Skip to main content
Top
Published in: Community Mental Health Journal 8/2019

Open Access 01-11-2019 | Original Paper

Significance of Leaders for Sustained Use of Evidence-Based Practices: A Qualitative Focus-Group Study with Mental Health Practitioners

Authors: Karina M. Egeland, Mona-Iren Hauge, Torleif Ruud, Terje Ogden, Kristin Sverdvik Heiervang

Published in: Community Mental Health Journal | Issue 8/2019

Login to get access

Abstract

Evidence-based practices that are implemented in mental health services are often challenging to sustain. In this focus-group study, 26 mental health practitioners with high fidelity scores were interviewed regarding their experiences with implementing the illness management and recovery, an evidence-based practice for people with severe mental disorders, in their services and how this could influence further use. Findings indicate that high fidelity is not equivalent to successful implementation. Rather, to sustain the practice in services, the practitioners emphasized the importance of their leaders being positive and engaged in the intervention, and hold clear goals and visions for the intervention in the clinic. In addition, the practitioners’ understanding of outcome monitoring as a resource for practice improvement must be improved to avoid random patient experiences becoming the decisive factor in determining further use.
Trial registration: ClinicalTrials.gov NCT02077829. Registered 25 February 2014.
Literature
go back to reference Aarons, G. A., Fettes, D. L., Sommerfeld, D. H., & Palinkas, L. A. (2012a). Mixed methods for implementation research: Application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services. Child Maltreatment, 17(1), 67–79. https://doi.org/10.1177/1077559511426908.CrossRefPubMed Aarons, G. A., Fettes, D. L., Sommerfeld, D. H., & Palinkas, L. A. (2012a). Mixed methods for implementation research: Application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services. Child Maltreatment, 17(1), 67–79. https://​doi.​org/​10.​1177/​1077559511426908​.CrossRefPubMed
go back to reference Bond, G. R., Drake, R. E., McHugo, G. J., Rapp, C. A., & Whitley, R. (2009). Strategies for improving fidelity in the national evidence-based practices project. Research on Social Work Practice, 19(5), 569–581.CrossRef Bond, G. R., Drake, R. E., McHugo, G. J., Rapp, C. A., & Whitley, R. (2009). Strategies for improving fidelity in the national evidence-based practices project. Research on Social Work Practice, 19(5), 569–581.CrossRef
go back to reference Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef
go back to reference Fixsen, D., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531–540.CrossRef Fixsen, D., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531–540.CrossRef
go back to reference Fixsen, D., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: Florida University of South Florida, Louis de la Parte Florida Mental Health Institute, National Implementation Research Network. Fixsen, D., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: Florida University of South Florida, Louis de la Parte Florida Mental Health Institute, National Implementation Research Network.
go back to reference Malterud, K. (2001). Qualitative research: Standards, challenges, and guidelines. The Lancet, 358(9280), 483–488.CrossRef Malterud, K. (2001). Qualitative research: Standards, challenges, and guidelines. The Lancet, 358(9280), 483–488.CrossRef
go back to reference McGuire, A. B., Salyers, M. P., White, D. A., Gilbride, D. J., White, L. M., Kean, J., et al. (2015). Factors affecting implementation of an evidence-based practice in the Veterans Health Administration: Illness management and recovery. Psychiatric Rehabilitation Journal, 38(4), 300.CrossRef McGuire, A. B., Salyers, M. P., White, D. A., Gilbride, D. J., White, L. M., Kean, J., et al. (2015). Factors affecting implementation of an evidence-based practice in the Veterans Health Administration: Illness management and recovery. Psychiatric Rehabilitation Journal, 38(4), 300.CrossRef
go back to reference Rychener, M., Salyers, M. P., Labriola, S., & Little, N. (2009). Thresholds’ wellness management and recovery implementation. American Journal of Psychiatric Rehabilitation, 12(2), 172–184.CrossRef Rychener, M., Salyers, M. P., Labriola, S., & Little, N. (2009). Thresholds’ wellness management and recovery implementation. American Journal of Psychiatric Rehabilitation, 12(2), 172–184.CrossRef
go back to reference SAHMSA. (2009a). Illness Management and Recovery: Building Your Program (Vol. HHS Pub. No. SMA-09-4462). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. SAHMSA. (2009a). Illness Management and Recovery: Building Your Program (Vol. HHS Pub. No. SMA-09-4462). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.
go back to reference SAHMSA. (2009b). Illness Management and Recovery: Evaluating Your Program (Vol. HHS Pub. No. SMA-09-4462). Rockville, MD: Center for Mental Health Services Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. SAHMSA. (2009b). Illness Management and Recovery: Evaluating Your Program (Vol. HHS Pub. No. SMA-09-4462). Rockville, MD: Center for Mental Health Services Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.
go back to reference Sloan, R. P., & Gruman, J. C. (1988). Participation in workplace health promotion programs: The contribution of health and organizational factors. Health Education & Behavior, 15(3), 269–288. Sloan, R. P., & Gruman, J. C. (1988). Participation in workplace health promotion programs: The contribution of health and organizational factors. Health Education & Behavior, 15(3), 269–288.
Metadata
Title
Significance of Leaders for Sustained Use of Evidence-Based Practices: A Qualitative Focus-Group Study with Mental Health Practitioners
Authors
Karina M. Egeland
Mona-Iren Hauge
Torleif Ruud
Terje Ogden
Kristin Sverdvik Heiervang
Publication date
01-11-2019
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 8/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00430-8

Other articles of this Issue 8/2019

Community Mental Health Journal 8/2019 Go to the issue