Implementing a Continuum of Evidence-Based Psychosocial Interventions for People with Severe Mental Illness: Part 2—Review of Critical Implementation Issues

Abstract

The issues identified in this review should be taken into consideration by stakeholders when engaging in efforts to promote uptake of new psychosocial EBPs and to widen the range of effective psychosocial services available in routine mental health care.

The Intervisions Cliniques Continuing Medical Education Program: A Forum for Exchange and Mutual Knowledge Development between General Practitioners and Psychiatrists

“…However, the ministry has not supported training psychiatrists in the new role, nor monitored the implementation of the responding psychiatrists program. A review of the system implementation strategies showed that state technical assistance centres shall be considered [25]. Such centres provide initial training of the innovative program, community of practice monthly discussion, monitoring of quality and accreditation.…”

Le Web 2.0 pour soutenir le réseautage en santé mentale au Québec

“…Le domaine de l'application des connaissances et de l'amélioration des pratiques est clair ; l'implantation des meilleures pratiques est facilitée dans un climat organisationnel encourageant les opportunités de formation et de partage de connaissances ainsi que dans un contexte de souplesse et de flexibilité des mécanismes et ressources de soutien (Briand et Menear, 2014). Le manque de financement pour poursuivre le développement professionnel et l'absence d'incitations pour promouvoir des services de haute qualité peuvent saper le moral du personnel et ralentir l'absorption des meilleures pratiques (Amodeo et al, 2011 ;Berry et Haddock, 2008 ;McHugh et Barlow, 2010 ;Thornicroft et al, 2008).…”

Early detection and integrated care for adolescents and young adults with severe psychotic disorders: rationales and design of the Integrated Care in Early Psychosis Study (ACCESS III)

“…Assertive early detection teams are important to reduce treatment delays because the rates of absence at appointments for these patients are high and often caused by their symptoms . (ii) Improvement of quality of care to improve outcome: An increase of quality of care can be achieved by the implementation of service structures created for patients with SMI . This comprises, on a structural level, a team‐based model of assertive outreach, early detection service, peer‐to‐peer counselling, support structures for school, education, work, finances and housing and structures for the prevention and treatment of somatic illnesses .…”

“…Models of assertive outreach include Assertive Community Treatment (ACT) with its modifications Resource Group ACT (RACT), Therapeutic ACT (TACT) or Flexible ACT (FACT), Crisis Resolution and Home Treatment (CRHT) and Community Mental Health Teams (CMHT) . On the content level, such services should provide integrated care with individualized, evidence‐based and diagnosis‐specific psychological, social and somatic interventions …”