Facilitating practice changes in mental health clinics: A guide for implementation development in health care systems

Kauth M, Sullivan G, Cully J, Blevins D. Facilitating practice changes in mental health clinics: A guide for implementation development in health care systems. Psychological Services. 2011 Feb 1; 8(1):36-47.

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Abstract:

For more than a decade, health care systems have attempted to implement evidence-based practices and guidelines. These efforts have demonstrated the difficulty in making practice changes in complex systems of care. Many health care systems, including the Department of Veterans Affairs (VA) and state community mental health systems, have made adoption of evidence-based treatments, especially psychotherapies, a priority. Psychologists, as behavioral change experts and clinical leaders, are positioned to aid local implementation efforts but may have limited knowledge of the "implementation science" literature. This article provides a brief introduction to the implementation literature and offers a guide for developing an implementation plan to adopt evidence-based psychotherapies in local health care settings illustrated by a hypothetical example. Challenges to implementation are discussed.