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Description
The presence of evidence-based programs (EBPs) in serious mental illness (SMI) titled populations have been an important subject within clinical implementation research in recent years. The SMI population represents 24% of incarcerated persons, as well as has the highest rates of homelessness, sexual and physical abuse victimization, unemployment, and suicide;

The presence of evidence-based programs (EBPs) in serious mental illness (SMI) titled populations have been an important subject within clinical implementation research in recent years. The SMI population represents 24% of incarcerated persons, as well as has the highest rates of homelessness, sexual and physical abuse victimization, unemployment, and suicide; thus, this population presents specific challenges over other commonly studied implementation populations. Despite some advances, most existing literature has yet to take into account that many SMI titles individuals receive services through state-run systems. To build upon this gap in research and practice, a qualitative case study was performed on the barriers and facilitators to implementation in a state-run organization providing services solely to a large SMI population in the state of Arizona. Results indicate that what appears to be important about this population is not so much specific barriers that other populations do not encounter, but how barriers or facilitators are related. Important implementation barrier relationships were between organization and standardization and measurement, and between communication and attitudes. For facilitators, accountability and approach to service appeared to be interrelated. Researchers hypothesize that these distinct barriers and facilitators may be present due to the high presence of court-mandated individuals and limits of service depth and breadth in a state-run system.
ContributorsLokey, Savannah Brittany (Author) / Anne, Mauricio (Thesis director) / Berkel, Lady (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2015-05
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Description
The purpose of this literature review is to examine barriers to the implementation of evidence-based practices (EBPs) for alcohol treatment and approaches to facilitate adoption of EBPs in alcohol treatment settings. Although EBPs represent the most effective forms of treatment, many treatment centers continue to use treatments that lack an

The purpose of this literature review is to examine barriers to the implementation of evidence-based practices (EBPs) for alcohol treatment and approaches to facilitate adoption of EBPs in alcohol treatment settings. Although EBPs represent the most effective forms of treatment, many treatment centers continue to use treatments that lack an empirical foundation. Examining current research on implementation barriers allows for a more complete understanding of factors that may prevent treatment centers from adopting EBPs, and a categorization of EBP implementation strategies and rates of adoption may aid programs seeking to utilizes EBPs. This literature review is also designed to inform a future study of EBP implementation in treatment centers in the greater Phoenix area, which will ultimately serve as a resource to individuals seeking EBPs in the local community. Research on barriers conveyed that there are two types of barriers: global and EBP specific. At the global level, there are core barriers that must be addressed before successful implementation is possible. These barriers include organization and staff barriers. EBP specific barriers should be attended to after global barriers have been addressed. Research on implementation strategies conveys that multipronged approaches are the most effective, and should focus on addressing global barriers. Treatment centers that have successfully implemented EBPs provide valuable information to the development of new implementation strategies. Lastly, research on rates conveys the implementation of EBPs is increasing over time, however the research in this area has many limitations that must be addressed in future research to determine realist rates.
ContributorsStottlemyre, Rachael Lynn (Author) / Corbin, William (Thesis director) / Hartman, Jessica (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12