Bornheimer Lindsay A, Acri Mary, Parchment Tyrone, McKay Mary M
School of Social Work, University of Michigan, Ann Arbor, MI, USA.
McSilver Institute for Poverty Policy & Research, New York University Medical Center, New York, NY, USA.
Res Soc Work Pract. 2019 Jul 1;29(5):584-589. doi: 10.1177/1049731518770278. Epub 2018 Apr 18.
As implementation and evaluation of research supported treatment (RST) expands across diverse mental health settings, it is essential to understand the facilitators and inhibitors of uptake. The current study examined the relationships between organizational readiness for change, attitudes toward RST, and use of RST among a sample primarily of social workers.
Participants included 158 providers from public child mental health outpatient clinics in the New York metropolitan area. Data were analyzed using structural equation modeling.
Use of RST was greater among providers who were younger and had fewer years of professional experience. Both organizational need for change and climate directly and indirectly related to use of RST through attitudes toward RST (partial mediator).
The organizational context is an important factor that relates to attitudes toward and use of RST in practice. Future research is needed to continue examining factors of RST uptake and sustainability.
随着对研究支持治疗（RST）的实施与评估在不同心理健康环境中不断扩展，了解其采用的促进因素和阻碍因素至关重要。本研究在主要由社会工作者组成的样本中，考察了组织变革准备度、对RST的态度以及RST的使用之间的关系。
参与者包括来自纽约大都市地区公立儿童心理健康门诊诊所的158名提供者。使用结构方程模型对数据进行分析。
年龄较小且专业经验较少的提供者对RST的使用更多。组织变革需求和氛围都通过对RST的态度（部分中介变量）直接和间接地与RST的使用相关。
组织背景是与实践中对RST的态度和使用相关的一个重要因素。未来需要继续研究RST采用和可持续性的因素。
