Factors Associated with Community-Partnered School Behavioral Health Clinicians' Adoption and Implementation of Evidence-Based Practices

Elizabeth H Connors; Jason Schiffman; Kathleen Stein; Sarah LeDoux; John Landsverk; Sharon Hoover

doi:10.1007/s10488-018-0897-3

Factors Associated with Community-Partnered School Behavioral Health Clinicians' Adoption and Implementation of Evidence-Based Practices

Adm Policy Ment Health. 2019 Jan;46(1):91-104. doi: 10.1007/s10488-018-0897-3.

Authors

Elizabeth H Connors¹, Jason Schiffman², Kathleen Stein³, Sarah LeDoux⁴, John Landsverk^{5

6}, Sharon Hoover⁷

Affiliations

¹ National Center for School Mental Health, Division of Child and Adolescent Psychiatry, School of Medicine, University of Maryland Baltimore, 737 W. Lombard Street, 426, Baltimore, MD, 21201, USA. econnors@som.umaryland.edu.
² Department of Psychology, University of Maryland Baltimore County, Baltimore, USA.
³ Booker High School, Sarasota, USA.
⁴ MPB Group, Inc., Columbia, USA.
⁵ Brown School of Social Work, Washington University, St Louis, USA.
⁶ Oregon Social Learning Center, Eugene, USA.
⁷ National Center for School Mental Health, Division of Child and Adolescent Psychiatry, School of Medicine, University of Maryland Baltimore, 737 W. Lombard Street, 426, Baltimore, MD, 21201, USA.

PMID: 30244430
DOI: 10.1007/s10488-018-0897-3

Abstract

Community-partnered school behavioral health (CP-SBH) is a model whereby schools partner with local community agencies to deliver services. This mixed-methods study examined 80 CP-SBH clinicians' adoption and implementation of evidence-based practice (EBP) approaches following mandated training. Forty-four clinicians were randomly assigned to one of two training conditions for a modular common elements approach to EBPs; 36 clinicians were preselected for training in a non-modular EBP. EBP knowledge improved for all training conditions at 8-month follow-up and practice element familiarity improved for modular approach training conditions, but the modular condition including ongoing consultation did not yield better results. Qualitative interviews (N = 17) highlighted multi-level influences of the CP-SBH service system and individual clinician characteristics on adoption and implementation.

Keywords: Evidence-based practices; Implementation context; School behavioral health services.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Evidence-Based Practice / organization & administration
Health Knowledge, Attitudes, Practice
Humans
Longitudinal Studies
Mental Health Services / organization & administration*
Mental Health Services / standards
School Health Services / organization & administration*
School Health Services / standards