Barriers and Facilitators to Implementation of the Institute of Medicine Recommendations on Preventing Mental, Emotional, and Behavioral Disorders Among Young People
Article first published online: 19 APR 2012
© 2012 Wiley Periodicals, Inc.
Journal of Child and Adolescent Psychiatric Nursing
Volume 25, Issue 2, pages 60–65, May 2012
How to Cite
Evans, M. E. (2012), Barriers and Facilitators to Implementation of the Institute of Medicine Recommendations on Preventing Mental, Emotional, and Behavioral Disorders Among Young People. Journal of Child and Adolescent Psychiatric Nursing, 25: 60–65. doi: 10.1111/j.1744-6171.2012.00323.x
- Issue published online: 19 APR 2012
- Article first published online: 19 APR 2012
- Emotional or behavioral disorder;
- mental health promotion;
- preventive interventions
PROBLEM: The purpose of this study was to gain an understanding of the barriers and facilitators to implementation of the five overarching recommendations of the Institute of Medicine report and to consider the implications for nursing.
METHODS: Data were collected through use of a semi-structured interview of purposive sample of 22 key informants regarding the barriers and facilitators to implementation of the report's five major recommendations.
FINDINGS: The major barriers were competing priorities, lack of infrastructure for implementation, lack of public education regarding mental health and the effectiveness of prevention, stigma, and a paucity of facilitating factors. The facilitators were leadership, flexible resources, linkage to healthcare reform or other legislation, coordination across agencies and governmental levels, and additional research.
CONCLUSIONS: The discussion focuses on ways of promoting facilitating factors and consideration of nursing's potential contributions in the areas of education, practice, and research.