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Administration and Policy in Mental Health and Mental Health Services Research

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01.03.2008 | Original Paper

The Adoption and Implementation of an Evidence Based Practice in Child and Family Mental Health Services Organizations: A Pilot Study of Functional Family Therapy in New York State

verfasst von: James L. Zazzali, Cathy Sherbourne, Kimberly Eaton Hoagwood, Deborah Greene, Michael F. Bigley, Thomas L. Sexton

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 1-2/2008

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Abstract

Numerous challenges persist in providing evidence-based treatments to children and families in community-based settings. Functional Family Therapy (FFT), one such evidence-based treatment, is a family prevention and intervention program for adolescents with conduct disorder or oppositional defiant disorder. This paper presents pilot data in support of a conceptual framework explaining the adoption and implementation of FFT in a small sample of family and child mental health services organizations in New York State. The conceptual framework is grounded in the diffusion of innovations and the organizational behavior literatures, as well as previously published accounts of the adoption and implementation of evidence-based treatments in mental health. Pilot study data demonstrated that factors associated with the adoption of FFT included: The program fitting with the mission of the organization, as well as the organization having a strong interest in evidence-based treatments. Once a decision to adopt FFT was made, the degree to which it fit with organizational characteristics (e.g., available resource sets, organizational structure, and culture) influenced the ease with which it was implemented. Implications for the adoption and implementation of other evidence-based treatments are discussed.

For two of the organizations included in the sample, an additional administrator was interviewed because the original key respondent said the additional administrator was likely to have important information about the adoption and implementation of the FFT program.

Due to resource constraints and the limited number of interviews, only one RAND researcher coded the interviews. It is recommended that future tests of the framework include reliability tests using two or more coders.

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Titel: The Adoption and Implementation of an Evidence Based Practice in Child and Family Mental Health Services Organizations: A Pilot Study of Functional Family Therapy in New York State
verfasst von: James L. Zazzali
Cathy Sherbourne
Kimberly Eaton Hoagwood
Deborah Greene
Michael F. Bigley
Thomas L. Sexton
Publikationsdatum: 01.03.2008
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 1-2/2008
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-007-0145-8

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The Adoption and Implementation of an Evidence Based Practice in Child and Family Mental Health Services Organizations: A Pilot Study of Functional Family Therapy in New York State

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