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Felton, Barbara J.

doi:10.1023/a:1024020124397

Cited by 19 publications

(11 citation statements)

References 12 publications

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“…Similarly, in a study introducing innovation for homeless people with mental health problems, the mode of presentation, use of an outside agency, and the questioned uniqueness of the new practice were found to be as important as the intervention itself [13]. Most importantly, as Proctor et al .…”

Section: Introductionmentioning

confidence: 99%

Innovation in mental health services: what are the key components of success?

2011

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BackgroundService development innovation in health technology and practice is viewed as a pressing need within the field of mental health yet is relatively poorly understood. Macro-level theories have been criticised for their limited explanatory power and they may not be appropriate for understanding local and fine-grained uncertainties of services and barriers to the sustainability of change. This study aimed to identify contextual influences inhibiting or promoting the acceptance and integration of innovations in mental health services in both National Health Service (NHS) and community settings.MethodsA comparative study using qualitative and case study data collection methods, including semi-structured interviews with key stakeholders and follow-up telephone interviews over a one-year period. The analysis was informed by learning organisation theory. Drawn from 11 mental health innovation projects within community, voluntary and NHS settings, 65 participants were recruited including service users, commissioners, health and non-health professionals, managers, and caregivers. The methods deployed in this evaluation focused on process-outcome links within and between the 11 projects.ResultsKey barriers to innovation included resistance from corporate departments and middle management, complexity of the innovation, and the availability and access to resources on a prospective basis within the host organisation. The results informed the construction of a proposed model of innovation implementation within mental health services. The main components of which are context, process, and outcomes.ConclusionsThe study produced a model of conducive and impeding factors drawn from the composite picture of 11 innovative mental health projects, and this is discussed in light of relevant literature. The model provides a rich agenda to consider for services wanting to innovate or adopt innovations from elsewhere. The evaluation suggested the importance of studying innovation with a focus on context, process, and outcomes.

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Section: Introductionmentioning

confidence: 99%

Innovation in mental health services: what are the key components of success?

2011

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“…This includes not only choosing type of living situation but also deciding whether to take psychiatric medications or abstain from drugs and alcohol (Salyers & Tsemberis, 2007). This approach, which openly embraces harm reduction, has been met with past skepticism (Felton, 2003), yet research has overwhelmingly demonstrated that PHF consumers are able to maintain independent apartment living and manage multiple health conditions when provided with flexible supports (Pearson et al, 2009; Substance Abuse and Mental Health Administration [SAMHSA], 2007; Tsemberis et al, 2004). Despite working with the same target population, PHF providers work in organizational settings that reflect these structural and philosophical differences from TF program models.…”

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confidence: 99%

Examining Provider Perspectives Within Housing First and Traditional Programs

Henwood

Shinn

Tsemberis

et al. 2013

American Journal of Psychiatric Rehabilitation

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Pathways’ Housing First represents a radical departure from traditional programs that serve individuals experiencing homelessness and co-occurring psychiatric and substance use disorders. This paper considered two federally funded comparison studies of Pathways’ Housing First and traditional programs to examine whether differences were reflected in the perspectives of frontline providers. Both quantitative analysis of responses to structured questions with close-ended responses and qualitative analysis of open-ended responses to semistructured questions showed that Pathways providers had greater endorsement of consumer values, lesser endorsement of systems values, and greater tolerance for abnormal behavior that did not result in harm to others than their counterparts in traditional programs. Comparing provider perspectives also revealed an “implementation paradox”; traditional providers were inhibited from engaging consumers in treatment and services without housing, whereas HF providers could focus on issues other than securing housing. As programs increasingly adopt a Housing First approach, implementation challenges remain due to an existing workforce habituated to traditional services.

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“…The most common practice settings identified were primary healthcare (n = 10) [42,44,53,59-62,64,65,82], followed by post-graduate educational settings (n = 7) [39-41,43,45,65,81], and mental health clinical environments (n = 5) [50,52,58,78,80] (Table 3). Nursing was the professional group most frequently targeted in the papers (20 of 35 included studies), alone [42,43,47,53,55,60-62,77], or along with physicians [64,82], patients [44], or interdisciplinary teams [38,39,48,51,57,65,76,79]. Psychologists/psychiatrists was another identified group (n = 5) [50,52,58,78,80].…”

Section: Resultsmentioning

confidence: 99%

“…The papers [46-52,76,79] in this theme reported findings from literature reviews exploring the meaning of evidence and the epistemology of research and practice. Papers in this theme recognized that there may be various definitions of ‘knowledge’ and ‘knowledge creation’ which may vary depending upon the theoretical lens used to explore the applications of knowledge in clinical practice.…”

Section: Resultsmentioning

confidence: 99%

Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review

et al. 2014

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BackgroundUse of theory is essential for advancing the science of knowledge translation (KT) and for increasing the likelihood that KT interventions will be successful in reducing existing research-practice gaps in health care. As a sociological theory of knowledge, social constructivist theory may be useful for informing the design and evaluation of KT interventions. As such, this scoping review explored the extent to which social constructivist theory has been applied in the KT literature for healthcare professionals.MethodsSearches were conducted in six databases: Ovid MEDLINE (1948 – May 16, 2011), Ovid EMBASE, CINAHL, ERIC, PsycInfo, and AMED. Inclusion criteria were: publications from all health professions, research methodologies, as well as conceptual and theoretical papers related to KT. To be included in the review, key words such as constructivism, social constructivism, or social constructivist theories had to be included within the title or abstract. Papers that discussed the use of social constructivist theories in the context of undergraduate learning in academic settings were excluded from the review. An analytical framework of quantitative (numerical) and thematic analysis was used to examine and combine study findings.ResultsOf the 514 articles screened, 35 papers published between 1992 and 2011 were deemed eligible and included in the review. This review indicated that use of social constructivist theory in the KT literature was limited and haphazard. The lack of justification for the use of theory continues to represent a shortcoming of the papers reviewed. Potential applications and relevance of social constructivist theory in KT in general and in the specific studies were not made explicit in most papers. For the acquisition, expression and application of knowledge in practice, there was emphasis on how the social constructivist theory supports clinicians in expressing this knowledge in their professional interactions.ConclusionsThis scoping review was the first to examine use of social constructivism in KT studies. While the links between social constructivism and KT have not been fully explored, the Knowledge to Action framework has strong constructivist underpinnings that can be used in moving forward within the broader KT enterprise.

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Untitled

Cited by 19 publications

References 12 publications

Innovation in mental health services: what are the key components of success?

Innovation in mental health services: what are the key components of success?

Examining Provider Perspectives Within Housing First and Traditional Programs

Applications of social constructivist learning theories in knowledge translation for healthcare professionals: a scoping review

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