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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 3/2018

03.11.2017 | Original Article

Comparing Agency Leader and Therapist Perspectives on Evidence-Based Practices: Associations with Individual and Organizational Factors in a Mental Health System-Driven Implementation Effort

verfasst von: Nicole A. Stadnick, Anna S. Lau, Miya Barnett, Jennifer Regan, Gregory A. Aarons, Lauren Brookman-Frazee

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 3/2018

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Abstract

Agency leaders and therapists are essential stakeholders in implementation of evidence-based practices (EBPs) within publicly-funded mental health services. Little is known about how these stakeholders differ in their perceptions of specific EBPs and which individual and organizational factors differentially influence these perceptions. Within the context of a system-driven implementation of multiple EBPs, survey data from 160 leaders and 720 therapists were examined to assess differences in perceptions of six EBPs. Findings indicated that leaders and therapists have unique perspectives and preferences regarding EBPs that are shaped by distinct sociodemographic and professional characteristics and aspects of organizational functioning.
Literatur
Zurück zum Zitat Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and Organizational Change for Implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(1), 1–11. https://doi.org/10.1186/s13012-014-0192-y.CrossRef Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and Organizational Change for Implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(1), 1–11. https://​doi.​org/​10.​1186/​s13012-014-0192-y.CrossRef
Zurück zum Zitat Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., Sklar, M., & Horowitz, J. (2017). Discrepancies in leader and follower ratings of transformational leadership: Relationship with organizational culture in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 44(4), 480–491.CrossRefPubMed Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., Sklar, M., & Horowitz, J. (2017). Discrepancies in leader and follower ratings of transformational leadership: Relationship with organizational culture in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 44(4), 480–491.CrossRefPubMed
Zurück zum Zitat Barnett, M., Brookman-Frazee, L., Regan, J., Saifan, D., Stadnick, N., & Lau, A. (2017). How intervention and implementation characteristics relate to community therapists’ attitudes towards evidence-based practices: A mixed methods study. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-017-0795-0. Barnett, M., Brookman-Frazee, L., Regan, J., Saifan, D., Stadnick, N., & Lau, A. (2017). How intervention and implementation characteristics relate to community therapists’ attitudes towards evidence-based practices: A mixed methods study. Administration and Policy in Mental Health and Mental Health Services Research. https://​doi.​org/​10.​1007/​s10488-017-0795-0.
Zurück zum Zitat Beidas, R. S., Stewart, R. E., Adams, D. R., Fernandez, T., Lustbader, S., Powell, B. J., … Barg, F. K. (2016a). A multi-level examination of stakeholder perspectives of implementation of evidence-based practices in a large urban publicly-funded mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 43, 893–908. https://doi.org/10.1007/s10488-015-0705-2.CrossRefPubMedPubMedCentral Beidas, R. S., Stewart, R. E., Adams, D. R., Fernandez, T., Lustbader, S., Powell, B. J., … Barg, F. K. (2016a). A multi-level examination of stakeholder perspectives of implementation of evidence-based practices in a large urban publicly-funded mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 43, 893–908. https://​doi.​org/​10.​1007/​s10488-015-0705-2.CrossRefPubMedPubMedCentral
Zurück zum Zitat Beidas, R. S., Williams, N. J., Green, P. D., Aarons, G. A., Becker-Haimes, E. M., Evans, A. C., … Marcus, S. C. (2016b). Concordance between administrator and clinician ratings of organizational culture and climate. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-016-0776-8. Beidas, R. S., Williams, N. J., Green, P. D., Aarons, G. A., Becker-Haimes, E. M., Evans, A. C., … Marcus, S. C. (2016b). Concordance between administrator and clinician ratings of organizational culture and climate. Administration and Policy in Mental Health and Mental Health Services Research. https://​doi.​org/​10.​1007/​s10488-016-0776-8.
Zurück zum Zitat Bonham, C. A., Sommerfeld, D., Willging, C., & Aarons, G. A. (2014). Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies. Psychiatry Journal, 2014, 1–9. https://doi.org/10.1155/2014/802983. Bonham, C. A., Sommerfeld, D., Willging, C., & Aarons, G. A. (2014). Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies. Psychiatry Journal, 2014, 1–9. https://​doi.​org/​10.​1155/​2014/​802983.
Zurück zum Zitat Brimhall, K. C., Fenwick, K., Farahnak, L. R., Hurlburt, M. S., Roesch, S. C., & Aarons, G. A. (2015). Leadership, organizational climate, and perceived burden of evidence-based practice in mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 43, 629–639. https://doi.org/10.1007/s10488-015-0670-9.CrossRef Brimhall, K. C., Fenwick, K., Farahnak, L. R., Hurlburt, M. S., Roesch, S. C., & Aarons, G. A. (2015). Leadership, organizational climate, and perceived burden of evidence-based practice in mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 43, 629–639. https://​doi.​org/​10.​1007/​s10488-015-0670-9.CrossRef
Zurück zum Zitat Cashel, M. L. (2002). Child and adolescent psychological assessment: Current clinical practices and the impact of managed care. Professional Psychology: Research and Practice, 33, 446–453.CrossRef Cashel, M. L. (2002). Child and adolescent psychological assessment: Current clinical practices and the impact of managed care. Professional Psychology: Research and Practice, 33, 446–453.CrossRef
Zurück zum Zitat Chorpita, B. F., Bernstein, A., & Daleiden, E. L. (2011). Empirically guided coordination of multiple evidence-based treatments: An illustration of relevance mapping in children’s mental health services. Journal of Consulting and Clinical Psychology, 79, 470–480. https://doi.org/10.1037/a0023982.CrossRefPubMed Chorpita, B. F., Bernstein, A., & Daleiden, E. L. (2011). Empirically guided coordination of multiple evidence-based treatments: An illustration of relevance mapping in children’s mental health services. Journal of Consulting and Clinical Psychology, 79, 470–480. https://​doi.​org/​10.​1037/​a0023982.CrossRefPubMed
Zurück zum Zitat Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press. Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press.
Zurück zum Zitat Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(50), 1–15. https://doi.org/10.1186/1748-5908-4-50. Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(50), 1–15. https://​doi.​org/​10.​1186/​1748-5908-4-50.
Zurück zum Zitat Drahota, A., Stadnick, N., & Brookman-Frazee, L. (2014). Therapist perspectives on training in a package of evidence-based practice strategies for children with autism spectrum disorders served in community mental health clinics. Administration and Policy in Mental Health and Mental Health Services Research, 41, 114–125. https://doi.org/10.1007/s10488-012-0441-9.CrossRefPubMed Drahota, A., Stadnick, N., & Brookman-Frazee, L. (2014). Therapist perspectives on training in a package of evidence-based practice strategies for children with autism spectrum disorders served in community mental health clinics. Administration and Policy in Mental Health and Mental Health Services Research, 41, 114–125. https://​doi.​org/​10.​1007/​s10488-012-0441-9.CrossRefPubMed
Zurück zum Zitat Hawley, K. M., Cook, J. R., & Jensen-Doss, A. (2009). Do noncontingent incentives increase survey response rates among mental health providers? A randomized trial comparison. Administration and Policy in Mental Health and Mental Health Services Research, 36, 343–348. https://doi.org/10.1007/s10488-009-0225-z.CrossRef Hawley, K. M., Cook, J. R., & Jensen-Doss, A. (2009). Do noncontingent incentives increase survey response rates among mental health providers? A randomized trial comparison. Administration and Policy in Mental Health and Mental Health Services Research, 36, 343–348. https://​doi.​org/​10.​1007/​s10488-009-0225-z.CrossRef
Zurück zum Zitat Jaycox, L. H. (2003). CBITS: Cognitive behavioral intervention in schools. Dallas: Sopris West. Jaycox, L. H. (2003). CBITS: Cognitive behavioral intervention in schools. Dallas: Sopris West.
Zurück zum Zitat Lieberman, A. F., & Van Horn, P. (2005). Don’t hit my mommy!: A manual for child-parent psychotherapy with young witnesses of family violence. Washington, DC: Zero to Three. Lieberman, A. F., & Van Horn, P. (2005). Don’t hit my mommy!: A manual for child-parent psychotherapy with young witnesses of family violence. Washington, DC: Zero to Three.
Zurück zum Zitat Najavits, L. M. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. New York: Guilford Press. Najavits, L. M. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. New York: Guilford Press.
Zurück zum Zitat Nakamura, B. J., Mueller, C. W., Higa-McMillan, C., Okamura, K. H., Chang, J. P., Slavin, L., & Shimabukuro, S. (2014). Engineering youth service system infrastructure: Hawaii’s continued efforts at large-scale implementation through knowledge management strategies. Journal of Clinical Child and Adolescent Psychology, 43, 179–189. https://doi.org/10.1080/15374416.2013.812039.CrossRefPubMed Nakamura, B. J., Mueller, C. W., Higa-McMillan, C., Okamura, K. H., Chang, J. P., Slavin, L., & Shimabukuro, S. (2014). Engineering youth service system infrastructure: Hawaii’s continued efforts at large-scale implementation through knowledge management strategies. Journal of Clinical Child and Adolescent Psychology, 43, 179–189. https://​doi.​org/​10.​1080/​15374416.​2013.​812039.CrossRefPubMed
Zurück zum Zitat Olin, S. S., Williams, N., Pollock, M., Armusewicz, K., Kutash, K., Glisson, C., & Hoagwood, K. E. (2014). Quality indicators for family support services and their relationship to organizational social context. Administration and Policy in Mental Health and Mental Health Services Research, 41(1), 43–54.CrossRefPubMed Olin, S. S., Williams, N., Pollock, M., Armusewicz, K., Kutash, K., Glisson, C., & Hoagwood, K. E. (2014). Quality indicators for family support services and their relationship to organizational social context. Administration and Policy in Mental Health and Mental Health Services Research, 41(1), 43–54.CrossRefPubMed
Zurück zum Zitat Ostroff, C., Atwater, L. E., & Feinberg, B. J. (2004). Understanding self-other agreement: A look at rater and rate characteristics, context, and outcomes. Personnel Psychology, 57(2), 333–375.CrossRef Ostroff, C., Atwater, L. E., & Feinberg, B. J. (2004). Understanding self-other agreement: A look at rater and rate characteristics, context, and outcomes. Personnel Psychology, 57(2), 333–375.CrossRef
Zurück zum Zitat Patterson, M. G., West, M. A., Shackleton, V. J., Dawson, J. F., Lawthom, R., Maitlis, S., … Wallace, A. M. (2005). Validating the organizational climate measure: Links to managerial practices, productivity and innovation. Journal of Organizational Behavior, 26, 379–408. https://doi.org/10.1002/job.312.CrossRef Patterson, M. G., West, M. A., Shackleton, V. J., Dawson, J. F., Lawthom, R., Maitlis, S., … Wallace, A. M. (2005). Validating the organizational climate measure: Links to managerial practices, productivity and innovation. Journal of Organizational Behavior, 26, 379–408. https://​doi.​org/​10.​1002/​job.​312.CrossRef
Zurück zum Zitat Peterson, A. E., Bond, G. R., Drake, R. E., McHugo, G. J., Jones, A. M., & Williams, J. R. (2014). Predicting the long-term sustainability of evidence-based practices in mental health care: An 8-year longitudinal analysis. Journal of Behavioral Health Services and Research, 41, 337–346. https://doi.org/10.1007/s11414-013-9347-x.CrossRefPubMed Peterson, A. E., Bond, G. R., Drake, R. E., McHugo, G. J., Jones, A. M., & Williams, J. R. (2014). Predicting the long-term sustainability of evidence-based practices in mental health care: An 8-year longitudinal analysis. Journal of Behavioral Health Services and Research, 41, 337–346. https://​doi.​org/​10.​1007/​s11414-013-9347-x.CrossRefPubMed
Zurück zum Zitat Piotrowski, C., & Keller, J. W. (1989). Psychological testing in outpatient mental health facilities: A national study. Professional Psychology: Research and Practice, 20, 423.CrossRef Piotrowski, C., & Keller, J. W. (1989). Psychological testing in outpatient mental health facilities: A national study. Professional Psychology: Research and Practice, 20, 423.CrossRef
Zurück zum Zitat Proctor, E. K., Knudsen, K. J., Fedoravicius, N., Hovmand, P., Rosen, A., & Perron, B. (2007). Implementation of evidence-based practice in community behavioral health: Agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34, 479–488. https://doi.org/10.1007/s10488-007-0129-8.CrossRefPubMed Proctor, E. K., Knudsen, K. J., Fedoravicius, N., Hovmand, P., Rosen, A., & Perron, B. (2007). Implementation of evidence-based practice in community behavioral health: Agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34, 479–488. https://​doi.​org/​10.​1007/​s10488-007-0129-8.CrossRefPubMed
Zurück zum Zitat Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., … Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76. https://doi.org/10.1007/s10488-010-0319-7.CrossRefPubMed Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., … Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76. https://​doi.​org/​10.​1007/​s10488-010-0319-7.CrossRefPubMed
Zurück zum Zitat Rogers, E. M. (1962). Diffusion of innovations (5th edn.). New York: Free Press. Rogers, E. M. (1962). Diffusion of innovations (5th edn.). New York: Free Press.
Zurück zum Zitat Rosenberg, R. P., & Beck, S. (1986). Preferred assessment methods and treatment modalities for hyperactive children among clinical child and school psychologists. Journal of Clinical Child Psychology, 15, 142–147.CrossRef Rosenberg, R. P., & Beck, S. (1986). Preferred assessment methods and treatment modalities for hyperactive children among clinical child and school psychologists. Journal of Clinical Child Psychology, 15, 142–147.CrossRef
Zurück zum Zitat Schein, E. H. (2010). Organizational culture and leadership (Vol. 2). San Francisco: Wiley. Schein, E. H. (2010). Organizational culture and leadership (Vol. 2). San Francisco: Wiley.
Zurück zum Zitat Starin, A. C., Atkins, M. S., Wehrmann, K. C., Mehta, T., Hesson-McInnis, M. S., Marinez-Lora, A., & Mehlinger, R. (2014). Moving science into state child and adolescent mental health systems: Illinois’ evidence-informed practice initiative. Journal of Clinical Child and Adolescent Psychology, 43, 169–178. https://doi.org/10.1080/15374416.2013.848772.CrossRefPubMed Starin, A. C., Atkins, M. S., Wehrmann, K. C., Mehta, T., Hesson-McInnis, M. S., Marinez-Lora, A., & Mehlinger, R. (2014). Moving science into state child and adolescent mental health systems: Illinois’ evidence-informed practice initiative. Journal of Clinical Child and Adolescent Psychology, 43, 169–178. https://​doi.​org/​10.​1080/​15374416.​2013.​848772.CrossRefPubMed
Zurück zum Zitat Thornton, G. C. (1980). Psychometric properties of self-appraisals of job performance. Personnel Psychology, 33(2), 263–271.CrossRef Thornton, G. C. (1980). Psychometric properties of self-appraisals of job performance. Personnel Psychology, 33(2), 263–271.CrossRef
Zurück zum Zitat Turner, K. M., Markie-Dadds, C., & Sanders, M. R. (2002). Facilitator’s manual for group Triple P (Rev. Ed.). Brisbane, QLD: Triple P International. Turner, K. M., Markie-Dadds, C., & Sanders, M. R. (2002). Facilitator’s manual for group Triple P (Rev. Ed.). Brisbane, QLD: Triple P International.
Zurück zum Zitat Willenbring, M. L., Kivlahan, D., Kenny, M., Grillo, M., Hagedorn, H., & Postier, A. (2004). Beliefs about evidence-based practices in addiction treatment: A survey of Veterans Administration program leaders. Journal of Substance Abuse Treatment, 26, 79–85.CrossRefPubMed Willenbring, M. L., Kivlahan, D., Kenny, M., Grillo, M., Hagedorn, H., & Postier, A. (2004). Beliefs about evidence-based practices in addiction treatment: A survey of Veterans Administration program leaders. Journal of Substance Abuse Treatment, 26, 79–85.CrossRefPubMed
Zurück zum Zitat Williams, N. J., & Glisson, C. (2014). Testing a theory of organizational culture, climate and youth outcomes in child welfare systems: A United States national study. Child Abuse & Neglect, 38(4), 757–767.CrossRef Williams, N. J., & Glisson, C. (2014). Testing a theory of organizational culture, climate and youth outcomes in child welfare systems: A United States national study. Child Abuse & Neglect, 38(4), 757–767.CrossRef
Zurück zum Zitat Williams, N. J., Glisson, C., Hemmelgarn, A., & Green, P. (2017). Mechanisms of change in the ARC organizational strategy: Increasing mental health clinicians’ EBP adoption through improved organizational culture and capacity. Administration and Policy in Mental Health and Mental Health Services Research, 44(2), 269–283.CrossRefPubMedPubMedCentral Williams, N. J., Glisson, C., Hemmelgarn, A., & Green, P. (2017). Mechanisms of change in the ARC organizational strategy: Increasing mental health clinicians’ EBP adoption through improved organizational culture and capacity. Administration and Policy in Mental Health and Mental Health Services Research, 44(2), 269–283.CrossRefPubMedPubMedCentral
Zurück zum Zitat Wolf, D. A. P. S., Dulmus, C., Maguin, E., Keesler, J., & Powell, B. (2014). Organizational leaders’ and staf members’ appraisals of their work environment within a children’s social service system. Human Service Organizations Management Leadership & Governance, 38(3), 215–227. https://doi.org/10.1080/23303131.2014.884032.CrossRef Wolf, D. A. P. S., Dulmus, C., Maguin, E., Keesler, J., & Powell, B. (2014). Organizational leaders’ and staf members’ appraisals of their work environment within a children’s social service system. Human Service Organizations Management Leadership & Governance, 38(3), 215–227. https://​doi.​org/​10.​1080/​23303131.​2014.​884032.CrossRef
Metadaten
Titel
Comparing Agency Leader and Therapist Perspectives on Evidence-Based Practices: Associations with Individual and Organizational Factors in a Mental Health System-Driven Implementation Effort
verfasst von
Nicole A. Stadnick
Anna S. Lau
Miya Barnett
Jennifer Regan
Gregory A. Aarons
Lauren Brookman-Frazee
Publikationsdatum
03.11.2017
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 3/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-017-0835-9

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