Policy and provider characteristics associated with successful evidence based practice uptake

Few empirical studies have examined factors predicting successful implementation of evidence based practices (EBPs) for persons with mental illnesses, particularly over time, although local governance, political/fiscal/technical support, and geographic/demographic context are influences discussed in the literature. The President's New Freedom Commission's EBP subcommittee report noted the need to research the effects of community settings, divisions between mental health, alcohol/drug, and vocational authorities, and the presence of technical assistance infrastructures, on EBP program success. Findings will be presented from an empirical study that examined the salience of selected factors for the installation of two EBPs in over 50 community mental health centers in Ohio: Integrated Dual Disorders Treatment (IDDT) and Supported Employment (SE). The study looked at the impact on implementation outcomes over time of: local governance structures; urban vs. rural settings; and presence/absence of financial allocations specifically earmarked for the EBP implementations. Data relevant to organizational characteristics of the 66 programs delivering EBPs in Ohio were collected. IDDT/SE implementation outcomes were measured at intervals over a six-year period (2000-2006) using the General Organizational Index, and IDDT or SE Treatment scale. Relationships among policy- and program-level factors and implementation outcomes throughout program development and over time were determined. Findings presented will inform organizational and policy decisions as well as the direction and focus of technical assistance offered to providers implementing IDDT, SE, and other evidence based practices for persons with mental illness.