This Article Full Text (PDF) All Versions of this Article: 1049731509335529v1 19/5/602    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Palinkas, L. A. Articles by Weisz, J. R. Social Bookmarking                         What's this?

Cultural Exchange and the Implementation of Evidence-Based Practices

Two Case Studies

School of Social Work, University of Southern California, palinkas{at}usc.edu

Gregory A. Aarons

University of California, San Diego

Bruce F. Chorpita

University of California, Los Angeles

Kimberly Hoagwood

Columbia University

John Landsverk

Rady Childrens Hosptial

John R. Weisz

Harvard Medical School

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.

Key Words: translational science • evidence-based practice • implementation • social work • mental health • evidence-based interventions

This version was published on September 1, 2009

Research on Social Work Practice, Vol. 19, No. 5, 602-612 (2009)
DOI: 10.1177/1049731509335529


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?