Long-term sustainability of evidence-based practices in community mental health agencies

Gary R. Bond, Robert E. Drake, Gregory J. McHugo, Alison E. Peterson, Amanda M. Jones, Jessica Williams

Research output: Contribution to journalArticle

72 Scopus citations

Abstract

This study examined rates of sustainability, defined as program continuation, and factors associated with sustainability 6 years after full implementation of five evidence-based practices in 49 sites in the National Implementing Evidence-Based Practices Project. Based on interviews with agency leaders and state leaders, 47 % of sites sustained the practice for 6 years, 16 % restarted the practice after a period of discontinuation, and 37 % discontinued the practice permanently. Agency leaders from discontinuing sites identified inadequate financial support, lack of prioritization, and workforce issues as barriers to continuation. Adequate financing, ongoing supervision, and monitoring of fidelity and outcome may promote long-term sustainability.

Original languageEnglish (US)
Pages (from-to)228-236
Number of pages9
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume41
Issue number2
DOIs
StatePublished - Mar 1 2014

Keywords

  • Evidence-based practices
  • Implementation
  • Sustainability

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Phychiatric Mental Health

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