Putting empirically supported treatments into practice: Lessons learned in a children's mental health center.

Abstract

With the increasing focus on service accountability, there is an urgent need to identify empirically supported treatments (ESTs) and disseminate their use in the daily practice of mental health organizations. This article describes the authors' experiences of implementing an EST at a children's mental health center by involving the collaboration of clinicians, administrators, and innovator(s). Initially, a small group of clinicians voluntarily commit to pilot test the EST, with the intention of evaluating the adoption and integration of the treatment model into the organization's full-service delivery system. Using E. M. Rogers's (1995) work on the diffusion of innovations, the current case study example suggests that ESTs can be flexibly and successfully implemented with integrity.

Program use of effective drug abuse treatment practices for juvenile offenders

“…Factors that have been shown to be related to the adoption of effective treatment practices include (a) organizational structure (Backer, Liberman, & Kuehnel, 1986;Knudsen, Ducharme, & Roman, 2006;Roman & Johnson, 2002), (b) organizational climate (Aarons & Sawitzky, 2006;Glisson, 2002;Glisson & Hemmelgarn, 1998;Lehman, Greener, & Simpson, 2002), (c) training opportunities (Brown & Flynn, 2002;Knudsen, Ducharme, Roman, & Link, 2005), (d) resource adequacy (Lehman et al, 2002;Simpson, 2002;Stirman et al, 2004), (e) network connectedness (Knudsen & Roman, 2004), and (f) administrator and staff attitudes (Knudsen et al, 2005;Liddle et al, 2002;Schmidt & Taylor, 2002). However, previous investigations have not focused on the organizational predictors of the use of effective treatment practices among organizations serving juvenile offenders, either living in the community or in institutional settings.…”

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

“…There is conservable evidence that stakeholder's perception of the innovation constitutes a pivotal predictor of the success of dissemination programs (Glassman, 1995; Schmidt & Taylor, 2002); between 49-87% of the variance of dissemination efforts is accounted for by perception of the program (Berwick, 2003). Across models, this step is regarded as crucial because strategic effort is often required to alter practitioners' long-held views on certain practices if the introduction of a new practice is to succeed.…”

State-wide dissemination and implementation of parent–child interaction therapy (PCIT): Application of theory

“…Adaptations within the adopting organization or the innovation should be made, and barriers to implementation, as well as potential solutions, should be identified (Rogers, 2003). Diffusion of Innovation (Rogers, 2003) and Social Marketing theory have been utilized as guides for the successful implementation of therapy programs in the past, indicating their potential utility for the D&I of PCIT (Schmidt & Taylor, 2002;Yap, Wu, Liu, Ming, & Liang, 2002). While the literature emphasizes a myriad of important considerations within the planning phase, treatment developers, effectiveness researchers, and even treatment disseminators may not have the resources, experiences, or examples in the literature to adequately address this phase of D&I.…”