Zazzali James L, Sherbourne Cathy, Hoagwood Kimberly Eaton, Greene Deborah, Bigley Michael F, Sexton Thomas L
RAND, 1776 Main St., Santa Monica, CA 90407, USA.
Adm Policy Ment Health. 2008 Mar;35(1-2):38-49. doi: 10.1007/s10488-007-0145-8. Epub 2007 Nov 6.
Numerous challenges persist in providing evidence-based treatments to children and families in community-based settings. Functional Family Therapy (FFT), one such evidence-based treatment, is a family prevention and intervention program for adolescents with conduct disorder or oppositional defiant disorder. This paper presents pilot data in support of a conceptual framework explaining the adoption and implementation of FFT in a small sample of family and child mental health services organizations in New York State. The conceptual framework is grounded in the diffusion of innovations and the organizational behavior literatures, as well as previously published accounts of the adoption and implementation of evidence-based treatments in mental health. Pilot study data demonstrated that factors associated with the adoption of FFT included: The program fitting with the mission of the organization, as well as the organization having a strong interest in evidence-based treatments. Once a decision to adopt FFT was made, the degree to which it fit with organizational characteristics (e.g., available resource sets, organizational structure, and culture) influenced the ease with which it was implemented. Implications for the adoption and implementation of other evidence-based treatments are discussed.
在社区环境中为儿童及其家庭提供循证治疗仍存在诸多挑战。功能性家庭治疗（FFT）就是这样一种循证治疗方法，它是针对患有品行障碍或对立违抗障碍青少年的家庭预防和干预项目。本文展示了试点数据，以支持一个概念框架，该框架解释了FFT在纽约州一小部分家庭和儿童心理健康服务机构中的采用和实施情况。该概念框架基于创新扩散和组织行为学文献，以及先前发表的关于循证治疗在心理健康领域采用和实施情况的描述。试点研究数据表明，与采用FFT相关的因素包括：该项目符合组织的使命，以及组织对循证治疗有浓厚兴趣。一旦做出采用FFT的决定，它与组织特征（如可用资源、组织结构和文化）的契合程度会影响其实施的难易程度。文中还讨论了对采用和实施其他循证治疗方法的启示。
