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Practitioner perspectives on evidence-based practice.

Mina K Dulcan¹

¹Child and Adolescent Psychiatry, Children's Memorial Hospital, 2300 Children's Plaza, #10, Chicago, IL 60614, USA. m-dulcan@northwestern.edu

Child and Adolescent Psychiatric Clinics of North America

|February 8, 2005

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Implementing evidence-based practice in child mental health is challenging due to various barriers. This article identifies these obstacles and proposes solutions to encourage clinicians in child and adolescent psychiatry to adopt evidence-based practices.

Area of Science:

Child and Adolescent Psychiatry
Mental Health Services Research

Background:

Clinical practice in child mental health ideally rests on a scientific foundation.
Evidence-based practice (EBP) implementation faces significant challenges in child and adolescent psychiatry.
Delays in adopting research findings are prevalent across medical specialties.

Purpose of the Study:

To identify barriers to implementing evidence-based practice in child and adolescent psychiatry.
To suggest strategies for motivating and enabling clinicians to utilize evidence-based practices.

Main Methods:

Literature review of impediments to evidence-based practice implementation.
Analysis of stakeholder influences on clinical practice adoption.
Synthesis of potential solutions for enhancing clinician engagement with research findings.

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Main Results:

Multiple stakeholders contribute to implementation difficulties.
Practitioner delays are a common issue in adopting research findings.
Specific barriers hinder the consistent use of evidence-based practices in child mental health settings.

Conclusions:

Addressing identified barriers is crucial for successful evidence-based practice integration.
Changes are needed to motivate and equip clinicians to effectively use evidence-based practices.
Enhancing the use of evidence-based practices can improve child and adolescent mental health outcomes.