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Community Ment Health J. 2019 Nov;55(8):1344-1353. doi: 10.1007/s10597-019-00430-8. Epub 2019 Jun 12.

Significance of Leaders for Sustained Use of Evidence-Based Practices: A Qualitative Focus-Group Study with Mental Health Practitioners.

Author information

1
Division of Mental Health Services, Akershus University Hospital, Sykehusveien 25, Lørenskog, 1478, Norway. karina.egeland@ahus.no.
2
Institute of Psychology, University of Oslo, Forskningsveien 3A, Oslo, 0373, Norway.
3
Division of Mental Health Services, Akershus University Hospital, Sykehusveien 25, Lørenskog, 1478, Norway.
4
University of Oslo, Institute of Clinical Medicine, Oslo, Norway.
5
Norwegian Center for Child Behavioral Development, Essendropsgate 3, Oslo, 0368, Norway.

Abstract

Evidence-based practices that are implemented in mental health services are often challenging to sustain. In this focus-group study, 26 mental health practitioners with high fidelity scores were interviewed regarding their experiences with implementing the illness management and recovery, an evidence-based practice for people with severe mental disorders, in their services and how this could influence further use. Findings indicate that high fidelity is not equivalent to successful implementation. Rather, to sustain the practice in services, the practitioners emphasized the importance of their leaders being positive and engaged in the intervention, and hold clear goals and visions for the intervention in the clinic. In addition, the practitioners' understanding of outcome monitoring as a resource for practice improvement must be improved to avoid random patient experiences becoming the decisive factor in determining further use.Trial registration: ClinicalTrials.gov NCT02077829. Registered 25 February 2014.

KEYWORDS:

Autonomy; Illness management and recovery; Implementation; Leadership; Monitoring philosophy

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