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Related Experiment Videos

Public policy and evidence-based practice.

Howard H Goldman1, Susan T Azrin

  • 1Department of Psychiatry, University of Maryland School of Medicine, 685 W. Baltimore Street, MSTF, Room 300, Baltimore, MD 21201, USA. hh.goldman@verizon.net

The Psychiatric Clinics of North America
|January 9, 2004
PubMed
Summary
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Implementing evidence-based practices (EBPs) requires policy support for mental health services. Policies must incentivize organizational change and financial support for widespread EBP adoption.

Area of Science:

  • Mental Health Services Research
  • Health Policy
  • Implementation Science

Background:

  • Bridging the gap between scientific evidence and clinical practice is crucial.
  • National initiatives aim to advance evidence-based practices (EBPs) in mental health.
  • Policy, organizational, and financial factors significantly influence EBP implementation.

Purpose of the Study:

  • To highlight the critical role of policy in EBP implementation.
  • To emphasize the need for adaptive strategies in response to new evidence and systemic changes.
  • To explore the integration of quality improvement with accountability through performance measurement.

Main Methods:

  • Analysis of national initiatives and policy recommendations.
  • Review of literature on EBP implementation across multiple levels (policy, practice, consumer).

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  • Examination of the Surgeon General's report on mental health research and its implications.

    • Main Results:

    • Policy-level implementation is paramount for successful EBP adoption.
    • Mental health policies must provide organizational and financial incentives for EBPs.
    • Flexibility and adaptability are essential for organizations to integrate new evidence and manage systemic changes.

    Conclusions:

    • Realizing the promise of research requires robust policy support and adaptive organizational strategies.
    • Effective implementation of EBPs necessitates aligning policy, practice, and systemic capacity.
    • Policy guidance is essential to reduce service disparities and promote EBP adoption in mental health care.