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Site-level evidence-based practice accreditation: A qualitative exploration using institutional theory.

Rebecca Lengnick Hall1, Cathleen Elizabeth Willging2, Gregory A Aarons3,4

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Human Service Organizations, Management, Leadership & Governance
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Site-level accreditation for SafeCare, an evidence-based child maltreatment program, faces challenges in human services. Resource scarcity and bureaucratic hurdles impact its implementation and effectiveness.

Keywords:
EBP implementationaccreditationinstitutional theory

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Area of Science:

  • Human Services Research
  • Organizational Accreditation Studies

Background:

  • Accreditation is increasingly used in human services to validate service quality and legitimacy.
  • Evidence-based practices like SafeCare aim to prevent and reduce child maltreatment.

Purpose of the Study:

  • To explore perspectives on the site-level accreditation process for SafeCare.
  • To understand the benefits, burdens, and impacts of accreditation in human services.

Main Methods:

  • Qualitative study using two waves of data.
  • Involved trainers, leaders, and program developers in the SafeCare accreditation rollout.
  • Framed analysis using institutional theory.

Main Results:

  • Findings highlight challenges specific to the human service environment.
  • Identified issues include resource scarcity and organizational interdependence.
  • Cost and bureaucratic processes were significant factors impacting accreditation.

Conclusions:

  • Accreditation implementation in human services requires careful consideration of the operational context.
  • Addressing resource limitations and bureaucratic inefficiencies is crucial for successful accreditation of evidence-based practices.