Contracting and Procurement for Evidence-Based Interventions in Public-Sector Human Services: A Case Study

Adm Policy Ment Health. 2016 Sep;43(5):675-692. doi: 10.1007/s10488-015-0681-6.


Sustainment of evidence-based interventions (EBIs) in human services depends on the inner context of community-based organizations (CBOs) that provide services and the outer context of their broader environment. Increasingly, public officials are experimenting with contracting models from for-profit industries to procure human services. In this case study, we conducted qualitative interviews with key government and CBO stakeholders to examine implementation of the Best Value-Performance Information Procurement System to contract for EBIs in a child welfare system. Findings suggest that stakeholder relationships may be compromised when procurement disregards local knowledge, communication, collaboration, and other factors supporting EBIs and public health initiatives.

Keywords: Child welfare; Evidence-based intervention; Home visitation; Performance-based contracting; Sustainment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Child Protective Services / organization & administration*
  • Child Welfare
  • Contract Services / organization & administration*
  • Evidence-Based Practice / organization & administration*
  • House Calls*
  • Humans
  • Organizational Case Studies
  • Public Health
  • Qualitative Research
  • Value-Based Purchasing