title: The role of state mental health authorities in managing change for the implementation of evidence-based practices.
abstract: The evidence-based practice demonstration for services to adults with serious mental illness has ended its pilot stage. This paper presents the approaches states employed to combine traditional policy levers with more strategic/institutional efforts (e.g., leadership) to facilitate implementation of these practices. Two rounds of site visits were completed and extensive interview data collected. The data were analyzed to find trends that were consistent across states and across practices. Two themes emerged for understanding implementation of evidence-based practices: the support and influence of the state mental health authority matters and so does the structure of the mental health systems.
authors.affiliation: Department of Health Policy and Management, Columbia University, 600 West 168th Street, New York, NY 10032, USA. Ki2129@columbia.edu
authors.forename: Kimberley Roussin
authors.initials: KR
authors.lastname: Isett
authors.forename: M Audrey
authors.initials: MA
authors.lastname: Burnam
authors.forename: Brenda
authors.initials: B
authors.lastname: Coleman-Beattie
authors.forename: Pamela S
authors.initials: PS
authors.lastname: Hyde
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Morrissey
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Magnabosco
authors.forename: Charles
authors.initials: C
authors.lastname: Rapp
authors.forename: Vijay
authors.initials: V
authors.lastname: Ganju
authors.forename: Howard H
authors.initials: HH
authors.lastname: Goldman
mesh_terms: D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D006801:Humans; D007407:Interviews as Topic; D008605:Mental Health Services / Q000458:organization & administration*; D013219:State Government; D014481:United States