Research-practice gaps in child mental health.
OBJECTIVE
To present a framework for classifying research-practice gaps to increase clarity in the discourse on evidence-informed practice and policy as it applies to child mental health.


METHODS
The development of the framework was informed by the research literature about the effectiveness of clinic- and community-based interventions for the prevention and treatment of child mental health problems, patterns of uptake of these interventions, and the research literature about evidence-informed practice and policy.


RESULTS
Four types of research-practice gaps are proposed: (1) the failure to implement interventions found to be effective, and the implementation of interventions (2) that have been demonstrated to cause harm, (3) that have evidence of no effect, and (4) where the effectiveness is unknown because of the lack of rigorous evaluation. Examples from child mental health are provided for each type.


CONCLUSIONS
This framework could guide an agenda aimed at reducing research-practice gaps in child mental health. A range of strategies may be required to address the different types of gaps.
McLENNAN
John D
JD
Dr. McLennan is with the University of Calgary, Alberta, Canada; and Drs. Wathen, MacMillan, and Lavis are with McMaster University, Hamilton, Ontario, Canada. Electronic address: jmclenna@ucalgary.ca.
Wathen
C Nadine
CN
Dr. McLennan is with the University of Calgary, Alberta, Canada; and Drs. Wathen, MacMillan, and Lavis are with McMaster University, Hamilton, Ontario, Canada.
MacMILLAN
Harriet L
HL
Dr. McLennan is with the University of Calgary, Alberta, Canada; and Drs. Wathen, MacMillan, and Lavis are with McMaster University, Hamilton, Ontario, Canada.
Lavis
John N
JN
Dr. McLennan is with the University of Calgary, Alberta, Canada; and Drs. Wathen, MacMillan, and Lavis are with McMaster University, Hamilton, Ontario, Canada.
D002648:Child; D002662:Child Health Services; D002665:Child Psychiatry; D003156:Community Mental Health Services; D019317:Evidence-Based Medicine; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology*