Managing and Adapting Practice: Provider Perceptions of an Evidence-Informed Framework for Delivering Mental Health Services

  • Sara L. BuckinghamEmail author
  • Kimberly D. Becker
  • Michael Reding
  • Eric L. Daleiden
  • Bruce F. Chorpita
Original Article


This study examined providers’ reflections on delivering managing and adapting practice (MAP), an evidence-informed framework that guides decision-making from scientific and client data. Consensual qualitative research methods were used to analyze the reflections of 201 youth mental health providers. Results indicated that providers approached MAP according to their own preferences and particular cases. While most appeared to approach MAP from a practice management standpoint, when faced with challenging cases, providers used coordination and outcomes management resources. Regardless of approach, most providers came to appreciate the full framework through reflective practice. Their diverse approaches offer lessons for evidence-based practice implementation and sustainment.


Evidence-based service delivery Reflective practice Implementation Community mental health 


Compliance with Ethical Standards

Conflicts of interest

Bruce F. Chorpita is President and Eric L. Daleiden is Chief Operating Officer of PracticeWise, LLC, a private behavioral health consulting corporation. Kimberly D. Becker is a consultant to PracticeWise, LLC.

Ethical Approval

The University of South Carolina’s Institutional Review Board determined that this study was exempt from review.

Informed Consent

This study was conducted on already available data for which formal consent was not needed due to the nature of data collected.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Alaska AnchorageAnchorageUSA
  2. 2.Department of PsychologyUniversity of South CarolinaColumbiaUSA
  3. 3.Department of PsychiatryIcahn School of Medicine at Mount SinaiNew YorkUSA
  4. 4.PracticeWise, LLCSatellite BeachUSA
  5. 5.Department of PsychologyUniversity of California Los AngelesLos AngelesUSA

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