Work

Facilitators and Barriers Associated With Implementation of Evidence-Based Psychotherapy in Community Settings

Year: 2013

Type: article

Abstract: OBJECTIVE Despite widespread use of individual outpatient psychotherapies among community mental health centers (CMHCs), few studies have examined implementation of these psychotherapies. This exploratory qualitative study identified key themes associated with the implementation of an empirically supported psychotherapy in CMHCs. METHODS The authors conducted semistructured interviews with 12 key informants from four CMHCs that had implemented interpersonal and social rhythm therapy (IPSRT). Their responses were categorized into key themes. RESULTS Five major themes were identified: pretraining familiarity with IPSRT, administrative support for implementation, IPSRT fit with usual practice and clinic culture, implementation team and plan, and supervision and consultation. Discussion of these themes varied among participants from clinics considered successful or unsuccessful implementers. CONCLUSIONS Participants identified both key themes and several strategies for facilitating implementation. The findings suggest that when these key factors are present, outcome-enhancing treatments can be implemented and sustained, even in clinics with limited resources.

Source: Psychiatric Services

DOI: 10.1176/appi.ps.201200508

Authors: Bradley D. Stein, Karen L. Celedonia, Jane N. Kogan, Holly A. Swartz, Ellen Frank

Institutions: RAND Corporation, University of Pittsburgh, University of Pittsburgh Medical Center, UPMC Center for High Value Health Care

Language: English

Topic: Health Policy Implementation Science

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institutes of Health, National Institute of Mental Health