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Doctoral Dissertations

Implementation strategy

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Mechanisms Of Change In An Organizational Culture And Climate Intervention For Increasing Clinicians’ Evidence-Based Practice Adoption In Mental Health, Nathaniel J. Williams Aug 2015

Mechanisms Of Change In An Organizational Culture And Climate Intervention For Increasing Clinicians’ Evidence-Based Practice Adoption In Mental Health, Nathaniel J. Williams

Doctoral Dissertations

Objective: Increasing the adoption of evidence-based practices (EBPs) is a focus of national and international efforts to improve the quality and outcomes of mental health services for youth; however, few studies have examined the multilevel change mechanisms that explain how successful implementation strategies increase EBP adoption. Identifying these mechanisms is necessary to develop more effective and efficient strategies. This study tested the multilevel mechanisms that link an empirically supported organizational implementation strategy called ARC (for Availability, Responsiveness, and Continuity) to increased EBP adoption.

Method: In a randomized controlled trial, 14 outpatient children’s mental health clinics in a large Midwestern city …