Health Services Research & Development

Veterans Crisis Line Badge
Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstracts

Search | Search by Center | Search by Source | Keywords in Title

Oslin D, Dixon L, Adler DA, Winston H, Erlich MD, Levine B, Berlant J, Goldman B, First MB, Siris SG. Adaptation in Delivering Integrated Care: The Tension Between Care and Evidence-Based Practice. Psychiatric services (Washington, D.C.). 2018 Sep 1; 69(9):1029-1031.
Abstract: Clinical practice is assumed to be informed and supported by evidence-based clinical research. Nonetheless, clinical practice often deviates from the research evidence base, sometimes leading and sometimes lagging. Two examples from integrated care in mental health care (care for serious mental illness and collaborative mental health care in primary care settings) illustrate the natural space and therefore tension between evidence and implementation that needs to be better understood. Using the tools and perspectives of both examples, the authors present a framework for the connected relationship between practice and research that is founded on measurement and uses iterative adaptation guided by oversight of and feedback from the stakeholders in this process.