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

Nathaniel Williams, Rinad Beidas, Laura Skriner, Danielle Adams, Courtney Benjamin Wolk, Rebecca E. Stewart, Emily Becker-Haimes, Brenna Maddox, Ronnie Rubin, Shawna Weaver, Arthur Evans, David Mandell, Steven C. Marcus

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

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.

Original languageAmerican English
Pages (from-to)1-10
Number of pages10
JournalSocial Work Faculty Publications and Presentations
Volume99
DOIs
StatePublished - 1 Feb 2018

Keywords

  • cognitive-behavioral therapy
  • evidence-based practice
  • implementation

EGS Disciplines

  • Other Social and Behavioral Sciences

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