title: Leadership, Organizational Climate, and Perceived Burden of Evidence-Based Practice in Mental Health Services.
abstract: The use of evidence-based practices (EBPs) is associated with favorable client outcomes, yet perceived burden of using EBPs may affect the adoption and implementation of such practices. Multilevel path analysis was used to examine the associations of transformational leadership with organizational climate, and their associations with perceived burden of using EBPs. Results indicated significant relationships between transformational leadership and empowering and demoralizing climates, and between demoralizing climate and perceived burden of EBPs. We found significant indirect associations of leadership and perceived burden through organizational climate. Findings suggest that further research is needed to examine the extent to which improving leadership and organizational climate may reduce perceived burden and use of EBPs with the ultimate goal of enhancing quality of care.
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, CA, USA.
authors.forename: Kim C
authors.initials: KC
authors.lastname: Brimhall
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, CA, USA.
authors.forename: Karissa
authors.initials: K
authors.lastname: Fenwick
authors.affiliation: Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (0812), La Jolla, CA, 92093-0812, USA.|Child and Adolescent Services Research Center, San Diego, CA, USA.
authors.forename: Lauren R
authors.initials: LR
authors.lastname: Farahnak
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, CA, USA.|Child and Adolescent Services Research Center, San Diego, CA, USA.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Hurlburt
authors.affiliation: San Diego State University, San Diego, CA, USA.
authors.forename: Scott C
authors.initials: SC
authors.lastname: Roesch
authors.affiliation: Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (0812), La Jolla, CA, 92093-0812, USA. gaarons@ucsd.edu.|Child and Adolescent Services Research Center, San Diego, CA, USA. gaarons@ucsd.edu.
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Aarons
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D055317:Evidence-Based Practice / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007857:Leadership; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D055361:Multilevel Analysis; D015279:Organizational Culture; D011795:Surveys and Questionnaires
keywords: Attitudes; Evidence-based practice; Organizational climate; Transformational leadership