Disseminating evidence-based mental health practices

Disseminating Evidence-Based Practices for Adults With PTSD and Severe Mental Illness in Public-Sector Mental Health Agencies

“…Although necessary, however, these strategies are recognized as insufficient to overcome clinical and administrative barriers to the implementation and maintenance of EBPs in public-sector settings. These barriers generally include a lack of motivation and resistance to change by providers, lack of skills and inadequate training among providers, limited resources and incentives for providers, deficient incentives for providers and administrators, cost concerns regarding implementation and maintenance, lack of ongoing quality assurance or fidelity monitoring, limited involvement and commitment from key stakeholders, diffuse leadership, and insufficient accountability at multiple organizational levels (Addis & Waltz, 2002; Corrigan et al, 2001; Corrigan, McCracken, & Blaser, 2003; Drake, et al, 2001; Ganju, 2003; Mueser et al, 2003; Schoenwald & Henggeler, 2003; Schoenwald & Hoagwood, 2001; Torrey et al, 2001). …”

The need for evidence-based training strategies.

“…These strategies derive from organizational and systems theories (Corrigan, Lickey, Campion, & Rashid, 2000;Corrigan et al, 2003;Bilsker & Goldner, 2004), as well as social equity (Parnell, 1985), social marketing (Corrigan et al, 2003), and academic detailing theories (Polinski et al, 2005).…”

“…Theories in social marketing (David & Greer, 2001) and academic detailing (Corrigan et al, 2003) recommend identifying what the audience needs suited to the demands of a psychiatric rehabilitation workforce engaged in implementing evidence-based services.…”

“…They have demonstrated workforce training deficiencies in both new and incumbent (current) workers in community-based service provision, team-based service planning and service delivery, person-centered care, and cultural competence (Annapolis Coalition, 2007;Corrigan, McCracken, & Blaser, 2003;Gill, Pratt, & Barrett, 1997;Green, 2001;Hoge, Huey, & O'Connell, 2004;Morris & Stuart, 2002;Stuart, Tondora & Hoge, 2004).…”

Facilitating the Use of Evidence-Based Practice in Community Organizations

“…While these are not new issues, they are being re-visited in today's applied research environments with an increasing emphasis on finding solutions to these concerns. (Barkham & Mellor-Clark, 2003;Gambrill, 2006;Roans & Hoagwood, 2000), lack of knowledge about the conditions of practice in the community setting and lack of ongoing communication between practitioners and researchers (Kettlewell, 2004), insufficient funds and resources , practitioner burn-out and lack of motivation (Glisson, 2002;Simpson, 2002), professional development issues and inadequately trained staff (Corrigan, McCracken, & Blaser, 2003), organizational barriers to adopting new practices (Gambrill, 2006;Glisson, 2002;Klein & Sorra, 1996;, and poor fit between organizational values and the new technology (Corrigan, Steiner, McCracken, Blaser, & Barr, 2001;Corrigan et al, 2003;Klein & Sorra, 1996).…”