Abstract

BackgroundChildren with emotional and behavioural disorders should be able to count on receiving care that meets their needs and is based on the best scientific evidence available, however, many do not receive these services. Implementation of evidence-based practice (EBP) relies, in part, on the research utilization practices of mental health care providers. This study reports on a survey of research utilization practices among 80 children's mental health (CMH) service provider organizations in Ontario, Canada.MethodsA web-based survey was distributed to 80 CMH service provider organizations, to which 51 executive directors and 483 children's mental health practitioners responded. Research utilization was assessed using questions with Likert-type responses based on the Canadian Health Services Research Foundation's Four-A's approach: access, assess, adapt, apply.ResultsThere was general agreement among executive directors and practitioners regarding the capacity of their organizations to use – access, assess, adapt, and apply – research evidence. Overall, both groups rated their organizations as using research information 'somewhat well.' The low response rate to the practitioner survey should be noted.ConclusionThese findings provide a useful benchmark from which changes in reported research utilization in the Ontario CMH sector can be tracked over time, as a function of EBP training and implementation initiatives, for instance. The need to improve access to research evidence should be addressed because it relates to the eventual implementation and uptake of evidence-based practices. Communities of practice are recommended as a strategy that would enable practitioners to build capacity in their adaptation and application of research evidence.

Highlights

  • Children with emotional and behavioural disorders should be able to count on receiving care that meets their needs and is based on the best scientific evidence available, many do not receive these services

  • Most children's mental health services are delivered through non-profit organizations that operate as children's mental health agencies as well as through inpatient and outpatient programs funded by the Ministry of Health and Long-Term Care (MOHLTC)

  • A total of 483 practitioners responded out of an estimated 3,951 staff across the 80 organizations (12.2%). While this low response rate is a limitation from a sampling bias perspective, the data are still valuable insofar as they address the research utilization needs of a large group of children's mental health (CMH) practitioners

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Summary

Introduction

Children with emotional and behavioural disorders should be able to count on receiving care that meets their needs and is based on the best scientific evidence available, many do not receive these services. This study reports on a survey of research utilization practices among 80 children's mental health (CMH) service provider organizations in Ontario, Canada. 75 percent of children with emotional and behavioural disorders do not receive mental health services [2]. Implementation Science 2008, 3:19 http://www.implementationscience.com/content/3/1/19 do receive care often receive treatments and interventions that are not based on evidence of efficacy or effectiveness [3] This context creates a pressing agenda for the implementation of evidence-based practices in children's mental health service delivery. This project set out to explore research utilization barriers and facilitators among executive leaders and practitioners in children's mental health (CHM) organizations in Ontario. We were interested in learning how CMH organizations and practitioners, access, assess, adapt, and apply evidence-based research knowledge into their every day care for children and youth

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