Evidence-based practice implementation in community mental health settings: the relative importance of key domains of implementation activity

Adm Policy Ment Health. 2012 Sep;39(5):353-64. doi: 10.1007/s10488-011-0357-9.


Implementation research has examined practice prioritization, implementation leadership, workforce development, workflow re-engineering, and practice reinforcement, but not addressed their relative importance as implementation drivers. This study investigated domains of implementation activities and correlated them to implementation success during a large national evidence-based practice implementation project. Implementation success was correlated with active leadership strategically devoted to redesigning the flow of work and reinforcing implementation through measurement and feedback. Relative attention to workforce development was negatively correlated with implementation. Active leaders should focus on redesigning the flow of work to support the implementation and on reinforcing program improvements.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Community Mental Health Services / methods*
  • Community Mental Health Services / organization & administration
  • Community Mental Health Services / standards
  • Evidence-Based Practice / methods*
  • Evidence-Based Practice / organization & administration
  • Guideline Adherence
  • Health Plan Implementation / methods*
  • Health Plan Implementation / organization & administration
  • Humans
  • Leadership
  • Mental Disorders / therapy
  • Reinforcement, Psychology