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Principal Investigator: Gregory
A. Aarons
Funding: NIMH R03MH070703 (9/30/04-7/31/06, $157,000)
Mental health services research lacks theoretically rich
and testable models of dissemination and implementation (DI)
of evidence-based practices (EBPs) for public sector services
and, in particular, youth mental health services. This study
is designed to develop such a model. The proposed work is
a response to recommended priorities for research developed
as product of the meeting "What Do We Know about Implementing
Evidence-Based Practices and Where Can We Go From Here?"
(NIMH, February 2002). Specifically, two priorities are addressed:
1) Identifying conditions of receptivity to EBPs, and 2) the
relation of organizational characteristics to adoption of
EBPs. The overall purpose of the proposed study is to develop
an empirically based theoretical and testable model of DI
of EBP in youth mental health services that will elucidate
leverage points that can be used to improve our ability to
implement EBPs in real-world public mental health settings.
System/organizational interventions can then be developed
based the model. The practical goal of this proposal is to
identify barriers and facilitators of adoption of EBPs for
organizations serving youth with mental health disorders and
related problems and develop a preliminary measure of readiness
for EBPs. An inductive qualitative approach will be used in
the proposed work. The proposed work will use concept mapping
(CM), a mixed qualitative-quantitative method that will include
stakeholders at multiple levels of the mental health services
context in order to develop a comprehensive and detailed representation
of barriers and facilitators to DI of EBPs in youth mental
health services. The specific aims for this project are to:
1.Use Concept Mapping to identify barriers and facilitators
of EBPs in youth mental health organizations; 2. Identify
how barriers and facilitators of EBPs vary by organizational
level and stakeholder perspective; 3. Compare identified barriers
and facilitators with existing organizational measures; 4.
Develop a theoretical model of readiness for EBPs that can
be tested in subsequent studies.
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2007
CASRC