There is nothing more difficult to plan, more doubtful of success, nor more dangerous to manage than the creation of a new order of things. Machiavelli
Abstract
Listening Visits (LV), an empirically supported depression treatment delivered by non mental health specialists, were implemented into two distinctly structured programs. The relative importance of providers’ views and organizational context on implementation were examined. Thirty-seven home visitors completed pre- and post-LV training surveys assessing their views toward implementing LV. Implementation rates markedly differed in the two organizations (73.9% vs. 35.7%). Logistic regression results showed that when predicting the implementation rate, the impact of the organizational setting outweighed home visitors’ personal views. These results underscore the importance of organizational context in the implementation of empirically supported treatments.
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Acknowledgments
The authors would like to acknowledge the contribution of the staff of Visiting Nurse Services in the conduct of this research, including the VNS Chief Executive Officer, Dr. Jennifer Van Liew, the directors of Healthy Start and Maternal Child Health, Ms. Darby Taylor and Ms. Cari Spear, as well as the home visitors from both programs.
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Segre, L.S., McCabe, J.E., Stasik, S.M. et al. Implementation of an Evidence-Based Depression Treatment Into Social Service Settings: The Relative Importance of Acceptability and Contextual Factors. Adm Policy Ment Health 39, 180–186 (2012). https://doi.org/10.1007/s10488-011-0345-0
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DOI: https://doi.org/10.1007/s10488-011-0345-0