The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices

被引：65

作者：

Stewart, Rebecca E. ^{[1
]}

Adams, Danielle R. ^{[1
]}

Mandell, David S. ^{[1
]}

Hadley, Trevor R. ^{[1
]}

Evans, Arthur C. ^{[1
,2
]}

Rubin, Ronnie ^{[4
]}

Erney, Joan ^{[4
]}

Neimark, Geoffrey ^{[4
]}

Hurford, Matthew O. ^{[1
,3
]}

Beidas, Rinad S. ^{[1
]}

机构：

[1] Univ Penn, Perelman Sch Med, Dept Psychiat, Philadelphia, PA 19104 USA

[2] Philadelphia Dept Behav Hlth & Intellectual disAb, Philadelphia, PA USA

[3] Community Care Behav Hlth Org, Pittsburgh, PA USA

[4] Community Behav Hlth, Philadelphia, PA USA

来源：

PSYCHIATRIC SERVICES | 2016年 / 67卷 / 02期

关键词：

SYSTEM;

D O I：

10.1176/appi.ps.201500392

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Financing has been hypothesized to be an important driver of the implementation of evidence-based practices (EBPs), yet there has been little systematic investigation of financing as a factor in EBP implementation. This column presents findings from a qualitative study of the effects of financial factors on the implementation of EBPs in a large urban publicly funded mental health system. Interviews with 33 agency leaders and 16 policy makers identified financial distress in community mental health agencies, leading to concerns about complex and expensive implementation of EBPs. Stakeholders agreed that the cost of EBP implementation should be shared between the agencies and the system; however, the stakeholders did not agree on how EBPs should be financed.

引用

页码：159 / 161

页数：3

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