Troubleshooting Implementation Challenges

  • Rosalyn BertramEmail author
  • Suzanne Kerns


Careful selection and installation of an evidence-based practice that begins initial implementation in a transformation zone will mitigate many of the most substantial implementation challenges. This chapter anticipates some of the more common implementation challenges and suggests strategies to address them and support program sustainability. When well implemented, evidence-based practices can incur only marginal additional costs and, over time, produce significant community cost-benefits. This chapter examines the impact of initial perceptions of clinical progress and potential concerns related to cultural relevance as important considerations for new implementation efforts to address.


Alignment Cost-benefit Culture relevance Engagement Organizational readiness Staff resistance 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Professor, School of Social WorkUniversity of Missouri–Kansas CityKansas CityUSA
  2. 2.Research Associate Professor, Graduate School of Social WorkUniversity of DenverDenverUSA

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