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Adm Policy Ment Health. 2007 Sep;34(5):479-88. Epub 2007 Jul 18.

Implementation of evidence-based practice in community behavioral health: agency director perspectives.

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  • 1George Warren Brown School of Social Work, Washington University in Saint Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA.


Despite a growing supply of evidence-based mental health treatments, we have little evidence about how to implement them in real-world care. This qualitative pilot study captured the perspectives of agency directors on the challenge of implementing evidence-based practices in community mental health agencies. Directors identified challenges as limited access to research, provider resistance, and training costs. Director leadership, support to providers, and partnerships with universities were leverage points to implement evidenced-based treatments. Directors' mental models of EBP invoked such concepts as agency reputation, financial solvency, and market niche. Findings have potential to shape implementation interventions.

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