DISSEMINATING PRACTICES TO STAFF

Abstract
There are several reasons why evidence-based practices are not widely implemented in real- world treatment settings; key among these is limitations in program staffing. Why do treatment teams that are responsible for assisting a specific psychiatric population fail to use evidence-based practices? Two sets of barriers to staff dissemination emerge from a review of the research literature: individual service providers lack the necessary knowledge and skills to assimilate these practices and certain organizational dynamics undermine the treatment teams' ability to implement and maintain innovative approaches. Given these barriers, three sets of strategies that foster dissemination are prominent: packaging evidence-based practices so specific interventions are more accessible and user-friendly to service providers; educating providers to relevant knowledge and skills; and addressing organizational dynamics of the team that facilitate the implementation of innovations. Research on dissemination is relatively new and less well developed than the clinical and services research enterprise that has led to evidence-based practices. Continued work on this enterprise is essential for the real-world use of evidence-based practices.

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Bibliografía del artículo

• Addleton R, Tratnack S, Donat D: Hospital-based multidisciplinary training in the care of seriously mentally ill patients. Hospital & Community Psychiatry 42: 60-61, 1991
• Anthony W, Cohen M, Farkas M, et al: The chronically mentally ill case management: more than a response to a dysfunctional system. Community Mental Health Journal 24(3): 219-228, 1988
• Avolio B, Bass B, Jung D: Re-examining the components of transformational and transactional leadership using the multifactor leadership questionnaire. Journal of Occupational & Organizational Psychiatry 72(4): 441-462, 1999
• Backs AB, Giffort DW, McCracken SG, et al: Public academic training partnership for paraprofessionals who provide psychiatric rehabilitation. Psychiatric Rehabilitation Skills: In press
• Barter JT, Lall K: "Accreditation." Edited by T.A. Talbott, R.E. Hales, & S.L. Keill, Textbook of Administrative Psychiatry. Washington DC: American Psychiatric Press, 1992
• Bass B: Current developments in transformational leadership: research and applications. Psychologist - Manager Journal 3: 5-21, 1999
• Berryman J, Evans IM, Kalbag A: The effects of training in nonaversive behavior management on the attitudes and understanding of direct care staff. Journal of Behavior Therapy and Experimental Psychiatry 25: 241-250, 1994
• Bickman L, Noser K: Meeting the challenges in the delivery of child and adolescent mental health services in the next millennium: the continuous quality improvement approach. Applied & Preventive Psychology 8(4): 247-255, 1999
• Bowditch JL, Buono AF: A primer on organizational behavior (3rd Ed.). New York: Wiley, 1994
• Brooker C, Tarrier N, Barrowclough C: Training community psychiatric nurses for psychosocial intervention. British Journal of Psychiatry 160: 836-844, 1992
• Bucklin B, Alvero A, Dickinson A, et al: Industrial-organizational psychology and organizational behavior management: an objective comparison. Journal of Organizational Behavior Management 20(2): 27-75, 2000
• Cook J, Horton-O'Connell T, Fitzgibbon G, et al: Training for state-funded providers of assertive community treatment. New Directions For Mental Health Services 79: 55-64, 1998
• Cook J, Yamaguchi J, Solomon M: Field-testing a post-secondary faculty in- service training for working with students who have psychiatric disabilities. Psychosocial Rehabilitation Journal 17: 157-170, 1993
• Corrigan PW: Differences between clinical and nursing inpatient staff: implications for training in behavioral rehabilitation. Journal of Behavior Therapy and Experimental Psychiatry, 25: 311-316, 1994
• Corrigan PW: Wanted: champions of rehabilitation for psychiatric hospitals. American Psychologist 50: 514-521, 1995
• Corrigan PW, Boyle, M: Mental health system change: Evolution or revolution? Administration and Policy in Mental Health, in press
• Corrigan PW, Holmes EP, Luchins D, et al: Staff burnout in psychiatric hospitals: a cross legged panel design. Journal of Organizational Behavior 15: 65-74, 1994
• Corrigan PW, Holmes EP, Luchins D, et al: The effects of interactive staff training on staff programming and patient aggression in a psychiatric unit. Behavioral Interventions 10: 17-32, 1995
• Corrigan PW, Kwartarini WY, Pramana W: Barriers to the implication of behavior therapy. Behavior Modification 16: 132-144, 1992
• Corrigan PW, Lickey SE, Campion J, et al: A short course in leadership skills for the rehabilitation team. The Journal of Rehabilitation 66(2): 56-58, 2000
• Corrigan PW, MacKain SJ, Liberman RP: Skills training modules: a strategy for dissemination and utilization of a rehabilitation innovation. Edited by J. Rothman & E. Thomas, Intervention Research (pp 317-352). Chicago: Haworth Press, 1994
• Corrigan PW, McCracken SG: An interactive approach to training teams and developing programs. New Directions For Mental Health Services 79: 3-12, 1998
• Corrigan PW, Williams OB, McCracken SG, et al: Staff attitudes that impede the implementation of behavioral treatment programs. Behavior Interventions 9: 1-12, 1998
• Deming WE: Out of crisis. Cambridge: Massachusetts Institute of Technology Center for Advanced Engineering Study, 1986
• Donat D: Impact of a mandatory behavioral consultation on seclusion / restraint utilization in a psychiatric hospital. Journal of Behavior Therapy & Experimental Psychiatry 29: 13-19, 1998
• Donat D, McKeegan G: Behavioral knowledge and occupational stress among inpatient psychiatric caregivers. Psychiatric Rehabilitation Journal 21: 67-69, 1997
• Fadden G: Implementation of family interventions in routine clinical practice following staff training programs: a major cause for concern. Journal of Mental Health (UK) 6: 599-612, 1997
• Fauman M: Quality assurance monitoring in psychiatric manual of psychiatric quality assurance: 57-67, 1992
• Frederiksen L: Handbook of organizational behavior management. New York: Wiley, 1982
• Gill KJ, Pratt CW, Barrett N: Preparing psychiatric rehabilitation specialists through undergraduate education. Community Mental Health Journal 33: 323-329, 1997
• Glaser EM, Backer TE: Organization development in mental health services. Administration in Mental Health 6: 195-215, 1979
• Good T, Berenbaum H, Nisenson L: Residential caregiver attitudes toward seriously mentally ill persons. Psychiatry Interpersonal & Biological Processes 63: 23- 33, 2000
• Griffith B, Frieden G: Facilitating reflective thinking in counselor education. Counselor Education & Supervision 40(2): 82-93, 2000
• Haddow M, Milne D: Attributes to community care: development of a questionnaire for professionals. Journal of Mental Health 4(3): 289-296, 1995
• Hunter ME, Love CC: Total quality management and the reduction of inpatient violence and costs in a forensic psychiatric hospital. Psychiatric Services 47: 751-754, 1996
• Jahr E: Current issues in staff training. Research in Developmental Disabilities 19: 73-87, 1998
• Kavanagh DJ, Piatkowska O, Clark D, et al: Application of cognitive behavioral interventions for schizophrenia in multidisciplinary teams: what can the matter be? Australian Psychologist 28: 181-188, 1993
• Liberman RP, Eckman T: Dissemination of skills training modules to psychiatric facilities: overcoming obstacles to the utilization of a rehabilitation innovation. British Journal of Psychiatry 155 (Suppl 5): 117-122, 1989
• Liberman RP, Eckman T, Kuehnel T, et al: Dissemination of new behavior therapy programs to community mental health programs. American Journal of Psychiatry 139: 224-226, 1982
• Liberman RP, Nuechterlein K, Wallace C: Social skills training and the nature of schizophrenia. Edited by J.P. Curran and P.M. Monti, Social skills training: a practical handbook for assessment and treatment: 5-56, 1982
• Marks ML, Mirvis P, Hackett E, et al: Employee participation in a quality circle program: impact on quality of work life, productivity, and absenteeism. Journal of Applied Psychology 71: 61-69, 1986
• Milne D, Gorenski O, Westerman C, et al: What does it take to transfer training? Psychiatric Rehabilitation Skills 4: 259-281, 2000
• Pearlstein R: Who empowers leaders? Performance Improvement Quarterly 4(4): 12-20, 1991
• Pratt C, Gill K: Profit sharing in psychiatric rehabilitation: a five-year evaluation. Psychosocial Rehabilitation Journal 17(2): 33-41, 1993
• Priebe S: Ensuring and improving quality in community mental health care. International Review of Psychiatry 12(3): 226-232, 2000
• Reid D, Everson J, Green C: A systematic evaluation of preferences identified through person-centered planning for people with profound multiple disabilities. Journal of Applied Behavior Analysis 32(4): 467-477, 1999
• Reid D, Parsons M: Organizational behavior management in human service settings. Handbook of Applied Behavior Analysis: 275-294, 2000
• Rogers ES, Cohen BF, Danley KS, et al: Training mental health workers in psychiatric rehabilitation. Schizophrenia Bulletin 12: 709-719, 1986
• Rubel E, Sobell L, Miller W: Do continuing education workshops improve participants' skills: effects of a motivational interviewing workshop on substance abuse counselors' skills and knowledge. AABT The Behavior Therapist 23: 73-80, 2000
• Sluyter G: Total quality management in behavioral health care. New Directions For Mental Health Services 79: 35-43, 1998
• Sluyter GV, Mukherjee AK: Total Quality Management for Mental Health and Mental Retardation Services: A paradigm for the '90s. Annandale, Va.: American Network of Community Options and Resources, 1993
• Victor B, Boynton A, Stephens-Jahng T: The effective design of work under total quality management. Organizational Science II: 102-117, 2000
• Wallace CJ, Liberman RP, MacKain SJ, et al: Effectiveness and replicability of modules for teaching social and instrumental skills to the severely mentally ill. American Journal of Psychiatry 149: 654-658, 1992
• Wandersman A, Imm P, Chinman M, et al: Getting to outcomes: a results-based approach to accountability. Evaluation & Program Planning 23(3): 389-395, 2000
• Yeager E: Examining the quality control circle. Personnel Journal 58: 682-708, 1979
• Zemke R: Honeywell imports quality circles as long-term management strategy. Training 17: 6-10, 1980

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