Unintended Consequences of Evidence-Based Treatment Policy Reform: Is Implementation the Goal or the Strategy for Higher Quality Care?

被引：31

作者：

Park, Alayna L. ^{[1
]}

Tsai, Katherine H. ^{[2
]}

Guan, Karen ^{[1
]}

Chorpita, Bruce F. ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Dept Psychol, Box 951563, Los Angeles, CA 90095 USA

[2] Five Acres Boys & Girls Aid Soc Los Angeles Cty, Los Angeles, CA USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2018年 / 45卷 / 04期

关键词：

Dissemination and implementation; Evidence-based treatment; Mental health care reform; REVISED CHILD ANXIETY; MENTAL-HEALTH-CARE; DEPRESSION SCALE; PARENT VERSION; PSYCHOMETRIC PROPERTIES; CONDUCT PROBLEMS; YOUTH; PSYCHOTHERAPY; INTERVENTION; THERAPISTS;

D O I：

10.1007/s10488-018-0853-2

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：

This study examined patterns of evidence-based treatment (EBT) delivery following a county-wide EBT reform initiative. Data were gathered from 60 youth and their 21 providers, who were instructed to deliver therapy as they normally would under the EBT initiative. Results showed limited applicability of county-supported EBTs to this service sample, and that most youth did not receive traditional delivery of EBTs. Findings suggest that it may be unrealistic to expect providers to deliver EBTs with fidelity with all clients, and that EBT implementation may be best thought of as a strategy for improving mental health services rather than a goal.

引用

页码：649 / 660

页数：12

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