Factors Associated with Community-Partnered School Behavioral Health Clinicians’ Adoption and Implementation of Evidence-Based Practices

  • Elizabeth H. ConnorsEmail author
  • Jason Schiffman
  • Kathleen Stein
  • Sarah LeDoux
  • John Landsverk
  • Sharon Hoover
Original Article


Community-partnered school behavioral health (CP-SBH) is a model whereby schools partner with local community agencies to deliver services. This mixed-methods study examined 80 CP-SBH clinicians’ adoption and implementation of evidence-based practice (EBP) approaches following mandated training. Forty-four clinicians were randomly assigned to one of two training conditions for a modular common elements approach to EBPs; 36 clinicians were preselected for training in a non-modular EBP. EBP knowledge improved for all training conditions at 8-month follow-up and practice element familiarity improved for modular approach training conditions, but the modular condition including ongoing consultation did not yield better results. Qualitative interviews (N = 17) highlighted multi-level influences of the CP-SBH service system and individual clinician characteristics on adoption and implementation.


Evidence-based practices School behavioral health services Implementation context 



This study was funded by Behavioral Health System Baltimore (PI: Hoover).

Compliance with Ethical Standards

Conflict of interest

All author declares that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Elizabeth H. Connors
    • 1
    Email author
  • Jason Schiffman
    • 2
  • Kathleen Stein
    • 3
  • Sarah LeDoux
    • 4
  • John Landsverk
    • 5
    • 6
  • Sharon Hoover
    • 1
  1. 1.National Center for School Mental Health, Division of Child and Adolescent Psychiatry, School of MedicineUniversity of Maryland BaltimoreBaltimoreUSA
  2. 2.Department of PsychologyUniversity of Maryland Baltimore CountyBaltimoreUSA
  3. 3.Booker High SchoolSarasotaUSA
  4. 4.MPB Group, Inc.ColumbiaUSA
  5. 5.Brown School of Social WorkWashington UniversitySt LouisUSA
  6. 6.Oregon Social Learning CenterEugeneUSA

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