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      Implementation of evidence-based practice in community behavioral health: agency director perspectives.

      Administration and Policy in Mental Health
      United States, Evidence-Based Medicine, Health Facility Administrators, Mental Disorders, Humans, psychology, Diffusion of Innovation, Interviews as Topic, therapy, Community Mental Health Services

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          Abstract

          Despite a growing supply of evidence-based mental health treatments, we have little evidence about how to implement them in real-world care. This qualitative pilot study captured the perspectives of agency directors on the challenge of implementing evidence-based practices in community mental health agencies. Directors identified challenges as limited access to research, provider resistance, and training costs. Director leadership, support to providers, and partnerships with universities were leverage points to implement evidenced-based treatments. Directors' mental models of EBP invoked such concepts as agency reputation, financial solvency, and market niche. Findings have potential to shape implementation interventions.

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