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Cultural Exchange and the Implementation of Evidence-Based Practice: Two Case Studies

¹ School of Social Work, University of Southern California
² University of California, San Diego
³ University of California, Los Angeles
⁴ Columbia University
⁵ Rady Childrens Hosptial
⁶ Harvard Medical School

^* To whom correspondence should be addressed. E-mail: palinkas{at}usc.edu.

	Abstract

Objective: The dynamics of interactions between evidence-based intervention (EBI) developers and trainers and organizations and providers that deliver the EBI was examined in two case studies, a statewide randomized effectiveness trial of an EBI to reduce child neglect and a randomized trial of EBIs for depression, anxiety, and conduct problems in children and adolescents. Methods: Data were collected using ethnographic methods of participant observation and semistructured interviews and analyzed using grounded theory analytic methods. Results: Formal and informal interactions between EBI propagators and end users provide access to resources and exchange of global and local knowledge of service delivery. Productive interactions require accessibility, mutual respect, a shared language, and a willingness to engage in negotiation and compromise to resolve differences in demands imposed by organizational culture, the need for EBI fidelity, and client characteristics. Conclusion: A cultural exchange characterized by information sharing and behavioral change through a process of negotiation and compromise is central to evidence-based practice in youth serving systems of care.

First published on May 27, 2009, doi:10.1177/1049731509335529

Research on Social Work Practice 2009;19:602.

A more recent version of this article appeared on September 1, 2009


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