Abstract
The current paper describes three models of research-practice collaboration to scale-up evidence-based practices (EBP): (1) the Rolling Cohort model in England, (2) the Cascading Dissemination model in San Diego County, and (3) the Community Development Team model in 53 California and Ohio counties. Multidimensional Treatment Foster Care (MTFC) and KEEP are the focal evidence-based practices that are designed to improve outcomes for children and families in the child welfare, juvenile justice, and mental health systems. The three scale-up models each originated from collaboration between community partners and researchers with the shared goal of wide-spread implementation and sustainability of MTFC/KEEP. The three models were implemented in a variety of contexts; Rolling Cohort was implemented nationally, Cascading Dissemination was implemented within one county, and Community Development Team was targeted at the state level. The current paper presents an overview of the development of each model, the policy frameworks in which they are embedded, system challenges encountered during scale-up, and lessons learned. Common elements of successful scale-up efforts, barriers to success, factors relating to enduring practice relationships, and future research directions are discussed.
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Notes
The California Institute for Mental Health (CIMH) was established in 1993 to promote excellence in mental health services through training, technical assistance, research and policy development. Local mental health directors founded CIMH to work collaboratively with all mental health system stakeholders. The commitment to collaboration has led the board to expand board membership to include consumers, family members, and other interested persons representing the public interest.
References
Aarons, G. H., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23.
Backer, T. E. (2000). The failure of success: Challenges of disseminating effective substance abuse prevention programs. Journal of Community Psychology, 28, 363–373.
Chamberlain, P. (2003). The Oregon multidimensional treatment foster care model: Features, outcomes, and progress in dissemination. In S. Schoenwald & S. Henggeler (series Eds.), Moving evidence-based treatments from the laboratory into clinical practice. Cognitive and Behavioral Practice, 10, 303–312.
Chamberlain, P., Leve, L. D., & DeGarmo, D. S. (2007). Multidimensional treatment foster care for girls in the juvenile justice system: 2-year follow-up of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 75, 187–193.
Chamberlain, P., Moreland, S., & Reid, K. (1992). Enhanced services and stipends for foster parents: Effects on retention rates and outcomes for children. Child Welfare, 5, 387–401.
Chamberlain, P., Price, J., Leve, L., Laurent, H., Landsverk, J., & Reid, J. (2008). Prevention of behavior problems for children in foster care: Outcomes and mediation effects. Prevention Science, 9, 17–27.
Chamberlain, P., Saldana, L., Brown, H., & Leve, L. (2010). Implementation of MTFC in California: A randomized trial of an evidence-based practice. In M. Roberts-DeGennaro & S. J. Fogel (Eds.), Using evidence to inform practice for community and organizational change (pp. 218–234). Chicago: Lyceum.
DeAngelis, T. (2010). Getting research into the real world. American Psychologist, 4, 60. Retrieved from http://www.apa.org/monitor/2010/11/dissemination.aspx
DeGarmo, D. S., & Forgatch, M. S. (2005). Early development of delinquency within divorced families: Evaluating a randomized preventive intervention trial. Developmental Science, 8, 229–239.
Department for Education, Skills. (2003). Every child matters (Green paper, Cm.5860). London: HMSO.
Dorsey, S., Farmer, E. M. Z., Barth, R. P., Greene, K. M., Reid, J., & Landsverk, J. (2008). Current status and evidence base of training for foster and treatment foster parents. Children and Youth Services Review, 30, 1403–1416.
Feldstein, A. C., & Glasgow, R. E. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. The Joint Commission on Accreditation of Healthcare Organizations, 34, 228–243.
Fisher, P. A., Kim, H. K., & Pears, K. C. (2009). Effects of multidimensional treatment foster care for preschoolers (MTFC-P) on reducing permanent placement failures among children with placement instability. Children and Youth Services Review, 31, 541–546.
Fixen, A. M. (2009). Defining scaling up across disciplines: An annotated bibliography. National Implementation Research Network. Retrieved from www.fpg.unc.edu/~nirn
Fixsen, D. L., & Blase, K. A. (2007). National Implementation Research Network, NCTI Technology Innovators Conference, November 15–16, Washington, DC.
Fixsen, D. L., Naoom, S. F., Blase, 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.
Gager, P. J., & Elias, M. J. (1997). Implementing prevention programs in high-risk environments: Application of the resiliency paradigm. American Journal of Orthopsychiatry, 67, 363–373.
Glisson, C. (2000). Organizational culture and climate. In R. Patti (Ed.), The handbook of social welfare management (pp. 195–218). Thousand Oaks, CA: Sage Publications.
Hoagwood, K., & Olin, S. S. (2002). The NIMH blueprint for change report: Research priorities in child and adolescent mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 760–767.
Holmes, L., Westlake, D., & Ward, H. (2008). Calculating and comparing the costs of multidimensional treatment foster care, England (MTFCE): Report to the Department for Children, Schools and Families. Loughborough: Centre for Child and Family Research, Loughborough University.
Kerr, D. C. R., Leve, L. D., & Chamberlain, P. (2009). Pregnancy rates among juvenile justice girls in two RCTs of Multidimensional Treatment Foster Care. Journal of Consulting and Clinical Psychology, 77, 588–593.
Koprowska, J., & Stein, M. (2000). The mental health of ‘Looked-after’ young people. In P. Aggleton, J. Hurry, & I. Warwick (Eds.), Young people and mental health. London: John Wiley & Sons Ltd.
Leve, L. D., Fisher, P. A., & Chamberlain, P. (2009). Multidimensional treatment foster care as a preventive intervention to promote resiliency among youth in the child welfare system. Journal of Personality, 77, 1869–1902.
Marsenich, L. (2002). Evidence-based practices in mental health services for foster youth. Sacramento, CA: California Institute for Mental Health.
McCann, J. B., James, A., Wilson, S., & Dunn, G. (1996). Prevalence of psychiatric disorders in young people in the care system. British Medical Journal, 313, 1529–1530.
Meltzer, H., Corbin, T., Gatward, R., Goodman, R., & Ford, T. (2003). The mental health of young people looked after by local authorities in England. London: Office for National Statistics.
Meltzer, H., Gatward, R., Goodman, R., & Ford, T. (2000). Mental health of children and adolescents in Great Britain. London: The Stationery Office.
Morgan, S. (1999). Care about education: A joint training curriculum for supporting children in public care. London: National Children’s Bureau.
Patterson, G. R. (2005). The next generation of PMTO models. The Behavior Therapist, 28, 25–32.
Price, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233–242.
Price, J. M., Chamberlain, P., Landsverk, J., Reid, J., Leve, L., & Laurent, H. (2008). Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreatment, 13, 64–75.
Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: The Free Press.
Snyder, J., Reid, J. B., & Patterson, G. R. (2003). A social learning model of child and adolescent antisocial behavior. In B. B. Lahey, T. E. Moffitt, & A. Caspi (Eds.), Causes of conduct disorder and juvenile delinquency (pp. 27–48). New York: Guilford Press.
Sonsa, T., & Marsenich, L. (2006). Community development team model: Supporting the model adherent implementation of programs and practices. Sacramento, CA: California Institute for Mental Health Publication.
Sprengelmeyer, P. (2011). A web-based system for streaming video and tracking intervention fidelity data. Manuscript submitted for publication.
Stroul, B. A., & Manteuffel, B. A. (2007). The sustainability of systems of care for children’s mental health: Lessons learned. Journal of Behavioral Health Services and Research, 34, 237–259.
Utting, W. (1997). People like us: The report of the review of the safeguards for children living away from home. London: HMSO.
Valente, T. W. (1996). Social network thresholds in the diffusion of innovations. Social Network, 18, 69–89.
Wang, W., Saldana, L., Brown, C. H., & Chamberlain, P. (2010). Factors that influenced county system leaders to implement an evidence-based program: A baseline survey within a randomized controlled trial. Implementation Science, 5, 72.
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Chamberlain, P., Roberts, R., Jones, H. et al. Three Collaborative Models for Scaling Up Evidence-Based Practices. Adm Policy Ment Health 39, 278–290 (2012). https://doi.org/10.1007/s10488-011-0349-9
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DOI: https://doi.org/10.1007/s10488-011-0349-9