TY - JOUR
T1 - The Relationship Between Consumer, Clinician, and Organizational Characteristics and Use of Evidence-Based and Non-Evidence-Based Therapy Strategies in a Public Mental Health System
AU - Williams, Nathaniel
AU - Beidas, Rinad
AU - Skriner, Laura
AU - Adams, Danielle
AU - Wolk, Courtney Benjamin
AU - Stewart, Rebecca E.
AU - Becker-Haimes, Emily
AU - Maddox, Brenna
AU - Rubin, Ronnie
AU - Weaver, Shawna
AU - Evans, Arthur
AU - Mandell, David
AU - Marcus, Steven C.
N1 - Williams, Nathaniel. (2017). "The Relationship Between Consumer, Clinician, and Organizational Characteristics and Use of Evidence-Based and Non-Evidence-Based Therapy Strategies in a Public Mental Health System. Behaviour Research and Therapy, 99, 1-10. http://dx.doi.org/10.1016/j.brat.2017.08.011
PY - 2018/2/1
Y1 - 2018/2/1
N2 - We investigated the relationship between consumer, clinician, and organizational factors and clinician use of therapy strategies within a system-wide effort to increase the use of cognitive-behavioral therapy. Data from 247 clinicians in 28 child-serving organizations were collected. Clinicians participating in evidence-based practice training initiatives were more likely to report using cognitive-behavioral therapy when they endorsed more clinical experience, being salaried clinicians, and more openness to evidence-based practice. Clinicians participating in evidence-based practice initiatives were more likely to use psychodynamic techniques when they had older clients, less knowledge about evidence-based practice, more divergent attitudes toward EBP, higher financial strain, and worked in larger organizations. In clinicians not participating in evidence-based training initiatives; depersonalization was associated with higher use of cognitive-behavioral; whereas clinicians with less knowledge of evidence-based practices were more likely to use psychodynamic techniques. This study suggests that clinician characteristics are important when implementing evidence-based practices; and that consumer, clinician, and organizational characteristics are important when de-implementing non evidence-based practices. This work posits potential characteristics at multiple levels to target with implementation and deimplementation strategies.
AB - We investigated the relationship between consumer, clinician, and organizational factors and clinician use of therapy strategies within a system-wide effort to increase the use of cognitive-behavioral therapy. Data from 247 clinicians in 28 child-serving organizations were collected. Clinicians participating in evidence-based practice training initiatives were more likely to report using cognitive-behavioral therapy when they endorsed more clinical experience, being salaried clinicians, and more openness to evidence-based practice. Clinicians participating in evidence-based practice initiatives were more likely to use psychodynamic techniques when they had older clients, less knowledge about evidence-based practice, more divergent attitudes toward EBP, higher financial strain, and worked in larger organizations. In clinicians not participating in evidence-based training initiatives; depersonalization was associated with higher use of cognitive-behavioral; whereas clinicians with less knowledge of evidence-based practices were more likely to use psychodynamic techniques. This study suggests that clinician characteristics are important when implementing evidence-based practices; and that consumer, clinician, and organizational characteristics are important when de-implementing non evidence-based practices. This work posits potential characteristics at multiple levels to target with implementation and deimplementation strategies.
KW - cognitive-behavioral therapy
KW - evidence-based practice
KW - implementation
UR - https://scholarworks.boisestate.edu/socialwork_facpubs/68
UR - http://dx.doi.org/10.1016/j.brat.2017.08.011
UR - http://www.scopus.com/inward/record.url?scp=85028504382&partnerID=8YFLogxK
U2 - 10.1016/j.brat.2017.08.011
DO - 10.1016/j.brat.2017.08.011
M3 - Article
C2 - 28865284
VL - 99
SP - 1
EP - 10
JO - Social Work Faculty Publications and Presentations
JF - Social Work Faculty Publications and Presentations
ER -