'It's Like You Do It Without Knowing That You're Doing It': Practitioner Experiences with ACT Implementation.

Rebecca Lengnick-Hall, Karissa Fenwick, Benjamin Henwood

Abstract read

In one paragraph

Article in Community mental health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rebecca Lengnick-HallSchool of Social Work, University of Southern California, 669 W. 34th Street, MRF Building, Suite 214, Los Angeles, CA, 90089, USA. lengnick@usc.edu.ORCID 0000-0002-7900-0585

Karissa FenwickSchool of Social Work, University of Southern California, 669 W. 34th Street, MRF Building, Suite 214, Los Angeles, CA, 90089, USA.

Benjamin HenwoodSchool of Social Work, University of Southern California, 669 W. 34th Street, MRF Building, Suite 214, Los Angeles, CA, 90089, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Using a case study approach, this study explores the experiences of providers at three organizations identified by county mental health executives as exemplar programs that have received continued and competitive funding to deliver assertive community treatment (ACT) in a large urban county in California. Interviews were conducted with 37 participants including program directors (n = 4), frontline staff (n = 31), and county mental health executives (n = 2). Frontline provider perspectives reveal that, in many ways, teams appear to be working within an ACT model in the absence of detailed explicit knowledge about ACT's core components, frequent or in-depth conversations about ACT, or awareness of fidelity monitoring. Integration of program director and county executive perspectives illustrates how inner and outer contextual information can explain these on-the-ground ACT implementation experiences. This study illustrates the nuanced ways that frontline staff might understand and define evidence-based practice (EBP) use and has implications for studying EBP implementation.

Indexed as

Health Knowledge, Attitudes, PracticeCaliforniaCommunity Mental Health ServicesEvidence-Based PracticeFemaleHealth PersonnelHumansInterviews as TopicMaleOrganizational Case StudiesAssertive community treatmentCommunity mental healthEvidence-based practice

Identifiers

PMID30094736

DOI10.1007/s10597-018-0312-2

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

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.