ArticleImplementation science : IS2012
The organizational social context of mental health services and clinician attitudes toward evidence-based practice: a United States national study.
Article in Implementation science : IS, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
117 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A Systematic Review of Job Demands and Resources Associated with Compassion Fatigue in Mental Health Professionals.International journal of environmental research and public health · 2020Pooled it
- A Systematic Review of Organizational and Workforce Interventions to Improve the Culture and Climate of Youth-Service Settings.Administration and policy in mental health · 2020Pooled it
- Quality improvement, implementation, and dissemination strategies to improve mental health care for children and adolescents: a systematic review.Implementation science : IS · 2017Pooled it
- Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures.Implementation science : IS · 2013Pooled it
- Decrease in provider stigma is associated with improved quality health indicators among individuals receiving methadone in primary care centers in Ukraine.The International journal on drug policy · 2025Trial
- Positive attitudes toward adoption of a multi-component intervention strategy aimed at improving HIV outcomes among adolescents and young people in Nampula, Mozambique: perspectives of HIV care providers.BMC health services research · 2023Trial
- A stepped-wedge randomized trial investigating the effect of the Leadership and Organizational Change for Implementation (LOCI) intervention on implementation and transformational leadership, and implementation climate.BMC health services research · 2022Trial
- Examining Organizational Factors Supporting the Adoption and Use of Evidence-Based Interventions.Community mental health journal · 2021Trial
- Trial
- Testing the leadership and organizational change for implementation (LOCI) intervention in substance abuse treatment: a cluster randomized trial study protocol.Implementation science : IS · 2017Trial
- Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol.Implementation science : IS · 2016Trial
- Aligning organizational priorities with ARC to improve youth mental health service outcomes.Journal of consulting and clinical psychology · 2016Trial
- Increasing clinicians' EBT exploration and preparation behavior in youth mental health services by changing organizational culture with ARC.Behaviour research and therapy · 2016Trial
- Peer-led healthy lifestyle program in supportive housing: study protocol for a randomized controlled trial.Trials · 2015Trial
- Adherence and competence in two manual-guided therapies for co-occurring substance use and posttraumatic stress disorders: clinician factors and patient outcomes.The American journal of drug and alcohol abuse · 2015Trial
- Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation.Journal of the American Academy of Child and Adolescent Psychiatry · 2012Trial
- Dementia service readiness in Pakistan: a provincial health systems assessment using a novel WHO-AIMS aligned framework.Frontiers in public health · 2026Review
- Providers' perspectives on clinical case consultation following online training in family-based treatment for adolescent anorexia nervosa.Journal of eating disorders · 2025Article
- Exploring Predictors of Counselors' Acceptance of Virtual Reality Exposure Therapy With Resistance and Job Contexts as Moderators: Cross-Sectional Mixed Methods Study.Journal of medical Internet research · 2025Article
- Dissemination experiences and preferences from HIV service delivery organizations.Implementation science communications · 2025Article
57 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
20 authors.
Funding
Abstract
unlabelledABSTBACKGROUND: Evidence-based practices have not been routinely adopted in community mental health organizations despite the support of scientific evidence and in some cases even legislative or regulatory action. We examined the association of clinician attitudes toward evidence-based practice with organizational culture, climate, and other characteristics in a nationally representative sample of mental health organizations in the United States.
methodsIn-person, group-administered surveys were conducted with a sample of 1,112 mental health service providers in a nationwide sample of 100 mental health service institutions in 26 states in the United States. The study examines these associations with a two-level Hierarchical Linear Modeling (HLM) analysis of responses to the Evidence-Based Practice Attitude Scale (EBPAS) at the individual clinician level as a function of the Organizational Social Context (OSC) measure at the organizational level, controlling for other organization and clinician characteristics.
resultsWe found that more proficient organizational cultures and more engaged and less stressful organizational climates were associated with positive clinician attitudes toward adopting evidence-based practice.
conclusionsThe findings suggest that organizational intervention strategies for improving the organizational social context of mental health services may contribute to the success of evidence-based practice dissemination and implementation efforts by influencing clinician attitudes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.