Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings.
Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings.
复制标题
DOI：
10.1186/s13012-023-01309-9
复制
发表时间：
2023-11-07
影响因子：
7.2
通讯作者：
Raghavan, Ramesh
中科院分区：
文献类型：
--
作者：
Wortham, Whitney K.;Rodwin, Aaron H.;Purtle, Jonathan;Munson, Michelle R.;Raghavan, Ramesh
关键词：
在过去的三十年中，政策参与者和行动在支持心理健康环境中实施循证实践（EBP）方面发挥了巨大影响力。对这些行动的早期审查产生了政策生态框架（PEF），该框架最初是为州和地方心理健康监管机构在儿童心理健康领域的战术入门而开发的。然而，自最初的 PEF 发布以来，实施的政策环境已经发生了重大变化。有必要对 PEF 中最初提出的策略进行审问，以提供更新的策略菜单，以提高我们对政策行动机制的理解并促进系统改进。本文以最初的 PEF 为基础，探讨了 2009 年至 2022 年间实施心理健康 EBP 的政策格局的变化。我们回顾了支持在精神卫生保健中实施 EBP 的政策战略的现状，并概述了以政策为导向的实施研究的关键领域。我们的审查确定了联邦、州、机构和组织层面的政策战略，并强调了实施 EBP 的社会背景的发展。此外，我们的审查围绕每个 PEF 领域发生的一些关键变化进行组织，这些领域跨越组织、机构、政治和社会背景以及每个领域内的子领域。我们提出了更新的政策策略清单，以支持在心理健康环境中实施 EBP。这一更新的战略菜单考虑了政策环境中广泛的概念发展和变化。这些发展发生在组织、机构、政治和社会背景下，对于政策制定者在支持 EBP 实施的背景下考虑非常重要。更新后的PEF扩展并增强了当前可用政策杠杆的规范，并确定了尚未制定的政策目标（例如取消实施和维持），但正在成为支持系统改进的政策的明显机会。更新后的 PEF 阐明了卫生领域实施科学领域当前的政策工作，以概念化和更好地实施政策在 EBP 实施中的作用。在线版本包含可在 10.1186/s13012-023-01309-9 获取的补充材料。
Over the past three decades, policy actors and actions have been highly influential in supporting the implementation of evidence-based practices (EBPs) in mental health settings. An early examination of these actions resulted in the Policy Ecology Framework (PEF), which was originally developed as a tactical primer for state and local mental health regulators in the field of child mental health. However, the policy landscape for implementation has evolved significantly since the original PEF was published. An interrogation of the strategies originally proposed in the PEF is necessary to provide an updated menu of strategies to improve our understanding of the mechanisms of policy action and promote system improvement. This paper builds upon the original PEF to address changes in the policy landscape for the implementation of mental health EBPs between 2009 and 2022. We review the current state of policy strategies that support the implementation of EBPs in mental health care and outline key areas for policy-oriented implementation research. Our review identifies policy strategies at federal, state, agency, and organizational levels, and highlights developments in the social context in which EBPs are implemented. Furthermore, our review is organized around some key changes that occurred across each PEF domain that span organizational, agency, political, and social contexts along with subdomains within each area. We present an updated menu of policy strategies to support the implementation of EBPs in mental health settings. This updated menu of strategies considers the broad range of conceptual developments and changes in the policy landscape. These developments have occurred across the organizational, agency, political, and social contexts and are important for policymakers to consider in the context of supporting the implementation of EBPs. The updated PEF expands and enhances the specification of policy levers currently available, and identifies policy targets that are underdeveloped (e.g., de-implementation and sustainment) but are becoming visible opportunities for policy to support system improvement. The updated PEF clarifies current policy efforts within the field of implementation science in health to conceptualize and better operationalize the role of policy in the implementation of EBPs. The online version contains supplementary material available at 10.1186/s13012-023-01309-9.
登录
查看更多内容
影响因子：
3.7
作者：
Nadeem E;Saldana L;Chapman J;Schaper H
通讯作者：
Schaper H
影响因子：
7.2
作者：
Birken, Sarah A.;Bunger, Alicia C.;Weiner, Bryan J.
通讯作者：
Weiner, Bryan J.
DOI：
10.1186/s13012-021-01082-7
发表时间：
2021-02-15
期刊：
Implementation science : IS
影响因子：
--
作者：
Bullock HL;Lavis JN;Wilson MG;Mulvale G;Miatello A
通讯作者：
Miatello A
影响因子：
5.2
作者：
Brookman-Frazee L;Zhan C;Stadnick N;Sommerfeld D;Roesch S;Aarons GA;Innes-Gomberg D;Bando L;Lau AS
通讯作者：
Lau AS
影响因子：
3.8
作者：
Brown, Marie;Jones, Nev
通讯作者：
Jones, Nev