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The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices.
Stewart, Rebecca E; Adams, Danielle R; Mandell, David S; Hadley, Trevor R; Evans, Arthur C; Rubin, Ronnie; Erney, Joan; Neimark, Geoffrey; Hurford, Matthew O; Beidas, Rinad S.
Afiliação
  • Stewart RE; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Adams DR; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Mandell DS; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Hadley TR; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Evans AC; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Rubin R; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Erney J; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Neimark G; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Hurford MO; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
  • Beidas RS; Dr. Stewart, Ms. Adams, Dr. Mandell, Dr. Hadley, Dr. Evans, Dr. Hurford, and Dr. Beidas are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (e-mail: restewar@upenn.edu ). Dr. Evans is also with the Philadelphia Department of Behavioral Health and Intellectu
Psychiatr Serv ; 67(2): 159-61, 2016 Feb.
Article em En | MEDLINE | ID: mdl-26522680
ABSTRACT
Financing has been hypothesized to be an important driver of the implementation of evidence-based practices (EBPs), yet there has been little systematic investigation of financing as a factor in EBP implementation. This column presents findings from a qualitative study of the effects of financial factors on the implementation of EBPs in a large urban publicly funded mental health system. Interviews with 33 agency leaders and 16 policy makers identified financial distress in community mental health agencies, leading to concerns about complex and expensive implementation of EBPs. Stakeholders agreed that the cost of EBP implementation should be shared between the agencies and the system; however, the stakeholders did not agree on how EBPs should be financed.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Setor de Assistência à Saúde / Prática Clínica Baseada em Evidências / Serviços de Saúde Mental Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Setor de Assistência à Saúde / Prática Clínica Baseada em Evidências / Serviços de Saúde Mental Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2016 Tipo de documento: Article