National Center for Children in Poverty, Mailman School of Public Health, Columbia University, 215 W. 125th, 3rd Floor, New York, NY 10027, USA.
Psychiatr Serv. 2009 Dec;60(12):1672-5. doi: 10.1176/ps.2009.60.12.1672.
This study examined the efforts of states' mental health authorities to promote the use of evidence-based practices through policy.
Data were drawn from three components of a national study, including a survey of state children's mental health directors (N=53), which was developed using a three-step process that involved stakeholders.
Data from the directors' survey revealed that over 90% of states are implementing strategies to support the use of evidence-based practices. The scope of these efforts varies, with 36% reporting statewide reach. Further, states' strategies for implementing evidence-based practices are often not accompanied by comparable efforts to enhance information systems, even though enhancing such systems can bolster opportunities for successful implementation.
Variability in the adoption of evidence-based practices, poor attention to information systems, and inconsistent fiscal policies threaten states' efforts to improve the quality of children's mental health services.
本研究通过政策考察各州精神卫生部门推广循证实践的努力。
数据来自全国性研究的三个组成部分,包括对州儿童心理健康主任的调查(N=53),该调查使用了一个涉及利益相关者的三步过程进行开发。
主任调查的数据显示,超过 90%的州正在实施支持循证实践的策略。这些努力的范围各不相同,其中 36%的州报告了全州范围内的覆盖。此外,各州实施循证实践的策略通常没有伴随着类似的努力来加强信息系统,尽管加强这些系统可以为成功实施提供更多机会。
循证实践的采用存在差异,对信息系统的关注不足,以及财政政策的不一致,这威胁到各州改善儿童心理健康服务质量的努力。