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Clinical Transformation: Manager’s Perspectives on Implementation of Evidence-Based Practice

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Abstract

Implementation of evidence-based practices (EBPs) is highly encouraged within mental health services. This single case study examines the process of an EBP implementation effort, guided by the National Implementation Research Network (NIRN) implementation model, from the perspective of behavioural healthcare managers in a child and youth mental health provider organization. Qualitative methods identified process themes emerging over 3 years of an organizational change process that support and refine the NIRN model. Dedicated management oversight and implementation teams are essential for EBP implementation; practice leads and practice coaches are useful implementation innovations; and organizations seeking to implement several EBPs simultaneously must guard against organizational absorptive capacity. These findings can guide EBP implementation in child and youth behavioural healthcare.

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References

  • Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57(8), 1162–1169.

    Article  PubMed Central  PubMed  Google Scholar 

  • Aarons, A., Fettes, D., Flores, L., & Sommerfeld, D. (2009). Evidence-based practice implementation and staff emotional exhaustion in children’s services. Behaviour Research and Therapy, 47(11), 954–960.

    Article  PubMed Central  PubMed  Google Scholar 

  • Austin, M., & Ciaassen, J. (2008). Implementing evidence based practices in human organizations. Journal of Evidence-Based Social Work, 5(1), 271–293.

    Article  PubMed  Google Scholar 

  • Barwick, M. A., Boydell, K. M., Stasiulis, E., Ferguson, H. B., Blase, K., & Fixsen, D. (2005). Knowledge transfer and evidence-based practice in children’s mental health. Toronto, ON: Children’s Mental Health Ontario.

  • Barwick, M., Kimber, M., & Fearing, G. (2011). Shifting sands: A case study of process change in scaling up for evidence-based practice. The International Journal of Knowledge, Culture and Change Management, 10(8), 97–114.

    Google Scholar 

  • Berwick, D. M. (2003). Disseminating innovations in health care. Journal of the American Medical Association, 289(5), 1969–1975.

    Article  PubMed  Google Scholar 

  • Bhattacharyya, O., Reeves, S., & Zwarenstein, M. (2009). What is implementation research? Research on Social Work Practice, 19(5), 491–502.

    Article  Google Scholar 

  • Blase, K., Fixsen, D., Van Dyke, M., & Duda, M. (2009). Implementation drivers: Best practices for coaching. Chapel Hill, NC: National Implementation Research Network.

    Google Scholar 

  • Brown, J., Rounthwaite, J., & Barwick, M. (2011). Implementing evidence-based practices: A transformational organizational change process. International Journal of Knowledge, Culture and Change Management, 10(7), 33–54.

    Google Scholar 

  • Colditz, G. A. (2012). The promise and challenges of dissemination and implementation research. In R. C. Brownson, G. A. Colditz, & E. K. Proctor (Eds.), Dissemination and implementation research in health: Translating science to practice (pp. 3–22). New York, NY: Oxford University Press.

    Chapter  Google Scholar 

  • Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowry, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50–65.

    Article  PubMed Central  PubMed  Google Scholar 

  • de Shazer, S. (1985). Keys to solution in brief therapy. New York, NY: Norton.

    Google Scholar 

  • Fixsen, D., Blase, K., Homer, R., & Sugai, G. (2009). Developing the capacity for scaling up the effective use of evidence-based programs in state departments of education. Concept Paper. University of North Carolina-Chapel Hill, University of Oregon, and University of Connecticut.

  • Fixsen, D. L., Blase, K. A., Naoom, S. F., & Van Dyke, M. (2010). Stage-based measures of implementation components. Chapel Hill, NC: Authors & National Implementation Research Network.

    Google Scholar 

  • Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2005a). Core implementation components. Research on Social Work Practice, 19(5), 531–540.

    Article  Google Scholar 

  • Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication # 231).

  • Gerrish, K., & Clayton, J. (2004). Promoting evidence-based practice: An organizational approach. Journal of Nursing Management, 12(2), 114–123.

    Article  PubMed  Google Scholar 

  • Goh, S., & Richards, G. (1997). Benchmarking the learning capability of organizations. European Management Journal, 15, 575–583.

    Article  Google Scholar 

  • Gold, P., Glynn, S., & Mueser, K. (2006). Challenges to implementing and sustaining comprehensive mental health service programs. Evaluation and the Health Professions, 29(2), 195–218.

    Article  PubMed  Google Scholar 

  • Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581.

    Article  PubMed Central  PubMed  Google Scholar 

  • Joyce, B., & Showers, B. (2002). Student achievement through staff development (3rd ed.). Alexandria, VA: Association for Supervision and Curriculum Development.

    Google Scholar 

  • Kimber, M., Bawick, M., & Fearing, G. (2012). Becoming an evidence-based service provider: Staff perceptions and experiences of organizational change. The Journal of Behavioral Health Services and Research. doi:10.1007/s11414-012-9276-0 (online first).

  • Lawler, J., & Bilson, S. (2004). Towards a more reflexive research aware practice: The influence and potential of professional and team culture. Social Work and Social Sciences Review, 11(1), 52–69.

    Article  Google Scholar 

  • Linehan, M. M. (1987). Dialectical behavior therapy: A cognitive behavioral approach to parasuicide. Journal of Personality Disorders, 1(4), 328–333.

    Article  Google Scholar 

  • Marty, D., Rapp, C., McHugo, G., & Whitley, R. (2008). Factors influencing consumer outcome monitoring in implementation of evidence-based practices: Results from the National EBP implementation project. Administrative Policy and Mental Health, 35(3), 204–211.

    Article  Google Scholar 

  • McHugh, R. K., & Barlow, D. H. (2012). The reach of evidence-based psychological interventions. In R. K. McHugh & D. H. Barlow (Eds.), Dissemination and implementation of evidence-based psychological interventions (pp. 3–15). New York, NY: Oxford University Press.

    Google Scholar 

  • NIRN. (2012). Implementation measures. Retrieved January 7, 2013, from http://nirn.fpg.unc.edu/learn-implementation/measures.

  • Ogden, T., Bjornebejkk, G., Kjobli, J., Patras, J., Christiansen, T., Taraldsen, K., et al. (2012). Measurement of implementation components ten years after a nationwide introduction of empirically supported programs-a pilot study. Implementation Science, 7, 49–69.

    Article  PubMed Central  PubMed  Google Scholar 

  • Poertner, J., & Rapp, C. A. (2007). Textbook of social administration: The consumer-centered approach. New York, NY: The Haworth Press.

    Google Scholar 

  • Proctor, E., & Brownson, R. C. (2012). Measurement issues in dissemination and implementation.research. In R. C. Brownson, G. A. Colditz, & E. K. Proctor (Eds.), Dissemination and implementation research in health: Translating science to practice (pp. 3–22). New York, NY: Oxford University Press.

  • Proctor, K. E., Fedoravicius, N., Hovmand, P., Knudsen, J. K., Perron, B., & Rosen, A. (2007). Implementation of evidence-based practice in community behavioural health: Agency directors perspectives. Administrative Policy Mental Health, 34(5), 479–488.

    Article  Google Scholar 

  • Rosenheck, R. (2001). Stages in the implementation of innovative clinical programs in complex organizations. Journal of Nervous & Mental Disease, 189(12), 812–821.

    Article  CAS  Google Scholar 

  • Sanders, M. R., & Dadds, M. R. (1993). Behavioral family intervention. Needham Heights, MA.

  • Sheehan, A. K., Walrath, C. M., & Holden, E. W. (2007). Evidence-based practice use, training and implementation in the community-based service setting: A survey of children’s mental health service providers. Journal of Child and Family Studies, 16(2), 169–182.

    Article  Google Scholar 

  • Wotring, J., Hodges, K., & Forgatch, M. (2008). Implementing evidence-based practices in astate public mental health system. In C. C. Newman, C. J. Liberton, K. Kutash, & R. M. Friedman (Eds.), The 20th annual research conference proceedings, A system of care for Children’s Mental Health: Expanding the Research Base (Vol. FMHI publication no. 249). Tampa, FL: The Research and Training Center for Children’s Mental Health, Department of Child and Family Studies, The Louis de la Parte Florida Mental Health Institute, University of South Florida.

  • Yin, R. K. (2009). Case study research: Design and methods (4th ed.). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

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Authors and Affiliations

  1. The Hospital for Sick Children, Toronto, ON, Canada

    Melanie Barwick

  2. Learning Institute and Research Institute, University of Toronto, Toronto, ON, Canada

    Melanie Barwick

  3. Department of Psychiatry, University of Toronto, Toronto, ON, Canada

    Melanie Barwick

  4. Health Research Methodology Program, Department of Clinical Epidemiology and Biostatistics, McMaster University, Health Sciences Centre, Room: 2C1, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada

    Melissa Kimber

  5. Lynwood Charlton Centre, 526 Upper Paradise Road, Hamilton, ON, L9C 5E3, Canada

    Gwendolyn Fearing

  6. Dalla Lana School of Public Health, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada

    Melanie Barwick

Authors
  1. Gwendolyn Fearing
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  2. Melanie Barwick
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  3. Melissa Kimber
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Correspondence to Melanie Barwick.

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Fearing, G., Barwick, M. & Kimber, M. Clinical Transformation: Manager’s Perspectives on Implementation of Evidence-Based Practice. Adm Policy Ment Health 41, 455–468 (2014). https://doi.org/10.1007/s10488-013-0481-9

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  • DOI: https://doi.org/10.1007/s10488-013-0481-9

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