title: Barriers and facilitators to implementation of the institute of medicine recommendations on preventing mental, emotional, and behavioral disorders among young people.
abstract: OBJECTIVE
  The purpose of this study was to gain an understanding of the barriers and facilitators to implementation of the five overarching recommendations of the Institute of Medicine report and to consider the implications for nursing.
  
  
  METHODS
  Data were collected through use of a semi-structured interview of purposive sample of 22 key informants regarding the barriers and facilitators to implementation of the report's five major recommendations.
  
  
  RESULTS
  The major barriers were competing priorities, lack of infrastructure for implementation, lack of public education regarding mental health and the effectiveness of prevention, stigma, and a paucity of facilitating factors. The facilitators were leadership, flexible resources, linkage to healthcare reform or other legislation, coordination across agencies and governmental levels, and additional research.
  
  
  CONCLUSIONS
  The discussion focuses on ways of promoting facilitating factors and consideration of nursing's potential contributions in the areas of education, practice, and research.
authors.affiliation: College of Nursing, University of South Florida, Tampa, FL, USA. mevans@health.usf.edu
authors.forename: Mary E
authors.initials: ME
authors.lastname: Evans
mesh_terms: D000342:Affective Symptoms / Q000517:prevention & control*; D002648:Child; D002653:Child Behavior Disorders / Q000517:prevention & control*; D019033:Delivery of Health Care, Integrated; D018166:Health Care Reform / Q000458:organization & administration; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D001523:Mental Disorders / Q000517:prevention & control*; D008605:Mental Health Services / Q000458:organization & administration; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration / Q000523:psychology; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D014481:United States