Implementation Science

Implementation Science research guides the implementation of evidence-based interventions across a range of healthcare settings.

Understanding the Landscape of Behavioral Health Pre-service Training to Inform Evidence-Based Intervention Implementation

Oct. 24, 2018

Emily M. Becker-Haimes, Kelsie H. Okamura, Constance D. Baldwin, Edward Wahesh, Christopher Schmidt, Rinad S. Beidas


Reports on the behavioral health workforce highlight the need to enhance evidence-based capacity; evidence-based interventions incorporated into pre-service graduate curricula (coursework and fieldwork) are needed to meet this goal. Improving educational practices across pre-service settings will require understanding of and careful attention to the contextual factors that exert pressure on curricula. The authors believe efforts to change educational practices can be enhanced by application of implementation science principles. This Open Forum delineates...

Boon or Burden: The Effect of Implementing Evidence-Based Practices on Teachers' Emotional Exhaustion

David S. Mandell, ScD
Oct. 1, 2018

Rachel R. Ouellette, Melanie Pellecchia, Rinad S. Beidas, Rukiya Wideman, Ming Xie, David S. Mandell


This study examined the association between (1) beginning-of-the-year emotional exhaustion and use of three evidence-based practices (EBP) for children with autism spectrum disorder; and (2) use of these EBP and end-of-year emotional exhaustion among 46 kindergarden to 2nd grade autism support teachers participating in a randomized trial. Emotional exhaustion was measured at the end and beginning of the school year using a subscale of the Maslach Burnout Inventory. Fidelity was measured using monthly observations, coded by research assistants trained to...

State Adoption of Incentives to Promote Evidence-Based Practices in Behavioral Health Systems

Mar. 14, 2018

Rebecca E. Stewart, Steven C. Marcus, Trevor R. Hadley, Brian M. Hepburn, ...

Abstract [from journal]

ObjectiveDespite the critical role behavioral health care payers can play in creating an incentive to use evidence-based practices (EBPs), little research has examined which incentives are used in public mental health systems, the largest providers of mental health care in the United States.

MethodsThe authors surveyed state mental health directors from 44 states about whether they used any...

The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices

Mar. 29, 2016

Rebecca Stewart, Danielle Adams, David Mandell, Trevor Hadley, Arthur Evans, Ronnie Rubin, Joan Erney, Geoffrey Neimark, Matthew Hurford, Rinad Beidas

In Psychiatric Services, Rebecca Stewart and colleagues, including David Mandell, Trevor Hadley and Rinad Beidas examine how financial factors affect the implementation of evidence-based practices (EBPs) in a large urban publicly funded mental health system. They interviewed 33 agency leaders and 16 policymakers, who described financial distress in community mental health agencies, and reported concerns about complex and expensive implementation of EBPs. These stakeholders agree that the cost of implementing EBPs should be shared between the agencies and the health system; however...

Independent Contractors in Public Mental Health Clinics: Implications for Use of Evidence-Based Practices

Mar. 29, 2016

Rinad Beidas, Rebecca Stewart, Courtney Wolk, Dainelle Adams, Steven Marcus, Arthur Evans, Kamilah Jackson, Geoffrey Neimark, Matthew Hurford, Joan Erney, Ronnie Rubin, Trevor Hadley, Frances Barg, David Mandell

In Psychiatric Services, Rinad Beidas and colleagues, including Steven Marcus, Trevor Hadley and David Mandell analyze the associations of utilizing independent contractors with clinician knowledge and attitudes toward evidence-based practices (EBP), and organizational culture and climate. They also describe the impact of using independent contractors on mental health services delivery from the perspective of organizational leadership. Community mental health clinics are increasingly utilizing independent contractors to provide clinical services. At the same time, many...