ArticleImplementation science : IS2019
The role of the outer setting in implementation: associations between state demographic, fiscal, and policy factors and use of evidence-based treatments in mental healthcare.
Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.
What it found
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Who cites it
50 citing papers in PubMed.
- No improvement in AUDIT-C screening and brief intervention rates among wait-list controls following support of Aboriginal Community Controlled Health Services: evidence from a cluster randomised trial.BMC health services research · 2024Trial
- Major influencing factors on routine implementation of shared decision-making in cancer care: qualitative process evaluation of a stepped-wedge cluster randomized trial.BMC health services research · 2023Trial
- Effectiveness of a Combined Motivational Interviewing and Cognitive Behavioral Intervention to Reduce Substance Use and Improve HIV-Related Immune Functioning.AIDS and behavior · 2022Trial
- Contexts for Scaling Up Evidence-Based Preventive Interventions: Examining Factors That Influence the Likelihood of the Use of Research Language in Substance Use Legislation.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Policy actors' perspectives on improving federal grants to promote the implementation success of evidence-based behavioral health practices.Implementation science communications · 2026Article
- Use of research evidence in U.S. state child abuse and neglect policies: 2019-2024.Child abuse & neglect · 2026Article
- Association of state postpartum depression legislation and maternal mortality in the United States.Frontiers in public health · 2026Article
- Reducing confounding in natural experiments: evaluating a multilevel matching approach.Journal of experimental criminology · 2025Article
- Key determinants in implementation processes: a systematic review using the Consolidated Framework for Implementation Research (CFIR).Implementation science communications · 2025Review
- Provision of Evidence-Informed Psychological Interventions Following the Queensland (Australia) 2010-11 Floods and Cyclones; the Barriers and Successes.The Australian journal of rural health · 2025Article
- Article
- Implementing Reform: Approaches to Alter the Use of Local Jail for People with Behavioral Health Conditions.International journal of offender therapy and comparative criminology · 2024Article
- Challenges to the implementation of a multi-level intervention to reduce mistreatment of women during childbirth in Iran: a qualitative study using the Consolidated Framework for Implementation Research.Reproductive health · 2024Article
- Implementation Feasibility and Hidden Costs of Statewide Scaling of Evidence-Based Therapies for Children and Adolescents.Psychiatric services (Washington, D.C.) · 2024Review
- How does the external context affect an implementation processes? A qualitative study investigating the impact of macro-level variables on the implementation of goal-oriented primary care.Implementation science : IS · 2024Article
- Science for behavioral health systems change: evolving research-policy-public partnerships.Frontiers in public health · 2024Article
- Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings.Implementation science : IS · 2023Review
- A scoping review of outer context constructs in dissemination and implementation science theories, models, and frameworks.Translational behavioral medicine · 2023Article
- A policy implementation study of earmarked taxes for mental health services: study protocol.Implementation science communications · 2023Article
- Editorial: From individual to collective: bridging the gap between clinical practice and public policies.Frontiers in psychology · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDespite consistent recognition of their influence, empirical study of how outer setting factors (e.g., policies, financing, stakeholder relationships) influence public systems' investment in and adoption of evidence-based treatment (EBT) is limited. This study examined associations among unmodifiable (e.g., demographic, economic, political, structural factors) and modifiable (e.g., allocation of resources, social processes, policies, and regulations) outer setting factors and adoption of behavioral health EBT by US states.
methodsMultilevel models examined relationships between state characteristics, an array of funding and policy variables, and state adoption of behavioral health EBTs for adults and children across years 2002-2012, using data from the National Association for State Mental Health Program Directors Research Institute and other sources.
resultsSeveral unmodifiable state factors, including per capita income, controlling political party, and Medicaid expansion, predicted level of state fiscal investments in EBT. By contrast, modifiable factors, such as interagency collaboration and investment in research centers, were more predictive of state policies supportive of EBT. Interestingly, level of adult EBT adoption was associated with state fiscal supports for EBT, while child EBT adoption was predicted more by supportive policies. State per capita debt and direct state operation of services (versus contracting for services) predicted both child and adult EBT adoption.
conclusionsState-level EBT adoption and associated implementation support is associated with an interpretable array of policy, financing, and oversight factors. Such information expands our knowledge base of the role of the outer setting in implementation and may provide insight into how best to focus efforts to promote EBT for behavioral health disorders.
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