Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness
Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness
复制标题
DOI：
10.1176/appi.ps.52.12.1598
复制
发表时间：
2001-12-01
影响因子：
3.8
通讯作者：
Barr, M
中科院分区：
文献类型：
--
作者：
Corrigan, PW;Steiner, L;Barr, M
基于证据的做法尚未在现实世界的治疗环境中广泛实施，原因有几个，包括现有的州最低水平、行政政策、资金优先顺序、倡导者的关切以及项目人员配备。传播战略主要集中在项目人员配备和为什么负责帮助严重精神疾病患者的治疗小组没有使用循证做法的问题上。在对研究文献的回顾中，出现了工作人员传播的两个障碍：个别服务提供者缺乏吸收这些做法所需的知识和技能，以及某些组织动态削弱了治疗团队实施和保持创新方法的能力。三套战略对于克服这些障碍和促进传播是有用的：包装循证做法，以便服务推动者更容易获得和使用具体干预措施；对提供者进行有关知识和技能的教育；处理团队的组织动态，以促进创新的实施。传播研究是相对较新的研究，与导致循证实践的临床和服务研究企业相比，还不太发达。对未来研究的意义进行了讨论。
Evidence-based practices have not been widely implemented in real-world treatment settings for several reasons, including existing state lows, administrative policies, funding priorities, advocates' concerns, and program staffing. Dissemination strategies focus largely on program staffing and the question of why treatment teams that are responsible for assisting people with serious mental illness fail to use evidence-based practices. In a review of the research literature, two barriers to staff dissemination emerge: individual service providers lack the necessary knowledge and skills to assimilate these practices, and certain organizational dynamics undermine the treatment teams' ability to implement and maintain innovative approaches. Three sets of strategies are useful for overcoming these barriers and fostering dissemination: packaging evidence-based practices so that specific interventions are more accessible and user-friendly to service prodders; educating providers about relevant knowledge and skills; and addressing the organizational dynamics of the team to facilitate the implementation of innovations. Research on dissemination is relatively new and is less well developed than the clinical and services research enterprise that has led to evidence-based practices. Implications for future studies are discussed.