The Sustainability of Evidence-Based Practices in Routine Mental Health Agencies
The Sustainability of Evidence-Based Practices in Routine Mental Health Agencies
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DOI：
10.1007/s10597-009-9202-y
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发表时间：
2010-04-01
影响因子：
2.7
通讯作者：
Drake, Robert E.
中科院分区：
文献类型：
--
作者：
Swain, Karin;Whitley, Rob;Drake, Robert E.
这里提出的研究报告了国家针对严重精神疾病患者实施循证实践项目中实践的可持续性。 49 个站点完成了最初的 2 年实施阶段，是我们研究的重点。我们的目的是了解实施两年后维持实践的地点数量、维持或不维持的原因、两组之间的特征差异以及实践适应的程度和性质。我们采用了基于电话调查的混合方法，该调查在后续期间从现场代表和其他熟悉现场和实践的人那里收集了定性和定量数据。我们发现，80% 的网站在实施后两年内维持其实践，维持者与非维持者在几个领域有所不同：融资、培训、忠诚度和机构领导力，并且大多数网站适度调整实践以满足州和地方的需求。
The research presented here reports on sustainability of the practices within the National Implementing Evidence Based Practices Project for people with serious mental illness. Forty-nine sites completed the initial 2-year implementation phase and were the focus of our study. Our aims were to discern the number of sites that sustained practices 2 years after implementation, the reasons for sustaining or not sustaining, differences in characteristics between the two groups, and the extent and nature of practice adaptations. We used a mixed-methods approach, based on a telephone survey that gathered qualitative and quantitative data from site representatives and others familiar with the sites and practices during the follow-up period. We found that 80% of sites sustained their practices for 2 years post-implementation, that sustainers differed from non-sustainers in several domains: financing, training, fidelity and agency leadership, and that most sites adapted practices moderately to meet state and local needs.