Applying the Policy Ecology Framework to Philadelphia%26apos;s Behavioral Health Transformation Efforts

作者：Powell Byron J; Beidas Rinad S; Rubin Ronnie M; Stewart Rebecca E; Wolk Courtney Benjamin; Matlin Samantha L; Weaver Shawna; Hurford Matthew O; Evans Arthur C; Hadley Trevor R; Mandell David S

来源：Administration and Policy in Mental Health and Mental Health Services Research, 2016, 43(6): 909-926.

DOI：10.1007/s10488-016-0733-6

• Behavioral health systems
• Implementation strategies
• Policy
• Evidence-based practices

Raghavan et al. (Implement Sci 3(26):1-9, 2008) proposed that effective implementation of evidence-based practices requires implementation strategies deployed at multiple levels of the "policy ecology," including the organizational, regulatory or purchaser agency, political, and social levels. However, much of implementation research and practice targets providers without accounting for contextual factors that may influence provider behavior. This paper examines Philadelphia's efforts to work toward an evidence-based and recovery-oriented behavioral health system, and uses the policy ecology framework to illustrate how multifaceted, multilevel implementation strategies can facilitate the widespread implementation of evidence-based practices. Ongoing challenges and implications for research and practice are discussed.

• 出版日期2016-11