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Costs to Community Mental Health Agencies to Sustain an Evidence-Based Practice

Overview of attention for article published in Psychiatric Services, September 2017
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Mentioned by

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3 tweeters

Citations

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15 Dimensions

Readers on

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43 Mendeley
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Title
Costs to Community Mental Health Agencies to Sustain an Evidence-Based Practice
Published in
Psychiatric Services, September 2017
DOI 10.1176/appi.ps.201600193
Pubmed ID
Authors

Katrina D. Roundfield, Jason M. Lang

Abstract

Dissemination of evidence-based practices (EBPs) has become a priority in children's mental health services. Although implementation approaches and initiatives are proliferating, little is known about sustainment of EBPs, but evidence suggests that most EBPs are not sustained for more than a few years. Cost is the most frequently cited barrier to sustainment, yet very little is known about these costs. This study provides a method for quantifying incremental costs of an EBP compared with usual care and preliminary data on the costs in staff time, lost revenue, and other expenses of sustaining an EBP (trauma-focused cognitive-behavioral therapy [TF-CBT]) in community mental health settings. Fourteen community mental health agencies (CMHAs) completed a measure developed for this study to collect administrative data on implementation costs to sustain TF-CBT. Survey items captured activities that were related specifically to TF-CBT and that would not otherwise be conducted for usual care, such as TF-CBT training. Staff time in hours was converted to monetary estimates. Costs varied widely across agencies. Preliminary results indicated that agencies spent on average $65,192 per year (2014 U.S.$) on incremental costs for TF-CBT sustainment (excluding costs of external trainers and other support); the average incremental cost per client was $1,896. The costs to sustain the EBP suggest that maintaining an EBP is a financial burden for CMHAs and that these costs can be a potential barrier to broader EBP uptake. Implications for public policy include providing reimbursement rates and financial incentives to offset potential implementation costs and promote sustainment of EBPs.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 12 28%
Student > Ph. D. Student 7 16%
Student > Master 6 14%
Student > Bachelor 4 9%
Student > Doctoral Student 3 7%
Other 3 7%
Unknown 8 19%
Readers by discipline Count As %
Psychology 15 35%
Social Sciences 7 16%
Nursing and Health Professions 5 12%
Medicine and Dentistry 3 7%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Other 4 9%
Unknown 8 19%

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2017.
All research outputs
#6,030,526
of 11,707,803 outputs
Outputs from Psychiatric Services
#1,702
of 2,524 outputs
Outputs of similar age
#101,745
of 266,179 outputs
Outputs of similar age from Psychiatric Services
#22
of 34 outputs
Altmetric has tracked 11,707,803 research outputs across all sources so far. This one is in the 47th percentile – i.e., 47% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,524 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 266,179 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 60% of its contemporaries.
We're also able to compare this research output to 34 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.