Getting to the table: Agency characteristics and evidence-based intervention adoption in children's mental health care

Mimi Choy-Brown, Emily K. Hamovitch, Lindsay A. Bornheimer, Mary C. Acri, Mary M. McKay

Research output: Contribution to journalArticlepeer-review

Abstract

Scaling evidence-based interventions (EBI) for children and families across healthcare systems can expand public health impact. Research has identified EBI adoption determinants. However, less understood are characteristics of agencies that opt in across the stages of adoption. This study examined the relationship between agency (N = 69) characteristics (e.g., revenue) and four adoption stages during a large-scale trial of an EBI for children with significant behavioral difficulties and their families. 48 (70%) of agencies demonstrated interest, 28 (41%) scheduled an informational meeting, 20 (29%) received training, and 15 (22%) demonstrated EBI uptake. Analyses indicated no differences in characteristics and initial interest. However, agencies with small-sized revenue had significantly reduced odds at other adoption stages. Implications for strategies to bring EBI access to scale are discussed.

Original languageEnglish (US)
Article number104774
JournalChildren and Youth Services Review
Volume110
DOIs
StatePublished - Mar 2020

Bibliographical note

Funding Information:
This study was funded by the National Institute of Mental Health (Grant # R01-MH-106771 ). Authors have no potential conflicts of interest to disclose.

Publisher Copyright:
© 2020 Elsevier Ltd

Keywords

  • Adoption
  • Implementation
  • Mental health
  • Organizations
  • Public data
  • Scale-up

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