State implementation of evidence-based practice for youths, part II: Recommendations for research and policy
State implementation of evidence-based practice for youths, part II: Recommendations for research and policy
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DOI：
10.1097/chi.0b013e3181684557
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发表时间：
2008-05-01
影响因子：
13.3
通讯作者：
Carter, Bill
中科院分区：
文献类型：
--
作者：
Bruns, Eric J.;Hoagwood, Kimberly Eaton;Carter, Bill
在本专栏的第一部分，我们从美国两个海岸线上的两名大学研究人员开始，他们努力领导州一级的倡议，以促进儿童、青少年和家庭采用和实施循证实践（EBP）。[1]然后，我们提供了六个国家应对这一挑战的例子。本专栏最后反映了州一级EBP实施工作的多样性，并提出了研究和政策的机会和未来方向。如前所述，各州显然能够领导精神卫生服务和系统改革工作，包括使用EBP来改善结果。2Y4然而，如加州、科罗拉多、夏威夷、密歇根、纽约和俄亥俄州等州所采用的多种方法所示，没有一条明确的道路可以成功采用电子商务计划。[1]尽管我们对想要实现的目标有一些共识（例如，通过适当有效的模式为更多的儿童提供服务，更多的临床医生接受EBP标准的培训，持续的州和地方结构，随着时间的推移促进EBP的实施），但关于州或大型司法管辖区级别的方法最有希望的研究很少，甚至理论也很少。作为一个起点，来自上述国家（和其他国家）的代表参加了国家儿童和家庭循证实践联盟，试图通过阐明国家EBP实施工作的一些方面来描述他们的努力的多样性。我们的目标是建立一个概念框架，可以支持国家一级的倡议，以促进EBP（和大规模的系统倡议一般）。通过这一努力，我们还希望促进未来对有助于创造成功结果的系统层面因素的研究。
In part 1 of this column, we began with two universitybased researchers on opposite coasts of the United States struggling to lead state-level initiatives to promote adoption and implementation of evidence-based practice (EBP) for children, youths, and families. 1 We then provided six examples of state responses to this challenge. The present column concludes by reflecting on the diverse nature of state-level EBP implementation efforts and presenting opportunities and future directions for research and policy. As previously described, states are clearly in a position to lead mental health service and system reform efforts, including the use of EBP to improve outcomes. 2Y4 As exemplified, however, by the multiplicity of approaches adopted by states such as California, Colorado, Hawaii, Michigan, New York, and Ohio, there is no single clear pathway to successful adoption of EBP. 1 Although there is some consensus on what we want to achieve (eg, more children served via appropriate and effective models, more clinicians trained to EBP standards, sustained state and local structures that promote EBP implementation over time), there is little research or even theory on what state-or large jurisdictionYlevel approaches hold the most promise. As a starting point, representatives from the states cited above (and others) who participate in the national Child and Family Evidence-Based Practices Consortium have attempted to characterize the diversity of their efforts by elucidating some dimensions of state EBP implementation efforts. The goal is to build a conceptual framework that can support state-level initiatives to promote EBP (and large-scale system initiatives in general). Through this effort, we also hope to facilitate future study of system-level factors that help create successful outcomes.