Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings.
Adoption
Consumer involvement
De-implementation
Evidence-based practice
Mental health
Mental health parity
Sustainment
Journal
Implementation science : IS
ISSN: 1748-5908
Titre abrégé: Implement Sci
Pays: England
ID NLM: 101258411
Informations de publication
Date de publication:
07 11 2023
07 11 2023
Historique:
received:
03
03
2023
accepted:
01
10
2023
medline:
9
11
2023
pubmed:
8
11
2023
entrez:
7
11
2023
Statut:
epublish
Résumé
Over the past three decades, policy actors and actions have been highly influential in supporting the implementation of evidence-based practices (EBPs) in mental health settings. An early examination of these actions resulted in the Policy Ecology Framework (PEF), which was originally developed as a tactical primer for state and local mental health regulators in the field of child mental health. However, the policy landscape for implementation has evolved significantly since the original PEF was published. An interrogation of the strategies originally proposed in the PEF is necessary to provide an updated menu of strategies to improve our understanding of the mechanisms of policy action and promote system improvement. This paper builds upon the original PEF to address changes in the policy landscape for the implementation of mental health EBPs between 2009 and 2022. We review the current state of policy strategies that support the implementation of EBPs in mental health care and outline key areas for policy-oriented implementation research. Our review identifies policy strategies at federal, state, agency, and organizational levels, and highlights developments in the social context in which EBPs are implemented. Furthermore, our review is organized around some key changes that occurred across each PEF domain that span organizational, agency, political, and social contexts along with subdomains within each area. We present an updated menu of policy strategies to support the implementation of EBPs in mental health settings. This updated menu of strategies considers the broad range of conceptual developments and changes in the policy landscape. These developments have occurred across the organizational, agency, political, and social contexts and are important for policymakers to consider in the context of supporting the implementation of EBPs. The updated PEF expands and enhances the specification of policy levers currently available, and identifies policy targets that are underdeveloped (e.g., de-implementation and sustainment) but are becoming visible opportunities for policy to support system improvement. The updated PEF clarifies current policy efforts within the field of implementation science in health to conceptualize and better operationalize the role of policy in the implementation of EBPs.
Sections du résumé
BACKGROUND
Over the past three decades, policy actors and actions have been highly influential in supporting the implementation of evidence-based practices (EBPs) in mental health settings. An early examination of these actions resulted in the Policy Ecology Framework (PEF), which was originally developed as a tactical primer for state and local mental health regulators in the field of child mental health. However, the policy landscape for implementation has evolved significantly since the original PEF was published. An interrogation of the strategies originally proposed in the PEF is necessary to provide an updated menu of strategies to improve our understanding of the mechanisms of policy action and promote system improvement.
OBJECTIVES
This paper builds upon the original PEF to address changes in the policy landscape for the implementation of mental health EBPs between 2009 and 2022. We review the current state of policy strategies that support the implementation of EBPs in mental health care and outline key areas for policy-oriented implementation research. Our review identifies policy strategies at federal, state, agency, and organizational levels, and highlights developments in the social context in which EBPs are implemented. Furthermore, our review is organized around some key changes that occurred across each PEF domain that span organizational, agency, political, and social contexts along with subdomains within each area.
DISCUSSION
We present an updated menu of policy strategies to support the implementation of EBPs in mental health settings. This updated menu of strategies considers the broad range of conceptual developments and changes in the policy landscape. These developments have occurred across the organizational, agency, political, and social contexts and are important for policymakers to consider in the context of supporting the implementation of EBPs. The updated PEF expands and enhances the specification of policy levers currently available, and identifies policy targets that are underdeveloped (e.g., de-implementation and sustainment) but are becoming visible opportunities for policy to support system improvement. The updated PEF clarifies current policy efforts within the field of implementation science in health to conceptualize and better operationalize the role of policy in the implementation of EBPs.
Identifiants
pubmed: 37936123
doi: 10.1186/s13012-023-01309-9
pii: 10.1186/s13012-023-01309-9
pmc: PMC10629012
doi:
Types de publication
Review
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
58Subventions
Organisme : NIMH NIH HHS
ID : R01 MH131649
Pays : United States
Organisme : NIMH NIH HHS
ID : R21 MH125261
Pays : United States
Organisme : NIMH NIH HHS
ID : P50 MH113662
Pays : United States
Informations de copyright
© 2023. The Author(s).
Références
Implement Sci. 2022 Jan 6;17(1):3
pubmed: 34991638
Eval Program Plann. 2014 Apr;43:16-26
pubmed: 24246161
Resid Treat Child Youth. 2010 Apr 1;27(2):69-79
pubmed: 20824117
J Behav Health Serv Res. 2017 Apr;44(2):177-194
pubmed: 26289563
Psychiatr Serv. 2016 Feb;67(2):159-61
pubmed: 26522680
Am Psychol. 2020 Nov;75(8):1052-1066
pubmed: 33252944
Soc Sci Med. 2014 Feb;103:118-125
pubmed: 24507916
Psychiatr Serv. 2020 Nov 1;71(11):1170-1178
pubmed: 32517640
Milbank Q. 2019 Dec;97(4):1200-1232
pubmed: 31710152
Implement Sci. 2017 May 12;12(1):62
pubmed: 28499408
Implement Sci Commun. 2023 Sep 12;4(1):111
pubmed: 37700360
Implement Sci. 2014 Jan 08;9:1
pubmed: 24398253
Healthc (Amst). 2022 Mar;10(1):100613
pubmed: 35081475
J Soc Work Disabil Rehabil. 2014;13(1-2):31-43
pubmed: 24483783
Implement Sci. 2022 Jun 22;17(1):38
pubmed: 35729630
Implement Sci. 2015 Apr 21;10:53
pubmed: 25895742
Am Psychol. 2016 Nov;71(8):742-751
pubmed: 27977256
JAMA. 2010 Oct 20;304(15):1715-6
pubmed: 20959584
Psychiatr Serv. 2023 Feb 1;74(2):166-172
pubmed: 35983659
Implement Sci. 2019 Jan 5;14(1):1
pubmed: 30611302
Behav Ther. 2018 Jul;49(4):509-524
pubmed: 29937254
Psychiatr Serv. 2015 Aug 1;66(8):783-97
pubmed: 25828881
Adm Policy Ment Health. 2016 Nov;43(6):909-926
pubmed: 27032411
J Public Health Manag Pract. 2018 Mar/Apr;24(2):102-111
pubmed: 28885319
Health Serv Res. 2022 Jun;57 Suppl 1:122-136
pubmed: 35243638
Implement Sci. 2021 Apr 1;16(1):34
pubmed: 33794956
Implement Sci. 2020 Jun 11;15(1):43
pubmed: 32527274
Implement Sci Commun. 2020 Feb 25;1:27
pubmed: 32885186
Prev Sci. 2020 Nov;21(8):1059-1064
pubmed: 33040271
Implement Res Pract. 2020 Aug 30;1:2633489520939980
pubmed: 37089129
J Gen Intern Med. 2020 Apr;35(4):1292-1295
pubmed: 31898120
Am J Community Psychol. 2018 Sep;62(1-2):189-202
pubmed: 29971792
Implement Res Pract. 2022 Dec 4;3:26334895221141116
pubmed: 37091091
Am J Public Health. 2019 Feb;109(S2):S132-S134
pubmed: 30785794
Implement Sci Commun. 2022 Jul 30;3(1):83
pubmed: 35907894
Implement Sci. 2019 Nov 13;14(1):96
pubmed: 31722738
Front Public Health. 2018 Mar 01;6:54
pubmed: 29546038
Community Ment Health J. 2023 Jan;59(1):122-131
pubmed: 35689717
BMC Med Ethics. 2019 Dec 16;20(1):95
pubmed: 31842842
Adm Policy Ment Health. 2020 Jan;47(1):60-72
pubmed: 31506860
Implement Sci. 2022 Apr 12;17(1):26
pubmed: 35413917
Schizophr Bull. 2004;30(3):481-91
pubmed: 15631241
Adm Policy Ment Health. 2019 Mar;46(2):115-127
pubmed: 30291540
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
Adm Policy Ment Health. 2020 Nov;47(6):946-960
pubmed: 32193757
Lancet Psychiatry. 2021 Sep;8(9):743-744
pubmed: 34147155
J Health Polit Policy Law. 2023 Feb 1;48(1):1-34
pubmed: 36112956
Adm Policy Ment Health. 2011 Jan;38(1):4-23
pubmed: 21197565
Psychiatr Serv. 2019 Dec 1;70(12):1130-1137
pubmed: 31500543
Adm Policy Ment Health. 2014 Mar;41(2):228-36
pubmed: 23266661
Soc Sci Med. 2014 Feb;103:1-6
pubmed: 24445152
Implement Sci. 2020 Jan 9;15(1):2
pubmed: 31915032
Psychiatr Rehabil J. 2020 Jun;43(2):85-90
pubmed: 31246075
Implement Sci. 2021 Aug 19;16(1):82
pubmed: 34412666
Implement Sci Commun. 2022 Jan 4;3(1):1
pubmed: 34983689
Implement Sci. 2018 Sep 19;13(1):121
pubmed: 30231934
J Am Acad Child Adolesc Psychiatry. 2022 Sep;61(9):1087-1105
pubmed: 34971730
Res Involv Engagem. 2020 Jun 26;6:36
pubmed: 32601547
Implement Sci. 2021 Feb 15;16(1):18
pubmed: 33588878
Psychiatr Serv. 2021 Aug 1;72(8):963-965
pubmed: 33657837
Implement Sci. 2022 Dec 12;17(1):80
pubmed: 36503520
Psychiatr Serv. 2022 Apr 01;73(4):388-395
pubmed: 34384231
Behav Ther. 2018 Jul;49(4):551-566
pubmed: 29937257
Am Psychol. 2020 Nov;75(8):1130-1145
pubmed: 33252950
Eval Program Plann. 2011 Nov;34(4):366-74
pubmed: 21371753
Int J Ment Health Syst. 2019 Apr 10;13:25
pubmed: 31007712
Implement Sci. 2008 May 16;3:26
pubmed: 18485219
Child Maltreat. 2015 Feb;20(1):24-36
pubmed: 25125232
Psychiatr Serv. 2018 Jun 1;69(6):685-688
pubmed: 29493412
Ethn Dis. 2021 May 20;31(Suppl 1):357-364
pubmed: 34045837
BMC Health Serv Res. 2017 Sep 19;17(1):671
pubmed: 28927407
Implement Res Pract. 2020 Sep 18;1:2633489520953762
pubmed: 37089121
Psychiatr Serv. 2010 Nov;61(11):1081-6
pubmed: 21041345
Annu Rev Sociol. 2015 Aug;41:87-116
pubmed: 26855471
Cochrane Database Syst Rev. 2010 Mar 17;(3):CD005470
pubmed: 20238340
J Clin Child Adolesc Psychol. 2013;42(2):274-86
pubmed: 23402704
Health Serv Res. 2021 Jun;56(3):418-431
pubmed: 33369739
Psychiatr Serv. 2021 May 1;72(5):591-593
pubmed: 33691492