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Schizophrenia Bulletin 2003 29(1):125-131;
© 2003 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
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© Oxford University Press

Implementation of Evidence-Based Practices in State Mental Health Systems: Implications for Research and Effectiveness Studies

Vijay Ganju, Ph.D.
Director, Center for MentalHealth Quality and Accountability, NASMHPD Research Institute, Inc. Alexandria, VA

Send reprint requests to Dr. V. Ganju, Director, Center for Mental Health Quality and Accountability, NASMHPD Research Institute, Inc., 66 Canal Center Plaza, Suite 302, Alexandria, VA 22314; e-mail: vijay.ganju{at}nasmhpd.org

There is a huge gap between knowledge and practice, and between what is known through research and what is actually implemented in public mental health systems. In the past 2 decades, rigorous research has demonstrated the effectiveness of various treatments and interventions but these findings have not resulted in broad-based implementation. A major contention of this article is that while there is a growing body of knowledge related to evidence-based practices, there is a lack of understanding and research related to factors critical for implementation. This article reviews the current status of implementation of evidence-based practices in the public mental health system and identifies challenges and barriers related to their dissemination. Based on this analysis, this article proposes a research agenda that promotes the development of a science of implementation of evidence-based practices.

Keywords: Evidence-based practices / mental health / public mental health / research / effectiveness studies / implementation studies / State mental health agencies


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