Attitudes, Perceptions, and Utilization of Evidence-Based Practices in Residential Care

Area of Science:

• Social Sciences
• Psychology
• Healthcare Management

Background:

• Evidence-based practices (EBPs) are crucial for effective residential care.
• Understanding attitudes and utilization of EBPs in this setting is vital for improving client outcomes.

Purpose of the Study:

• To assess attitudes, perceptions, and utilization of EBPs in US residential care settings.
• To identify common EBPs and evaluate their alignment with national clearinghouse standards.

Main Methods:

• A web-administered survey was distributed to 118 member agencies of a national residential care association.
• The survey included the Evidence-Based Practices Attitude Scale and questions on practice utilization.
• Reported practices were validated against four national clearinghouse sites.

Main Results:

• Overwhelmingly positive attitudes toward EBPs were reported, with concerns regarding cost and client-driven approaches.
• More than 88% of programs reported using at least one EBP, with behaviorally-based and trauma-focused interventions being most common.
• Only slightly over half of reported practices were validated by national clearinghouses, indicating a need for conceptual clarity.

Conclusions:

• Residential care agencies generally embrace EBPs but face practical challenges.
• A significant gap exists between perceived and validated EBPs, highlighting the need for better integration of research and practice.
• Further dialogue is needed to align conceptualizations of evidence between practitioners and researchers.