Policy Press
7 Local models of EBP implementation
Abstract
I’d say MST, Multi-Systemic Therapy by Scott Henggeler. Well promoted, good evidence-based practice, but their approach is very expensive, and in a civil service county environment…You know, some of the larger counties have been able to implement that, perhaps with the grant. We ended up choosing alternate, less expensive approaches that might serve a similar target population. So we use the public domain Intensive Case Management model based on the New York model to help treat many of our court wards at risk of group home placement. We might have done MST, but rather chose a less expensive model. (Mental health services director)
As we observed in the last chapter, the evidence used to support an EBP can come from a variety of sources. One often thinks of EBPs as being supported by rigorous scientific methods using data that is more often than not collected from populations and communities that are external to the community considering implementation. An agency in the United Kingdom considering the adoption and implementation of multisystemic therapy (MST) (Henggeler et al, 1998), for instance, may be asked to place their faith in the evidence-base of this EBP that was generated from a randomized controlled trial (RCT) conducted in the United States or Australia. To the degree that MST works in the U.K. in much the same manner that it does in the United States, the EBP and the evidence base for the EBP can be viewed as being global in nature. Global evidence is external (that is, originates outside of an agency or jurisdiction), scientifically rigorous (for example, RCTs), and generalizable or transferable from one setting to another. Global evidence is the foundation for EBP.
Abstract
I’d say MST, Multi-Systemic Therapy by Scott Henggeler. Well promoted, good evidence-based practice, but their approach is very expensive, and in a civil service county environment…You know, some of the larger counties have been able to implement that, perhaps with the grant. We ended up choosing alternate, less expensive approaches that might serve a similar target population. So we use the public domain Intensive Case Management model based on the New York model to help treat many of our court wards at risk of group home placement. We might have done MST, but rather chose a less expensive model. (Mental health services director)
As we observed in the last chapter, the evidence used to support an EBP can come from a variety of sources. One often thinks of EBPs as being supported by rigorous scientific methods using data that is more often than not collected from populations and communities that are external to the community considering implementation. An agency in the United Kingdom considering the adoption and implementation of multisystemic therapy (MST) (Henggeler et al, 1998), for instance, may be asked to place their faith in the evidence-base of this EBP that was generated from a randomized controlled trial (RCT) conducted in the United States or Australia. To the degree that MST works in the U.K. in much the same manner that it does in the United States, the EBP and the evidence base for the EBP can be viewed as being global in nature. Global evidence is external (that is, originates outside of an agency or jurisdiction), scientifically rigorous (for example, RCTs), and generalizable or transferable from one setting to another. Global evidence is the foundation for EBP.
Chapters in this book
- Front Matter i
- Contents v
- Tables and figures vi
- Abbreviations vii
- Preface ix
- Introduction 1
- The need for evidence-based practice 15
- Understanding and reducing the gap 33
- EBP implementation in child welfare and child mental health 59
- Social networks and EBP implementation 75
- Use of research evidence and EBP implementation 99
- Local models of EBP implementation 119
- Research–practice–policy partnerships 139
- Cultural exchange and EBP implementation 169
- A transactional model of implementing EBP 189
- References 201
- Index 235
Chapters in this book
- Front Matter i
- Contents v
- Tables and figures vi
- Abbreviations vii
- Preface ix
- Introduction 1
- The need for evidence-based practice 15
- Understanding and reducing the gap 33
- EBP implementation in child welfare and child mental health 59
- Social networks and EBP implementation 75
- Use of research evidence and EBP implementation 99
- Local models of EBP implementation 119
- Research–practice–policy partnerships 139
- Cultural exchange and EBP implementation 169
- A transactional model of implementing EBP 189
- References 201
- Index 235
