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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 2/2014

01.03.2014 | Original Article

Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies

verfasst von: Gary R. Bond, Robert E. Drake, Gregory J. McHugo, Alison E. Peterson, Amanda M. Jones, Jessica Williams

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 2/2014

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Abstract

This study examined rates of sustainability, defined as program continuation, and factors associated with sustainability 6 years after full implementation of five evidence-based practices in 49 sites in the National Implementing Evidence-Based Practices Project. Based on interviews with agency leaders and state leaders, 47 % of sites sustained the practice for 6 years, 16 % restarted the practice after a period of discontinuation, and 37 % discontinued the practice permanently. Agency leaders from discontinuing sites identified inadequate financial support, lack of prioritization, and workforce issues as barriers to continuation. Adequate financing, ongoing supervision, and monitoring of fidelity and outcome may promote long-term sustainability.
Literatur
Zurück zum Zitat Atlas.ti 2.0. (2002). Atlas.ti 2.0 [Computer software]. Berlin, Germany: GmbH. Atlas.ti 2.0. (2002). Atlas.ti 2.0 [Computer software]. Berlin, Germany: GmbH.
Zurück zum Zitat Bond, G. R., Drake, R. E., & Becker, D. R. (2012). Generalizability of the individual placement and support (IPS) model of supported employment outside the US. World Psychiatry, 11, 32–39.PubMedCentralPubMedCrossRef Bond, G. R., Drake, R. E., & Becker, D. R. (2012). Generalizability of the individual placement and support (IPS) model of supported employment outside the US. World Psychiatry, 11, 32–39.PubMedCentralPubMedCrossRef
Zurück zum Zitat Bond, G. R., McHugo, G. J., Becker, D. R., Rapp, C. A., & Whitley, R. (2008). Fidelity of supported employment: Lessons learned from the National Evidence-Based Practices Project. Psychiatric Rehabilitation Journal, 31, 300–305.PubMedCrossRef Bond, G. R., McHugo, G. J., Becker, D. R., Rapp, C. A., & Whitley, R. (2008). Fidelity of supported employment: Lessons learned from the National Evidence-Based Practices Project. Psychiatric Rehabilitation Journal, 31, 300–305.PubMedCrossRef
Zurück zum Zitat Brown, J. D., Barrett, A., Ireys, H., Caffery, E., & Hourihan, K. (2012). Evidence-based practices for Medicaid beneficiaries with schizophrenia and bipolar disorder. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. Brown, J. D., Barrett, A., Ireys, H., Caffery, E., & Hourihan, K. (2012). Evidence-based practices for Medicaid beneficiaries with schizophrenia and bipolar disorder. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.
Zurück zum Zitat Brunette, M. F., Asher, D., Whitley, R., Lutz, W. J., Wieder, B. L., Jones, A. M., et al. (2008). Implementation of integrated dual disorders treatment: A qualitative analysis of facilitators and barriers. Psychiatric Services, 59, 989–995.PubMedCrossRef Brunette, M. F., Asher, D., Whitley, R., Lutz, W. J., Wieder, B. L., Jones, A. M., et al. (2008). Implementation of integrated dual disorders treatment: A qualitative analysis of facilitators and barriers. Psychiatric Services, 59, 989–995.PubMedCrossRef
Zurück zum Zitat Damschroder, L. J., & Hagedorn, H. J. (2011). A guiding framework and approach for implementation research in substance use disorders treatment. Psychology of Addictive Behaviors, 25, 194–205.PubMedCrossRef Damschroder, L. J., & Hagedorn, H. J. (2011). A guiding framework and approach for implementation research in substance use disorders treatment. Psychology of Addictive Behaviors, 25, 194–205.PubMedCrossRef
Zurück zum Zitat Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida. Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida.
Zurück zum Zitat Greenhalgh, T., Robert, G., MacFarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581–629.PubMedCrossRef Greenhalgh, T., Robert, G., MacFarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581–629.PubMedCrossRef
Zurück zum Zitat Karakus, M., Frey, W., Goldman, H., Fields, S., & Drake, R. (2011). Federal financing of supported employment and customized employment for people with mental illnesses: Final report (Prepared for Office of Disability, Aging and Long-Term Care Policy Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Contract #HHSP23320095655WC). Rockville, MD: Westat. Karakus, M., Frey, W., Goldman, H., Fields, S., & Drake, R. (2011). Federal financing of supported employment and customized employment for people with mental illnesses: Final report (Prepared for Office of Disability, Aging and Long-Term Care Policy Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Contract #HHSP23320095655WC). Rockville, MD: Westat.
Zurück zum Zitat Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef
Zurück zum Zitat Latimer, E. (1999). Economic impacts of assertive community treatment: A review of the literature. Canadian Journal of Psychiatry, 44, 443–454. Latimer, E. (1999). Economic impacts of assertive community treatment: A review of the literature. Canadian Journal of Psychiatry, 44, 443–454.
Zurück zum Zitat Mancini, A. D., Moser, L. L., Whitley, R., McHugo, G. J., Bond, G. R., Finnerty, M. T., et al. (2009). Assertive community treatment: Facilitators and barriers to implementation in routine mental health settings. Psychiatric Services, 60, 189–195.PubMedCrossRef Mancini, A. D., Moser, L. L., Whitley, R., McHugo, G. J., Bond, G. R., Finnerty, M. T., et al. (2009). Assertive community treatment: Facilitators and barriers to implementation in routine mental health settings. Psychiatric Services, 60, 189–195.PubMedCrossRef
Zurück zum Zitat Massatti, R. R., Sweeney, H. A., Panzano, P. C., & Roth, D. (2008). The de-adoption of innovative mental health practices (IMHP): Why organizations choose not to sustain an IMHP. Administration and Policy in Mental Health and Mental Health Services Research, 35, 50–65.PubMedCrossRef Massatti, R. R., Sweeney, H. A., Panzano, P. C., & Roth, D. (2008). The de-adoption of innovative mental health practices (IMHP): Why organizations choose not to sustain an IMHP. Administration and Policy in Mental Health and Mental Health Services Research, 35, 50–65.PubMedCrossRef
Zurück zum Zitat McHugo, G. J., Drake, R. E., Whitley, R., Bond, G. R., Campbell, K., Rapp, C. A., et al. (2007). Fidelity outcomes in the National Implementing Evidence-Based Practices Project. Psychiatric Services, 58, 1279–1284.PubMedCrossRef McHugo, G. J., Drake, R. E., Whitley, R., Bond, G. R., Campbell, K., Rapp, C. A., et al. (2007). Fidelity outcomes in the National Implementing Evidence-Based Practices Project. Psychiatric Services, 58, 1279–1284.PubMedCrossRef
Zurück zum Zitat Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., et al. (2002). Illness management and recovery: A review of the research. Psychiatric Services, 53, 1272–1284.PubMedCrossRef Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., et al. (2002). Illness management and recovery: A review of the research. Psychiatric Services, 53, 1272–1284.PubMedCrossRef
Zurück zum Zitat Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press. Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.
Zurück zum Zitat Shediac-Rizkallah, M. C., & Bone, L. R. (1998). Planning for the sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Education Research, 13, 87–108.PubMedCrossRef Shediac-Rizkallah, M. C., & Bone, L. R. (1998). Planning for the sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Education Research, 13, 87–108.PubMedCrossRef
Zurück zum Zitat Swain, K., Whitley, R., McHugo, G. J., & Drake, R. E. (2010). The sustainability of evidence-based practices in routine mental health agencies. Community Mental Health Journal, 46, 119–129.PubMedCrossRef Swain, K., Whitley, R., McHugo, G. J., & Drake, R. E. (2010). The sustainability of evidence-based practices in routine mental health agencies. Community Mental Health Journal, 46, 119–129.PubMedCrossRef
Zurück zum Zitat Torrey, W. C., Bond, G. R., McHugo, G. J., & Swain, K. (2012). Evidence-based practice implementation in community mental health settings: The relative importance of key domains of implementation activity. Administration and Policy in Mental Health and Mental Health Services Research, 39, 353–364.PubMedCrossRef Torrey, W. C., Bond, G. R., McHugo, G. J., & Swain, K. (2012). Evidence-based practice implementation in community mental health settings: The relative importance of key domains of implementation activity. Administration and Policy in Mental Health and Mental Health Services Research, 39, 353–364.PubMedCrossRef
Zurück zum Zitat Torrey, W. C., Lynde, D. W., & Gorman, P. (2005). Promoting the implementation of practices that are supported by research: The National Implementing Evidence-Based Practices Project. Child and Adolescent Psychiatric Clinics of North America, 14, 297–306.PubMedCrossRef Torrey, W. C., Lynde, D. W., & Gorman, P. (2005). Promoting the implementation of practices that are supported by research: The National Implementing Evidence-Based Practices Project. Child and Adolescent Psychiatric Clinics of North America, 14, 297–306.PubMedCrossRef
Zurück zum Zitat Whitley, R., Gingerich, S., Lutz, W., & Mueser, K. T. (2009). Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers. Psychiatric Services, 60, 202–209.PubMed Whitley, R., Gingerich, S., Lutz, W., & Mueser, K. T. (2009). Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers. Psychiatric Services, 60, 202–209.PubMed
Zurück zum Zitat Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7, 17. doi:10.1186/1748-5908-1187-1117.PubMedCrossRef Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7, 17. doi:10.​1186/​1748-5908-1187-1117.PubMedCrossRef
Metadaten
Titel
Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies
verfasst von
Gary R. Bond
Robert E. Drake
Gregory J. McHugo
Alison E. Peterson
Amanda M. Jones
Jessica Williams
Publikationsdatum
01.03.2014
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 2/2014
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-012-0461-5

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