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January 2019

User-Centered Redesign of Evidence-Based Psychosocial Interventions to Enhance Implementation—Hospitable Soil or Better Seeds?

Author Affiliations
  • 1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle
JAMA Psychiatry. 2019;76(1):3-4. doi:10.1001/jamapsychiatry.2018.3060

After decades of research and policy initiatives, the advice to use evidence-based practices has become a mantra for improving clinical care. In behavioral health, most evidence-based practices are psychosocial interventions: interpersonal or informational strategies to reduce symptoms and improve functioning. Hundreds of evidence-based psychosocial interventions now exist, and research shows that their use in real-world systems can confer demonstrable effects on community-level outcomes.1 Nevertheless, research also indicates that these interventions are used infrequently and inconsistently and that most efforts to implement them are unsuccessful,2 dramatically limiting their potential for promoting well-being.

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