Starting Small: Transformation Zones and Initial Implementation
The period of initial implementation is a sensitive time for a new program. Its success depends upon close attention to installation stage activities and implementation drivers. To enhance efficiency and success, initial implementation should begin in a small portion of the organization, a transformation zone, where many of the common concerns discussed in this chapter can be experienced, learned from, and addressed before scaling up the new practice to include all staff. Practical challenges during initial implementation are common. In this chapter, we review several strategies to overcome such challenges including staff confidence and competence, low or inappropriate referrals, low service delivery rates, perceived clinical barriers, and other organizational challenges.
KeywordsBehavioral feedback Fidelity monitoring Knowledge transfer Implementation challenges Outcome monitoring Training environment Transformation zone
- Beidas, R. S., Barmish, A. J., & Kendall, P. C. (2009). Training as usual: Can therapist behavior change after reading a manual and attending a brief workshop on cognitive behavioral therapy for youth anxiety? Behavior Therapist, 32(5), 97–101.Google Scholar
- Dorsey, S., Pullmann, M. D., Deblinger, E., Berliner, L., Kerns, S. E., Thompson, K., … & Garland, A. F. (2013). Improving practice in community-based settings: A randomized trial of supervision—study protocol. Implementation Science, 8(1), 89.Google Scholar
- Hawkins, J. D., Catalano, R. F., & Kuklinski, M. R. (2014). Communities that care. In Encyclopedia of criminology and criminal justice (pp. 393–408). New York, NY: Springer.Google Scholar
- Julian, D. A. (2006). A community practice model for community psychologists and some examples of the application of community practice skills from the partnerships for success initiative in Ohio. American Journal of Community Psychology, 37(1–2), 21–27.Google Scholar
- Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., … & Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10(1), 21.Google Scholar