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首页> 外文期刊>Administration and policy in mental health >Inside the belly of the beast: how bad systems trump good programs.
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Inside the belly of the beast: how bad systems trump good programs.

机译:在野兽的肚子里:糟糕的系统如何胜过好的程序。

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摘要

Reading the many excellent articles in this compilation highlights the pressing need for widespread system reform if Evidence Based Programs are to ever reach scale. The articles' contents offer a crash course on the promising paths opening before us, while the lengthy inventories of challenges is sobering in their collective assessment of the odds that any kind of "best practice"-much less evidence-based practice-will become common practice in public child welfare, mental health and juvenile justice systems. Noting the difficulty in moving from science to practice in disciplines more closely linked to the hard sciences-such as medicine-several authors list a daunting array of obstacles to the much more difficult challenge of bringing evidence-based interventions to scale in the human services generally, and in publicly financed human services in particular.
机译:阅读这份汇编中的许多优秀文章时,就强调了如果要扩大基于证据的程序的规模,则迫切需要进行广泛的系统改革。文章的内容为我们面前的有希望的道路提供了速成课程,而冗长的挑战清单却使人们对各种“最佳实践”(少得多的循证实践)将变得普遍的可能性的评估令人震惊。从事公共儿童福利,心理健康和少年司法制度。注意到在与硬科学更紧密联系的学科中从科学转向实践的困难(例如医学),几位作者列出了一系列艰巨的障碍,难以克服将基于证据的干预措施推广到整个人类服务领域这一更加困难的挑战,尤其是在公共资助的人类服务中。

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