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Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.05.2011 | Original Paper

Implementing Evidence-Based Practices for Youth in an HMO: The Roles of External Ratings and Market Share

verfasst von: John Hamilton, Eric Daleiden, Sue Dopson

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 3/2011

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Abstract

A qualitative study of child clinicians in a non-profit HMO examined implementation of evidence-based practices (EBPs) for anxiety and oppositional defiant disorders using interviews and focus groups with 33 clinicians (97% of participants), and ethnography of emails and meetings. Analysis showed statistical measures of access and service—key elements of rating organizations’ “report cards”— were central in creating “pressure” making transition to EBPs difficult. EBPs were secondary to access and service targets. “Research” and “statistics” were perceived as unrealistic, “literature” as lacking authority. Rating organizations should include outcome and fidelity metrics to align market share pressures with children’s health.

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Titel: Implementing Evidence-Based Practices for Youth in an HMO: The Roles of External Ratings and Market Share
verfasst von: John Hamilton
Eric Daleiden
Sue Dopson
Publikationsdatum: 01.05.2011
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 3/2011
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-011-0343-2

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