Site-Level Evidence-Based Practice Accreditation: A Qualitative Exploration Using Institutional Theory.
Accreditation is gaining ground in human services as leaders find ways to demonstrate the quality and legitimacy of services. This study examined site-level accreditation for SafeCare®, an evidence-based practice designed to prevent and reduce child maltreatment. We leveraged two waves of qualitativ...
| Published in: | Human Service Organizations: Management, Leadership & Governance Vol. 47; no. 3; pp. 157 - 176 |
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| Main Authors: | , , , |
| Format: | Article |
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Taylor & Francis Ltd
2023
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=169847684&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 169847684 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 23303131 IT64 jtl: Human Service Organizations: Management, Leadership & Governance issn: 23303131 maglogo: N pubinfo: dt: 2023 vid: 47 iid: 3 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 169847684 10.1080/23303131.2023.2194940 ppf: 157 ppct: 19 formats: tig: atl: Site-Level Evidence-Based Practice Accreditation: A Qualitative Exploration Using Institutional Theory. aug: au: Lengnick Hall, Rebecca Willging, Cathleen Elizabeth Aarons, Gregory A. Reeder, Kendal affil: Brown School, Washington University, St. Louis, Missouri, USA Pacific Institute for Research and Evaluation, Albuquerque, New Mexico, USA Department of Psychiatry, University of California, San Diego, California, USA University of California San Diego Dissemination and Implementation Science Center, La Jolla, California, USA Department of Psychology, University of California Los Angeles, Los Angeles, California, USA su: Qualitative research Recidivism Communication Child welfare Social services Parent-child relationships Corporate culture Prevention of child abuse Professional practice Accreditation Research methodology Evidence-based medicine Conceptual structures Research funding sug: subj: Qualitative research Recidivism Communication Child welfare Social services Parent-child relationships Corporate culture Other Individual and Family Services Prevention of child abuse Professional practice Accreditation Research methodology Evidence-based medicine Conceptual structures Research funding keyword: EBP implementation institutional theory EBP implementation institutional theory ab: Accreditation is gaining ground in human services as leaders find ways to demonstrate the quality and legitimacy of services. This study examined site-level accreditation for SafeCare®, an evidence-based practice designed to prevent and reduce child maltreatment. We leveraged two waves of qualitative data to explore the perspectives of trainers, organizational and system leaders, and program developers who participated in an initial rollout of a site-level accreditation process for SafeCare. Institutional theory was used to frame accreditation's potential benefits, burden, and impact. Findings highlight specific considerations for the human service environment, including the inherent resource scarcity, interdependence among organizations, and the impact of cost and slow-moving bureaucratic processes. Current institutional pressures – such as large funding streams coming out of federal initiatives that rely on program developers to report which sites are accredited when financing evidence-based programs – may force human service organization (HSO) leaders to consider participation in site-level accreditation specific to a particular evidence-based practice (EBP) or model. Although accreditation may not meaningfully change day-to-day service delivery of an EBP, HSO leaders may gain other benefits, including cross-site communication and the ability to demonstrate legitimacy and competence within their organizational field. Accreditation cost is an essential and unavoidable consideration for program developers and purveyors who plan to use accreditation to support EBP sustainment and scale-up in HSOs. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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