Applying the Policy Ecology Framework to Philadelphia's Behavioral Health Transformation Efforts.

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TitleApplying the Policy Ecology Framework to Philadelphia's Behavioral Health Transformation Efforts.
Publication TypeJournal Article
Year of Publication2016
AuthorsPowell, BJ, Beidas, RS, Rubin, RM, Stewart, RE, Wolk, CBenjamin, Matlin, SL, Weaver, S, Hurford, MO, Evans, AC, Hadley, TR, Mandell, DS
JournalAdm Policy Ment Health
Volume43
Issue6
Pagination909-926
Date Published2016 Nov
ISSN1573-3289
KeywordsCommunity Mental Health Services, Evidence-Based Practice, Health Policy, Humans, Philadelphia, Social Environment
Abstract

Raghavan et al. (Implement Sci 3(26):1-9, 2008) proposed that effective implementation of evidence-based practices requires implementation strategies deployed at multiple levels of the "policy ecology," including the organizational, regulatory or purchaser agency, political, and social levels. However, much of implementation research and practice targets providers without accounting for contextual factors that may influence provider behavior. This paper examines Philadelphia's efforts to work toward an evidence-based and recovery-oriented behavioral health system, and uses the policy ecology framework to illustrate how multifaceted, multilevel implementation strategies can facilitate the widespread implementation of evidence-based practices. Ongoing challenges and implications for research and practice are discussed.

DOI10.1007/s10488-016-0733-6
Alternate JournalAdm Policy Ment Health
PubMed ID27032411
PubMed Central IDPMC5045753
Grant ListUL1 TR001111 / TR / NCATS NIH HHS / United States
F32 MH103955 / MH / NIMH NIH HHS / United States
F32 MH103960 / MH / NIMH NIH HHS / United States
K23 MH099179 / MH / NIMH NIH HHS / United States
R01 MH106175 / MH / NIMH NIH HHS / United States
L30 MH108060 / MH / NIMH NIH HHS / United States