Next Article in Journal
Animal Leptospirosis in Latin America and the Caribbean Countries: Reported Outbreaks and Literature Review (2002–2014)
Next Article in Special Issue
Horizon 2020 Priorities in Clinical Mental Health Research: Results of a Consensus-Based ROAMER Expert Survey
Previous Article in Journal
Managing the Health Impacts of Drought in Brazil
Previous Article in Special Issue
Predictors of Healthcare Service Utilization for Mental Health Reasons
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2014, 11(10), 10752-10769; doi:10.3390/ijerph111010752

Staying the Course? Challenges in Implementing Evidence-Based Programs in Community Mental Health Services

Department of Social Work, Umeå University, 901 87 Umeå, Sweden
Received: 18 August 2014 / Revised: 8 October 2014 / Accepted: 10 October 2014 / Published: 16 October 2014
(This article belongs to the Special Issue Mental Health Care)
View Full-Text   |   Download PDF [688 KB, uploaded 16 October 2014]

Abstract

This paper focuses on the second phase of the deinstitutionalisation of mental health care in which the development of community-based interventions are supposed to be implemented in local community mental health care systems. The challenge to sustainable implementation is illustrated by the Swedish case where the government put forward a national training program that sought to introduce Assertive Community Treatment (ACT) for people with severe mental illness. This study is based on document analysis and qualitative interviews with actors at the national, regional, and local levels covering a total of five regions and 15 municipalities that participated in the program. The analysis of the national experiences is put in relation to both research on public administration and policy analysis as well as to current research on implementation of evidence-based programs. The results showed a “drift” of the original model, which had already begun at the policy formulation stage and ended up in a large number of different local arrangements where only a few of the original components of ACT remained. We conclude that issues with implementation can only be fully understood by considering factors at different analytical levels. View Full-Text
Keywords: evidence-based practice; community mental health; implementation; assertive community treatment; integrated care evidence-based practice; community mental health; implementation; assertive community treatment; integrated care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Markström, U. Staying the Course? Challenges in Implementing Evidence-Based Programs in Community Mental Health Services. Int. J. Environ. Res. Public Health 2014, 11, 10752-10769.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top