Public policy and evidence-based practice.
The time has come to add to the body of EBP implementation knowledge at multiple levels, including knowledge about policy, program priorities, clinician practice, consumer adherence, and family member support. Implementation at the policy level, however, is primary and paramount. The national initiative supporting EBP implementation is one of the most important innovations on the mental health horizon. It will serve as the testing ground for what can be learned about bridging the gap between science and service. This important initiative will not go far if it is not supported by mental health policies--at state and federal levels--that create the organizational and financial incentives to implement EBPs. In addition, it will be a time-limited activity if it also does not yield lessons about how to adapt to new evidence and on-going systemic changes. Organizations must be flexible and able to learn and adapt. The promise of decades of research must be realized in practice. There is an opportunity to combine quality improvement with accountability through performance measurement and the implementation of effective new services and treatments. The Surgeon General simultaneously identified this research's promise and documented its shortcomings. His report outlines courses of action for policymakers that should guide clinicians away from service disparities and toward the implementation of EBP.
Goldman
Howard H
HH
Department of Psychiatry, University of Maryland School of Medicine, 685 W. Baltimore Street, MSTF, Room 300, Baltimore, MD 21201, USA. hh.goldman@verizon.net
Azrin
Susan T
ST
D000367:Age Factors; D003469:Culture; D019317:Evidence-Based Medicine / Q000331:legislation & jurisprudence*; D005260:Female; D006801:Humans; D008297:Male; D018854:Managed Competition; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy; D008605:Mental Health Services / Q000331:legislation & jurisprudence; D005791:Patient Care / Q000592:standards; D011570:Psychiatry; D011640:Public Policy; D011787:Quality of Health Care; D012737:Sex Factors; D014481:United States