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Implementation of Evidence-Based Practices within Treatment-As-Usual and Evidence-Based Practice Initiatives.

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  • 1Harvard University, 33 Kirkland St, Cambridge, MA, 02138, USA.

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|May 2, 2022
PubMed
Summary
This summary is machine-generated.

Publicly funded initiatives for evidence-based practices (EBP) in youth mental health show similar implementation rates to standard care. Improved evaluation and standardized measurement are crucial for these initiatives to demonstrate effectiveness.

Keywords:
Evidence-based practicesImplementationTreatment-as-usualYouth mental health

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Area of Science:

  • Child and Adolescent Psychiatry
  • Health Services Research
  • Implementation Science

Background:

  • Publicly funded initiatives aim to enhance evidence-based practice (EBP) implementation in youth mental health.
  • Limited understanding exists regarding the effectiveness of these initiatives and EBP implementation outside of them.

Purpose of the Study:

  • To compare EBP implementation in a standard care (treatment as usual - TAU) state versus six states with publicly funded EBP initiatives (EBPIs).
  • To identify predictors of EBP use in both TAU and EBPI settings.

Main Methods:

  • Study 1: Examined providers' use of practices derived from the evidence base (PDEB) and their predictors in 780 providers in a TAU state.
  • Study 2: Conducted a systematic review of implementation strategies, outcomes, and predictors of EBP use in six state-funded EBPIs.

Main Results:

  • TAU providers use PDEB alongside non-evidence-based practices; minority status, learning theory orientation, and manual use predict greater PDEB use.
  • EBPIs use multiple strategies with variable outcomes; training, setting, and youth age consistently predict EBP use.
  • PDEB use rates in TAU appeared similar to EBPIs, though two states reported higher EBP implementation under EBPIs. Predictors differed between TAU and EBPI settings.

Conclusions:

  • Current evaluation of publicly funded EBP initiatives needs improvement, including standardized outcome reporting and measurement.
  • Enhanced evaluation is necessary to understand and optimize the impact of EBPIs on youth mental health service delivery.