Evidence-based Methods in Rural Areas – Knowledge and National Guideline Utilization in Mental Health Service Development

PURPOSE: To examine how rural municipalities develop services to people with serious mental illness in relation to evidence-based practice and national guidelines. Additional sources of knowledge and strategies used by the municipalities in relation to their development needs were explored as well.METHOD: Qualitative multiple-case approach, with 43 deep-interviews involving 84 informants representing selected social psychiatric services from 11 sites.RESULTS: National guidelines and evidence-based practices have a limited impact on how rural municipalities develop services to the target group. The municipalities favor other sources of knowledge, including regional networks, pragmatic problem-solving approaches and community-based knowledge.DISCUSSION AND CONCLUSION: Most of the informants expressed a need for more systematic and evidence-based knowledge in order to meet their clients’ needs. A major challenge to improve the utilization of these methods, is to make adaptions to match the rural municipalities’ needs and actual resources without risking the quality of these evidence-based services.

Richter Sundberg, Linda,Ph DUmeå universitet,Institutionen för epidemiologi och global hälsa(Swepub:umu)liasrg97 (författare)
Markström, UrbanUmeå universitet,Institutionen för socialt arbete(Swepub:umu)urma0001 (författare)
Rosenberg, David,1957-Umeå universitet,Institutionen för socialt arbete(Swepub:umu)dadrog01 (författare)
Umeå universitetInstitutionen för socialt arbete (creator_code:org_t)

Ingår i:Journal of Evidence-Based Social Work: Routledge19:2, s. 161-1841543-37141543-37222640-80662640-8074

Av författaren/redakt...: Bergmark, Magnus; Richter Sundberg ...; Markström, Urban; Rosenberg, David ...

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