Enactments of evidence-based programs in social work – the gap between ideal and practice in the context of Norway

Abstract

ABSTRACT Research shows that social workers have positive attitudes towards evidence-based practice (EBP), but that there exists confusion about what EBP entails in social work. Social workers do not distinguish between EBP and the use of other sources of knowledge and tend to find knowledge and experiences from practice, colleagues, and supervisors just as if not more important. Therefore, for some proponents of EBP, implementing EBP in a way that ensures fidelity according to standardized evidence-based programs becomes important. This article, presenting findings from a PhD project , shows what happens in practice when this is the case. Based on a qualitative study of the implementation and enactment of evidence-based programs in social work in Norway, the findings show that despite organizational and key actors’ attempts to minimize the gap between knowledge and practice and to homogenize practice to prevent drift, heterogenous enactments take place in practice. These enactments are driven forward by social workers’ knowledge about and practical attentiveness to the situation, needs and broader conditions and troubles of the ‘users’, in this case children and families. Thus, competent social workers make EBP work, but this is camouflaged in a top-down approach to implementing evidence-based programs to which these modifications appear to be an obstacle to a ‘pure’ implementation. Therefore, the article discusses the epistemological implications of the findings and offers suggestions for further theoretical and empirical research that cultivates a more adequate understanding of the relationship between knowledge and practice in social work.