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A Multi-Level Examination of Stakeholder Perspectives of Implementation of Evidence-Based Practices in a Large Urban Publicly-Funded Mental Health System

机译：利益相关者观点的多层次检查在大型城市公共资助的精神卫生系统中实施循证实践

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摘要

Our goal was to identify barriers and facilitators to the implementation of evidence-based practices from the perspectives of multiple stakeholders in a large publicly funded mental health system. We completed 56 interviews with three stakeholder groups: treatment developers (n = 7), agency administrators (n = 33), and system leadership (n = 16). The three stakeholder groups converged on the importance of inner (e.g., agency competing resources and demands, therapist educational background) and outer context (e.g., funding) factors as barriers to implementation. Potential threats to implementation and sustainability included the fiscal landscape of community mental health clinics and an evolving workforce. Intervention characteristics were rarely endorsed as barriers. Inner context, outer context, and intervention characteristics were all seen as important facilitators. All stakeholders endorsed the importance of coordinated collaboration across stakeholder groups within the system to successfully implement evidence-based practices.
机译：我们的目标是从大型公共资助的精神卫生系统中的多个利益相关方的角度确定实施循证实践的障碍和促进者。我们完成了对三个利益相关者群体的56次采访：治疗开发者（n = 7），机构管理员（n = 33）和系统领导（n = 16）。这三个利益相关者群体将内部因素（例如，机构竞争资源和需求，治疗师的教育背景）和外部环境（例如资金）作为实施障碍的重要性集中在一起。对实施和可持续性的潜在威胁包括社区心理健康诊所的财政状况和不断发展的员工队伍。干预特征很少被认可为障碍。内部环境，外部环境和干预特征均被视为重要的促进因素。所有利益相关者都认可了系统内利益相关者群体之间协调协作对成功实施循证实践的重要性。

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