title: Implementation of evidence-based practice in community behavioral health: agency director perspectives.
abstract: 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.
authors.affiliation: George Warren Brown School of Social Work, Washington University in Saint Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130-4899, USA. ekp@wustl.edu
authors.forename: Enola K
authors.initials: EK
authors.lastname: Proctor
authors.forename: Kraig J
authors.initials: KJ
authors.lastname: Knudsen
authors.forename: Nicole
authors.initials: N
authors.lastname: Fedoravicius
authors.forename: Peter
authors.initials: P
authors.lastname: Hovmand
authors.forename: Aaron
authors.initials: A
authors.lastname: Rosen
authors.forename: Brian
authors.initials: B
authors.lastname: Perron
mesh_terms: D003156:Community Mental Health Services; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D006270:Health Facility Administrators / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D001523:Mental Disorders / Q000628:therapy; D014481:United States