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Evidence-Based Practice in School Mental Health$
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James C Raines

Print publication date: 2008

Print ISBN-13: 9780195366266

Published to Oxford Scholarship Online: January 2009

DOI: 10.1093/acprof:oso/9780195366266.001.0001

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Systemic Change

Systemic Change

(p.255) 10 Systemic Change
Evidence-Based Practice in School Mental Health

James C. Raines

Oxford University Press

This chapter examines the systemic issues of implementing evidence-based practice in schools. The organizational change process provides insights into the cornerstones of change, the different types of implementation, and the different stages of implementation. There are four barriers to implementation. The first impediment is a lack of time. Three strategies include release time, use of interns, and focusing on prevention first. The second barrier is a lack of relevant information. Two solutions are increasing the relevancy of research for real world settings and improving practitioners' access to research. The third obstacle was the lack of technology skills and researcher-practitioner partnerships were suggested. The final roadblock was institutional issues. Four solutions include aligning the change to the school's vision, a qualitative focus on process issues encountered during dissemination, more attention to contextual influences in outcome evaluation, and more recognition of school staff that employ evidence-based practice.

Keywords:   dissemination, force field analysis, implementation barriers, organizational change, readiness to change, researcher-practitioner partnerships, scientist-practitioners, stages of change

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