The relationship between consumer, clinician, and organizational characteristics and use of evidence-based and non-evidence-based therapy strategies in a public mental health system.

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TitleThe relationship between consumer, clinician, and organizational characteristics and use of evidence-based and non-evidence-based therapy strategies in a public mental health system.
Publication TypeJournal Article
Year of Publication2017
AuthorsBeidas, R, Skriner, L, Adams, D, Wolk, CBenjamin, Stewart, RE, Becker-Haimes, E, Williams, N, Maddox, B, Rubin, R, Weaver, S, Evans, A, Mandell, D, Marcus, SC
JournalBehav Res Ther
Volume99
Pagination1-10
Date Published2017 Dec
ISSN1873-622X
Abstract

We investigated the relationship between consumer, clinician, and organizational factors and clinician use of therapy strategies within a system-wide effort to increase the use of cognitive-behavioral therapy. Data from 247 clinicians in 28 child-serving organizations were collected. Clinicians participating in evidence-based practice training initiatives were more likely to report using cognitive-behavioral therapy when they endorsed more clinical experience, being salaried clinicians, and more openness to evidence-based practice. Clinicians participating in evidence-based practice initiatives were more likely to use psychodynamic techniques when they had older clients, less knowledge about evidence-based practice, more divergent attitudes toward EBP, higher financial strain, and worked in larger organizations. In clinicians not participating in evidence-based training initiatives; depersonalization was associated with higher use of cognitive-behavioral; whereas clinicians with less knowledge of evidence-based practices were more likely to use psychodynamic techniques. This study suggests that clinician characteristics are important when implementing evidence-based practices; and that consumer, clinician, and organizational characteristics are important when de-implementing non evidence-based practices. This work posits potential characteristics at multiple levels to target with implementation and deimplementation strategies.

DOI10.1016/j.brat.2017.08.011
Alternate JournalBehav Res Ther
PubMed ID28865284
PubMed Central IDPMC5681428
Grant ListF32 MH103955 / MH / NIMH NIH HHS / United States
F32 MH103960 / MH / NIMH NIH HHS / United States
K23 MH099179 / MH / NIMH NIH HHS / United States
R21 MH103950 / MH / NIMH NIH HHS / United States