The implementation of evidence-based practice (EBP) as a professional model of practice for social work has been suggested as one approach to support informed clinical decision making. However, different barriers and processes have been identified that impact the use of EBP at individual, organizational, and systemic levels. This article describes results from a project that sought to enhance practitioner use of EBP by using a supportive strategy including training and technical assistance through a partnership between university-based researchers and three social work agencies. Results compare similarities and differences across each of the three agencies in terms of barriers and promoters at the team, organizational, and system levels. Results suggest that comprehensive multilevel interventions are needed to support the use of EBP in social work organizations and that further research is needed to test explicit partnership components. Findings suggest that a multilevel approach has the greatest potential to support implementation of EBP in social agencies.
Aarons, G.A. ( 2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6, 61-74.
2.
Aarons, G.A., & Sawitzky, A.C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice . Psychological Services, 3, 61-72.
3.
Addis, M.E. ( 2002). Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions. Clinical Psychology: Science and Practice, 9, 367-378.
4.
Anderson, M., Cosby, J., Swan, B., Moore, H., & Broekhoven, M. (1999). The use of research in local health service agencies. Social Science & Medicine , 49, 1007-1019.
5.
Barratt, M. ( 2003). Organizational support for evidence-based practice within child and family social work: A collaborative study. Child and Family Social Work, 8, 143-150.
6.
Barwick, M.A., Boydell, K.M., Stasiulis, E., Ferguson, H.B., Blase, K., & Fixsen, D. ( 2005). Knowledge transfer and evidence-based practice in children’s mental health. Toronto: Children’s Mental Health Ontario.
7.
Bellamy, J., Bledsoe, S.E., Mullen, E.J., Fang, L., & Manuel, J. (IN PRESS). Agency-university partnership for evidence-based practice in social work. Journal of Social Work Education.
8.
Bellamy, J., Bledsoe, S.E., & Traube, D. ( 2006). The current state of evidence based practice in social work: A review of the literature and qualitative analysis of expert interviews . Journal of Evidence-Based Social Work, 3, 23-48.
9.
Bledsoe, S.E., Weissman, M.M., Mullen, E.J., Ponniah, K., Gameroff, M., Verdeli, H., et al. (2007). Empirically supported psychotherapy in social work training programs: Does the definition of evidence matter? Research on Social Work Practice, 17, 449-455.
10.
Brekke, J.S., Ell, K., & Palinkas, L.A. (2007). Translational science at the National Institute of Mental Health: Can social work take its rightful place? Research on Social Work Practice, 17, 123-133.
11.
Chambers, D. ( 2007). Defining research informed practices. Partnerships to integrate evidence based mental health practices into social work education and research. Bethesda, MD: National Institutes of Health Campus.
12.
Corrigan, P.W., & McCracken, S.G. (1997). Interactive staff training: Rehabilitation teams that work. New York: Plenum.
13.
Council for Training in Evidence-Based Behavioral Practice. (2007). Definition and competencies in evidence-based behavioral practice. (Available from the Department of Preventive Medicine, Northwestern University; 680 N. Lakeshore Drive, Suite 1220; Chicago, IL 60611; ATTN: Kristin Hitchcock, EBBP Council Coordinator).
14.
Fixsen, D.L., Naoom, S.F., Blase, K.A., Friedman, R.M., & Wallace, F. ( 2005). Implementation research: A synthesis of the literature (FMHI Publication #231). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
15.
Fraser, S.W., & Greenhalgh, T. (2001). Coping with complexity: Educating for capability. British Medical Journal, 323, 799-803.
16.
Gellis, Z., & Reid, W.J. ( 2004). Strengthening evidence based practice. Brief Treatment and Crisis Intervention, 4, 155-165.
17.
Gibbs, L.E. ( 2003). Evidence-based practice for the helping professions: A practical guide with integrated multimedia. Pacific Grove, CA: Brooks/Cole-Thompson Learning .
18.
Gibbs, L.E., & Gambrill, E. ( 2002). Evidence-based practice: Counterarguments to objections . Research on Social Work Practice, 12, 452-476.
19.
Glisson, C. ( 2002). The organizational context of children’s mental health services. Clinical Child and Family Psychology Review , 5, 233-253.
20.
Gotham, H.J. ( 2004). Diffusion of mental health and substance abuse treatments: Development, dissemination, and implementation. Clinical Psychology: Science & Practice, 11, 161-176.
21.
Greenhalgh, T., Robert, G., MacFarlane, F., Bate, S.P., & Kyriakidou, O. (2004). Diffusion of innovations in service organisations: Systematic review and recommendations. Milbank Quarterly, 82, 581-629.
22.
Gustafson, D.H., Sainfort, F., Eichler, M., Adams, L., Bisognano, M., & Steudel, H. ( 2003). Developing and testing a model to predict outcomes of organizational change. Health Services Research, 38, 751-776.
23.
Henggeler, S.W., & Schoenwald, S.K. (2002). Treatment manuals: Necessary, but far from sufficient. Clinical Psychology: Science and Practice, 9, 433-434.
24.
Johnson, M., & Austin, M.J. ( 2006). Evidence-based practice in the social services: Implications for organizational change. Administration in Social Work, 30, 75-104.
25.
Kirk, S., & Rosenblatt, A. (1981). Research knowledge and orientation among social work students. In S. Briar, H. Weissman, & A. Rubin (Eds.), Research utilization in social work education (pp. 29-35). New York: Council on Social Work Education.
26.
Krueger, R.A., & Casey, M.A. ( 2000). Focus groups: A practical guide for applied research (3rd ed.). Thousand Oaks, CA : Sage.
27.
Logan, J., & Graham, I.D. ( 1998). Toward a comprehensive interdisciplinary model of health care research use. Science Communication, 20, 227-246.
28.
Mullen, E.J., & Bacon, W. ( 2006). A survey of practitioner adoption and implementation of practice guidelines and evidence-based treatments. Desk reference for evidence-based practice in healthcare and human services. In A. R. Roberts & K. Yeager (Eds.), Foundations of evidence-based social work practice. New York: Oxford University Press.
29.
Mullen, E.J., Bellamy, J.L., & Bledsoe, S.E. ( 2005). Implementing evidence-based social work practice. In P. Sommerfeld (Ed.), Evidence-based social work-Towards a new professionalism (pp. 149-172). Bern, Switzerland: Peter Lang.
30.
Mullen, E.J., Bellamy, J.L., & Bledsoe, S.E. ( 2007). Evidence-based social work practice. In R. M. Grinnell, & Y. A. Unrau (Eds.), Social work research and evaluation: Quantitative and qualitative approaches (8 ed.). New York: Oxford University Press.
31.
Mullen, E.J., Bellamy, J.L., Bledsoe, S.E., & Francois, J.J. (2007). Teaching evidence-based practice. Research on Social Work Practice, 17, 574-582.
32.
Mullen, E.J., Bledsoe, S.E., & Bellamy, J.L. (IN PRESS). Implementing evidence-based social work practice. Research on Social Work Practice.
33.
Mullen, E.J., & Streiner, D.L. (2004). The evidence for and against evidence based practice. Brief Treatment and Crisis Intervention , 4, 111-121.
34.
National Institute of Mental Health (1999). Bridging science and service: A report by the National Advisory Mental Health Council’s Clinical Treatment and Services Research Workgroup. Bethesda, MD: National Institute of Mental Health.
35.
New Freedom Commission on Mental Health. ( 2003). Achieving the promise: Transforming mental health care in America. Final Report (Pub. No. SMA-03-3832). Rockville, MD: DHHS Pub. No. SMA-03-3832.
36.
NVivo Qualitative Data Analysis Program. (2006). QSR International Pty Ltd. Version 7, 2006.
37.
Ogborne, A.C., Wild, T.C., Braun, K., & Newton-Taylor, B. (1998). Measuring treatment process beliefs among staff of specialized addiction treatment services. Journal of Substance Abuse Treatment, 15, 301-312.
38.
Proctor, E.K. ( 2004). Leverage points for the implementation of evidence-based practice. Brief Treatment and Crisis Intervention, 4, 227-242.
39.
Rothman, J., & Thomas, E. J. (Eds.). (1993). Intervention research: Design and development for the human services. New York : Haworth Press.
40.
Sackett, D.L., Rosenberg, W.M.C., Gray, J.A.M., Haynes, R.B., & Richardson, W.S. (1996). Evidence-based medicine: What it is and what it isn’t. British Medical Journal , 312, 71-72.
41.
Sackett, D.L., Straus, S.E., Richardson, W.S., Rosenberg, W., & Haynes, R.B. ( 2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.)., New York: Churchill Livingstone.
42.
Scott-Findlay, S., & Golden-Biddle, K. (2005). Understanding how organizational culture shapes research use. Journal of Nursing Administration , 35, 359-365.
43.
Simpson, D. ( 2002). A conceptual framework for transferring research to practice . Journal of Substance Abuse Treatment, 22, 171-182.
44.
Straus, S.E., Richardson, W.S., Glasziou, P., & Haynes, R.B. ( 2005). Evidence-based Medicine: How to practice and teach EBM (3rd ed.). Edinburgh, UK: Churchill Livingstone.
45.
U.S. Department of Health and Human Services. ( 2006). NIH roadmap for medical research. Retrieved August 2, 2007, from http://nihroadmap.nih.gov/clinicalresearch/overview-translational.asp
46.
Weissman, M.M., Verdeli, H., Gameroff, M.J., Bledsoe, S.E., Betts, K., Mufson, L., et al. (2006). National survey of psychotherapy training in psychiatry, psychology, and social work. Archives of General Psychiatry, 63, 925-934.
