Abstract
Improvements in the quality of mental health care in the United States depend on the successful implementation of evidence-based treatments (EBT’s) in typical settings of care. Unfortunately, there is little evidence that EBT’s are used in ways that would approximate their established fidelity standards in such settings. This article describes an approach to more successful implementation of EBT’s via a collaborative process between intervention developers and intervention users (e.g. providers, administrators, consumers) called Lead-user Innovation. Lead-user Innovation democratizes the implementation process by integrating the expertise of lead-users in the delivery, adaptation, innovation and evaluation of EBT’s.
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Notes
EBT’s delivered in usual care settings, with the intervention supported by grant funds, are not considered in this article. We do not believe such an approach is scalable.
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Funding
This article was funded by The Substance Abuse and Mental Health Administration, grant number U79SM061280. Dr. Saxe has received funds from authorship of the book entitled Trauma Systems Therapy for Children and Teens, 2nd edition.
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Dr. Acri declares she has no conflict of interest.
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This article does not contain any studies with human participants performed by any of the authors.
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Saxe, G., Acri, M. Democratizing Implementation and Innovation in Mental Health Care. Adm Policy Ment Health 44, 155–159 (2017). https://doi.org/10.1007/s10488-015-0714-1
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DOI: https://doi.org/10.1007/s10488-015-0714-1