo reference guide. Melbourne: QSR International. Fraser, D. (2000). QSR NVivo NUD*IST Vivo reference guide. Melbourne: QSR International.
go back to reference Garland, A. F., Kruse, M., & Aarons, G. A. (2003). Clinicians and outcome measurement: What’s the use? Journal of Behavioral Health Services and Research, 30(4), 393–405.PubMedCrossRef Garland, A. F., Kruse, M., & Aarons, G. A. (2003). Clinicians and outcome measurement: What’s the use? Journal of Behavioral Health Services and Research, 30(4), 393–405.PubMedCrossRef
go back to reference Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2003). Project Safecare: Improving Health, Safety, and Parenting Skills in Families Reported for, and at-Risk for Child Maltreatment. Journal of Family Violence, 18(6), 377–386.CrossRef Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2003). Project Safecare: Improving Health, Safety, and Parenting Skills in Families Reported for, and at-Risk for Child Maltreatment. Journal of Family Violence, 18(6), 377–386.CrossRef
go back to reference Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine de Gruyter. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine de Gruyter.
go back to reference Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93 (8), 1261–1267.PubMedCrossRef Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93 (8), 1261–1267.PubMedCrossRef
go back to reference Glisson, C. (1992). Structure and technology in human service organizations. In Y. E. Hasenfeld (Eds.), Human services as complex organizations (pp. 184–202). Thousand Oaks, CA: Sage Publications, Inc. Glisson, C. (1992). Structure and technology in human service organizations. In Y. E. Hasenfeld (Eds.), Human services as complex organizations (pp. 184–202). Thousand Oaks, CA: Sage Publications, Inc.
go back to reference Glisson, C. (2002). The organizational context of children’s mental health services. Clinical Child and Family Psychology Review, 5(4), 233–253.PubMedCrossRef Glisson, C. (2002). The organizational context of children’s mental health services. Clinical Child and Family Psychology Review, 5(4), 233–253.PubMedCrossRef
go back to reference Grol, R. (2001). Successes and failures in the implementation of evidence-based guidelines for clinical practice. Medical Care, 39(8), 46–54.CrossRef Grol, R. (2001). Successes and failures in the implementation of evidence-based guidelines for clinical practice. Medical Care, 39(8), 46–54.CrossRef
go back to reference Haynes, B., & Haines, A. (1998). Barriers and bridges to evidence based clinical practice. Biomedical Journal, 317, 273–276. Haynes, B., & Haines, A. (1998). Barriers and bridges to evidence based clinical practice. Biomedical Journal, 317, 273–276.
go back to reference Henggeler, S. W., Lee, T., & Burns, J. A. (2002). What happens after the innovation is identified? Clinical Psychology: Science and Practice, 9(2), 191–194.CrossRef Henggeler, S. W., Lee, T., & Burns, J. A. (2002). What happens after the innovation is identified? Clinical Psychology: Science and Practice, 9(2), 191–194.CrossRef
go back to reference Henggeler, S. W., Pickrel, S. G., & Brondino, M. J. (1999). Multisystemic treatment of substance-abusing and -dependent delinquents: Outcomes, treatment fidelity, and transportability. Mental Health Services Research, 1(3), 171–184.PubMedCrossRef Henggeler, S. W., Pickrel, S. G., & Brondino, M. J. (1999). Multisystemic treatment of substance-abusing and -dependent delinquents: Outcomes, treatment fidelity, and transportability. Mental Health Services Research, 1(3), 171–184.PubMedCrossRef
go back to reference Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-Based Practice in Child and Adolescent Mental Health Services. Psychiatric Services, 52(9), 1179–1189.PubMedCrossRef Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-Based Practice in Child and Adolescent Mental Health Services. Psychiatric Services, 52(9), 1179–1189.PubMedCrossRef
go back to reference Hurlburt, M., & Knapp, P. (2003). The new consumers of evidence-based practices: Reflections of providers and families. Data Matters, Special Issue #6, 21–23. Hurlburt, M., & Knapp, P. (2003). The new consumers of evidence-based practices: Reflections of providers and families. Data Matters, Special Issue #6, 21–23.
go back to reference Jankowicz, D. (2000). From "learning organization" to "adaptive organization". Management Learning, 31(4), 471–490.CrossRef Jankowicz, D. (2000). From "learning organization" to "adaptive organization". Management Learning, 31(4), 471–490.CrossRef
go back to reference Jensen, P. S. (2003). Commentary: The next generation is overdue. Journal of the American Academy of Child and Adolescent Psychiatry, 42(5), 527–530.PubMedCrossRef Jensen, P. S. (2003). Commentary: The next generation is overdue. Journal of the American Academy of Child and Adolescent Psychiatry, 42(5), 527–530.PubMedCrossRef
go back to reference Kavanagh, D. J., Spence, S. H., Strong, J., Wilson, J., Sturk, H., & Crow, N. (2003). Supervision practices in allied mental health: Relationships of supervision characteristics to perceived impact and job satisfaction. Mental Health Services Research, 5(4), 187–195.PubMedCrossRef Kavanagh, D. J., Spence, S. H., Strong, J., Wilson, J., Sturk, H., & Crow, N. (2003). Supervision practices in allied mental health: Relationships of supervision characteristics to perceived impact and job satisfaction. Mental Health Services Research, 5(4), 187–195.PubMedCrossRef
go back to reference Klein, K. J., Conn, A. B., & Sorra, J. S. (2001). Implementing computerized technology: An organizational analysis. Journal of Applied Psychology, 86(5), 811–824.PubMedCrossRef Klein, K. J., Conn, A. B., & Sorra, J. S. (2001). Implementing computerized technology: An organizational analysis. Journal of Applied Psychology, 86(5), 811–824.PubMedCrossRef
go back to reference Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080.CrossRef Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080.CrossRef
go back to reference Kroenke, K., Taylor-Vaisey, A., Dietrich, A. J., & Oxman, T. E. (2000). Interventions to improve provider diagnosis and treatment of mental disorders in primary care: A critical review of the literature. Psychosomatics: Journal of Consultation Liasion Psychiatry, 41(1), 39–52. Kroenke, K., Taylor-Vaisey, A., Dietrich, A. J., & Oxman, T. E. (2000). Interventions to improve provider diagnosis and treatment of mental disorders in primary care: A critical review of the literature. Psychosomatics: Journal of Consultation Liasion Psychiatry, 41(1), 39–52.
go back to reference Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22(4), 197–209.PubMedCrossRef Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22(4), 197–209.PubMedCrossRef
go back to reference Melnyk, B. M., & Fineout-Overholt, E. (2006). Consumer preferences and values as an integral key to evidence-based practice. Nursing Administration Q, 30(2), 123–127. Melnyk, B. M., & Fineout-Overholt, E. (2006). Consumer preferences and values as an integral key to evidence-based practice. Nursing Administration Q, 30(2), 123–127.
go back to reference Milne, D., Dudley, M., Repper, D., & Milne, J. (2001). Managers’ perceived contribution to the transfer of psychosocial interventions training. Psychiatric Rehabilitation Skills, 5(3), 387–402. Milne, D., Dudley, M., Repper, D., & Milne, J. (2001). Managers’ perceived contribution to the transfer of psychosocial interventions training. Psychiatric Rehabilitation Skills, 5(3), 387–402.
go back to reference Morgenstern, J. (2000). Effective technology transfer in alcoholism treatment. Substance Use & Misuse, 35(12–14), 1659–1678. Morgenstern, J. (2000). Effective technology transfer in alcoholism treatment. Substance Use & Misuse, 35(12–14), 1659–1678.
go back to reference National Institute of Mental Health. (1999). Bethesda, MD: National Institutes of Health. National Institute of Mental Health. (1999). Bethesda, MD: National Institutes of Health.
go back to reference Phillips, Jr. J. L. (1969). The origins of intellect Piaget’s theory. W.H. Freeman and Company. Phillips, Jr. J. L. (1969). The origins of intellect Piaget’s theory. W.H. Freeman and Company.
go back to reference Rotheram-Borus, M. J., & Duan, N. (2003). Next generation of preventive interventions. Journal of the American Academy of Child & Adolescent Psychiatry, 42(5), 518–526.CrossRef Rotheram-Borus, M. J., & Duan, N. (2003). Next generation of preventive interventions. Journal of the American Academy of Child & Adolescent Psychiatry, 42(5), 518–526.CrossRef
go back to reference Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52(9), 1190–1197.PubMedCrossRef Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52(9), 1190–1197.PubMedCrossRef
go back to reference Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22(4), 171–182.PubMedCrossRef Simpson, D. D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22(4), 171–182.PubMedCrossRef
go back to reference Thomson O’Brien, M. A., Oxman, A. D., Haynes, R. B., Davis, D. A., Freemantle, N., & Harvey, E. L. (2003). Local opinion leaders: Effects on professional practice and health care outcomes. In The Cochrane Library, (Chap. Issue 1). Oxford: Update Software. Thomson O’Brien, M. A., Oxman, A. D., Haynes, R. B., Davis, D. A., Freemantle, N., & Harvey, E. L. (2003). Local opinion leaders: Effects on professional practice and health care outcomes. In The Cochrane Library, (Chap. Issue 1). Oxford: Update Software.
go back to reference Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services, 52(1), 45–50.PubMedCrossRef Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services, 52(1), 45–50.PubMedCrossRef
go back to reference Uretsky, B. F., & Wang, F. W. (2006). Implementation and application of a continuous quality improvement (CQI) program for the cardiac catheterization laboratory: One institution’s 10-year experience. Catheterization and Cardiovascular Interventions, 68(4), 586–595.PubMedCrossRef Uretsky, B. F., & Wang, F. W. (2006). Implementation and application of a continuous quality improvement (CQI) program for the cardiac catheterization laboratory: One institution’s 10-year experience. Catheterization and Cardiovascular Interventions, 68(4), 586–595.PubMedCrossRef
go back to reference Willms, D. G., Best, A. J., Taylor, D. W., Gilbert, J. R., Wilson, D. M. C., Lindsay, E. A., et al. (1992). A systematic approach for using qualitative methods in primary prevention research. Medical Anthropology Quarterly, 4(4), 391–409.CrossRef Willms, D. G., Best, A. J., Taylor, D. W., Gilbert, J. R., Wilson, D. M. C., Lindsay, E. A., et al. (1992). A systematic approach for using qualitative methods in primary prevention research. Medical Anthropology Quarterly, 4(4), 391–409.CrossRef
Metadata
Title
Implementation of Evidence-based Practice in Child Welfare: Service Provider Perspectives
Authors
Gregory A. Aarons
Lawrence A. Palinkas
Publication date
01-07-2007
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2007
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-007-0121-3

Other articles of this Issue 4/2007

Administration and Policy in Mental Health and Mental Health Services Research 4/2007 Go to the issue