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Published in: Community Mental Health Journal 2/2010

01-04-2010 | Original Paper

Barriers to Evidence-Based Practice Implementation: Results of a Qualitative Study

Authors: Charles A. Rapp, Diane Etzel-Wise, Doug Marty, Melinda Coffman, Linda Carlson, Dianne Asher, Jennifer Callaghan, Mark Holter

Published in: Community Mental Health Journal | Issue 2/2010

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Abstract

This study reports on a qualitative study of barriers to EBP implementation in one state that sought to implement supported employment and integrated dual diagnosis treatment. The study found that the most significant obstacles emanated from the behavior of supervisors, front-line staff and other professionals in the agency. A lack of synergy profoundly impeded implementation.
Literature
go back to reference Bond, G. R., Becker, D. R., Drake, R. E., et al. (2001). Implementing supported employment as an evidence-based practice. Psychiatric Services, 52, 313–322.CrossRefPubMed Bond, G. R., Becker, D. R., Drake, R. E., et al. (2001). Implementing supported employment as an evidence-based practice. Psychiatric Services, 52, 313–322.CrossRefPubMed
go back to reference Bond, G. R., Evans, L., Salyers, M. P., Williams, J., & Kim, H. K. (2000). Measurement of fidelity in psychiatric rehabilitation. Mental Health Service Research, 2(2), 75–87.CrossRef Bond, G. R., Evans, L., Salyers, M. P., Williams, J., & Kim, H. K. (2000). Measurement of fidelity in psychiatric rehabilitation. Mental Health Service Research, 2(2), 75–87.CrossRef
go back to reference Corrigan, P. W., Lickey, S. E., Campion, J., & Rashid, F. (2000). Mental health team leadership and consumer satisfaction and quality of life. Psychiatric Services, 51(6), 781–785.CrossRefPubMed Corrigan, P. W., Lickey, S. E., Campion, J., & Rashid, F. (2000). Mental health team leadership and consumer satisfaction and quality of life. Psychiatric Services, 51(6), 781–785.CrossRefPubMed
go back to reference Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L., Mueser, K. T., et al. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52(2), 179–182.CrossRefPubMed Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L., Mueser, K. T., et al. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52(2), 179–182.CrossRefPubMed
go back to reference Drake, R. E., Rapp, C. A., & Bond, G. R. (2002). General organizational index. National Evidence-Based Practice Project Implementation Resource Kits (R. E. Drake, Principle Investigator). Rockville, MD: SAMHSA. Drake, R. E., Rapp, C. A., & Bond, G. R. (2002). General organizational index. National Evidence-Based Practice Project Implementation Resource Kits (R. E. Drake, Principle Investigator). Rockville, MD: SAMHSA.
go back to reference Goldman, H. H., Ganju, V., Drake, R. E., Gorman, P., Hogan, M., Hyde, P. S., et al. (2001). Policy implementations for implementing evidence-based practices. Psychiatric Services, 52(12), 1591–1597.CrossRefPubMed Goldman, H. H., Ganju, V., Drake, R. E., Gorman, P., Hogan, M., Hyde, P. S., et al. (2001). Policy implementations for implementing evidence-based practices. Psychiatric Services, 52(12), 1591–1597.CrossRefPubMed
go back to reference Kessler, R. C., Berglund, P. A., Zhao, S., Leaf, P. J., Kouzis, A. C., Bruce, M. L., et al. (1996). The 12-month prevalence and correlates of serious mental illness. In R. W. Manderscheid & M. A. Sonnenschein (Eds.), Mental health, United States (pp. 59–70). Washington DC: US Government Printing Office. (DHHS Publication No. [SMA] 96–3098). Kessler, R. C., Berglund, P. A., Zhao, S., Leaf, P. J., Kouzis, A. C., Bruce, M. L., et al. (1996). The 12-month prevalence and correlates of serious mental illness. In R. W. Manderscheid & M. A. Sonnenschein (Eds.), Mental health, United States (pp. 59–70). Washington DC: US Government Printing Office. (DHHS Publication No. [SMA] 96–3098).
go back to reference Lehman, A. F., Steinwachs, D. M., et al. (1998). Translating research into practice: The schizophrenia patient outcomes research team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 1–10.PubMed Lehman, A. F., Steinwachs, D. M., et al. (1998). Translating research into practice: The schizophrenia patient outcomes research team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 1–10.PubMed
go back to reference Lincoln, S. L., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park: Sage Publications. Lincoln, S. L., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park: Sage Publications.
go back to reference McHugo, G. J., Drake Whitley, R., Bond, G. R., Campbell, K., Rapp, C. A., Goldman, H. H., Lutz, W. J., & Finnerty, M. T. (2007). Fidelity outcomes in the National Implementing Evidence-Based Practices Project. Psychiatric Services (in press). McHugo, G. J., Drake Whitley, R., Bond, G. R., Campbell, K., Rapp, C. A., Goldman, H. H., Lutz, W. J., & Finnerty, M. T. (2007). Fidelity outcomes in the National Implementing Evidence-Based Practices Project. Psychiatric Services (in press).
go back to reference Muhr, T., & Friese, S. (2004). User’s manual for ATLAS.ti 5.0. Berlin, Germany: ATLAS.ti Scientific Software Development. Muhr, T., & Friese, S. (2004). User’s manual for ATLAS.ti 5.0. Berlin, Germany: ATLAS.ti Scientific Software Development.
go back to reference President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. DHHS Publication No. SMA-03-3832, Rockville, MD. President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. DHHS Publication No. SMA-03-3832, Rockville, MD.
go back to reference Rapp, C. A., & Goscha, R. (2006). The strengths model: Case management with people with psychiatric disabilities (2nd ed.). New York: Oxford University Press. Rapp, C. A., & Goscha, R. (2006). The strengths model: Case management with people with psychiatric disabilities (2nd ed.). New York: Oxford University Press.
go back to reference Strauss, S., & Corbin, J. (1990). Basis of qualitative research. Newbury Park, CA: Sage. Strauss, S., & Corbin, J. (1990). Basis of qualitative research. Newbury Park, CA: Sage.
go back to reference Substance Abuse and Mental Health Services Administration (SAMHSA). (2004). Results from the 2003 National Survey on Drug Use and Health: National Findings. Rockville, MD: Office of Applied Studies. Substance Abuse and Mental Health Services Administration (SAMHSA). (2004). Results from the 2003 National Survey on Drug Use and Health: National Findings. Rockville, MD: Office of Applied Studies.
go back to reference Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., et al. (2001). Implementation evidence-based practice for persons with severe mental illness. Psychiatric Services, 52(1), 45–50.CrossRefPubMed Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., et al. (2001). Implementation evidence-based practice for persons with severe mental illness. Psychiatric Services, 52(1), 45–50.CrossRefPubMed
go back to reference Torrey, W. C., & Gorman, P. G. (2005). Closing the gap between what services are and what they could be. In R. E. Drake, M. R. Merrans, & D. W. Lynde (Eds.), Evidence-based mental health practice (pp. 167–188). New York: W. W. Norton. Torrey, W. C., & Gorman, P. G. (2005). Closing the gap between what services are and what they could be. In R. E. Drake, M. R. Merrans, & D. W. Lynde (Eds.), Evidence-based mental health practice (pp. 167–188). New York: W. W. Norton.
go back to reference US Department of Health and Human Services (DHHHS). (1999). A report of the surgeon general. Washington, DC: Author. US Department of Health and Human Services (DHHHS). (1999). A report of the surgeon general. Washington, DC: Author.
go back to reference Wang, P. S., Demler, O., & Kessler, R. C. (2002). Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health, 92, 92–98.CrossRefPubMed Wang, P. S., Demler, O., & Kessler, R. C. (2002). Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health, 92, 92–98.CrossRefPubMed
go back to reference West, J. C., Wilk, J. E., Olfson, J., Rae, D. S., Marcus, S., Narrow, W. E., et al. (2005). Patterns and quality of treatment for patients with schizophrenia in routine psychiatric practice. Psychiatric Services, 53(3), 283–291.CrossRef West, J. C., Wilk, J. E., Olfson, J., Rae, D. S., Marcus, S., Narrow, W. E., et al. (2005). Patterns and quality of treatment for patients with schizophrenia in routine psychiatric practice. Psychiatric Services, 53(3), 283–291.CrossRef
Metadata
Title
Barriers to Evidence-Based Practice Implementation: Results of a Qualitative Study
Authors
Charles A. Rapp
Diane Etzel-Wise
Doug Marty
Melinda Coffman
Linda Carlson
Dianne Asher
Jennifer Callaghan
Mark Holter
Publication date
01-04-2010
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 2/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-009-9238-z

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