Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies
Table 3
Characteristics of agencies.
Agency
Rural or urban setting
Agency sizea
Degree of staff turnoverb
Number of EBPs at Time 1
Number of EBPs at Time 2
Agency increased uptake of EBPs
*Serves homeless population
Urban
Medium
Low
3
5
**Community mental health center
Rural
Medium
High
0
1
***Community mental health center
Rural
Large
Moderate
2
4
Substance abuse treatment facility
Urban
Medium
Moderate
1
3
Community mental health center
Urban
Medium
Moderate
0
2
Community mental health center
Rural
Large
Moderate
0
1
Community mental health center
Rural
Small
High
2
3
Agency decreased use of EBPs
****Substance abuse treatment facility
Rural
Large
Moderate
2
0
Community mental health center
Urban
Large
Moderate
1
0
Small group practice
Rural
Small
N/A
2
Closed
Agency had no change in use of EBPs
Community mental health center
Urban
Large
Low
2
2
Substance abuse treatment facility
Rural
Large
Moderate
2
2
Small group practice
Urban
Small
High
0
0
Serves homeless population
Urban
Small
Low
0
0
Agency A: strongly facilitative.
**Agency B: leader driven.
***Agency C: resource driven. Agency D: resource deprived. Small agency: less than 8 employees; medium agency: 9–14 employees; large agency: 15–21 employees. Low turnover: less than 25%; moderate turnover: between 25–50%; high turnover: more than 50%.