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Barriers to evidence-based practice implementation: results of a qualitative study
Charles A Rapp1, Diane Etzel-Wise, Doug Marty
1School of Social Welfare, The University of Kansas, Twente Hall, Lawrence, KS 66044, USA. charlier@ku.edu
Community Mental Health Journal
|August 18, 2009
Summary
Barriers to implementing evidence-based practices (EBPs) like supported employment were identified. Agency staff behavior and a lack of synergy were the main obstacles to successful EBP implementation.
Area of Science:
- Health Services Research
- Mental Health Services
- Implementation Science
Background:
- Implementing evidence-based practices (EBPs) is crucial for improving healthcare outcomes.
- Supported employment and integrated dual diagnosis treatment are key EBPs in mental health.
- Understanding implementation barriers is essential for successful EBP adoption.
Purpose of the Study:
- To qualitatively explore barriers to implementing supported employment and integrated dual diagnosis treatment in one state.
- To identify specific obstacles faced by agencies during EBP implementation.
Main Methods:
- Qualitative study design.
- Data collected from one state agency.
- Focus on barriers encountered during the implementation of supported employment and integrated dual diagnosis treatment.
Main Results:
- Significant obstacles originated from the behavior of supervisors, front-line staff, and other agency professionals.
- A notable lack of synergy among staff profoundly impeded the implementation process.
- Interpersonal dynamics and team cohesion are critical factors in EBP adoption.
Conclusions:
- Agency staff behavior and interpersonal dynamics are primary barriers to EBP implementation.
- Fostering synergy and collaboration among professionals is vital for successful implementation.
- Future implementation strategies should address staff behavior and promote team synergy.
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