The ARC Organizational and Community Intervention Strategy for Implementing Evidence-Based Children's Mental Health Treatments

Glisson, Charles; Schoenwald, Sonja K.

doi:10.1007/s11020-005-7456-1

Cited by 323 publications

(245 citation statements)

References 65 publications

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“…Research on healthcare and community contexts and their role in the dissemination of evidence-based health interventions remains relatively nascent (Glisson and Schoenwald 2005). Yet, as emphasized in reports by the Institute of Medicine (IOM 2000) and National Institute of Mental Health (NIMH 2000), a number of fields outside of health and mental health services offer an abundance of applicable concepts and findings on topics such as the diffusion of innovations, organizational and community development, and social and behavioral change.…”

Section: Introductionmentioning

confidence: 99%

Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research

Mendel

Meredith

Schoenbaum

et al. 2007

Adm Policy Ment Health

309

355

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The effective dissemination and implementation of evidence-based health interventions within community settings is an important cornerstone to expanding the availability of quality health and mental health services. Yet it has proven a challenging task for both research and community stakeholders. This paper presents the current framework developed by the UCLA/RAND NIMH Center to address this research-to-practice gap by: 1) providing a theoretically-grounded understanding of the multi-layered nature of community and healthcare contexts and the mechanisms by which new practices and programs diffuse within these settings; 2) distinguishing among key components of the diffusion process-including contextual factors, adoption, implementation, and sustainment of interventions-showing how evaluation of each is necessary to explain the course of dissemination and outcomes for individual and organizational stakeholders; 3) facilitating the identification of new strategies for adapting, disseminating, and implementing relatively complex, evidence-based healthcare and improvement interventions, particularly using a community-based, participatory approach; and 4) enhancing the ability to meaningfully generalize findings across varied interventions and settings to build an evidence base on successful dissemination and implementation strategies.

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Section: Introductionmentioning

confidence: 99%

Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research

Mendel

Meredith

Schoenbaum

et al. 2007

Adm Policy Ment Health

309

355

View full text Add to dashboard Cite

show abstract

“…model depends on several key community and organizational factors, such as organizational support, staff selection, training, coaching, and systemlevel partnerships (Glisson and Schoenwald 2005;Lehman et al 2002;Metz et al 2007). A few authors have discussed similar factors that are associated with effective wraparound implementation (e.g., Bertram et al 2010;Walker 2008;Walker et al 2003).…”

Section: Introductionmentioning

confidence: 99%

Connecting the Dots: Stages of Implementation, Wraparound Fidelity and Youth Outcomes

Effland¹,

Walton

McIntyre³

2011

J Child Fam Stud

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Wraparound is a family-driven, youth guided, team-based process for planning and implementing services and supports (Miles et al. 2006). The National Wraparound Initiative (NWI) has identified ten elements of wraparound (i.e., family voice and choice, team based, natural supports, collaborative, community based, culturally competent, individualized, strengths based, persistence and outcomes based) and four phases through which teams consisting of the identified youth, his/her parents or caregivers, family members, community members, mental health professionals, and others are expected to move as they develop and implement a single plan of care. The plan of care includes the services and supports necessary to build on the strengths of the youth and his/her family and addresses the complex needs of the youth involved in the wraparound process.Emerging evidence supports the effectiveness of wraparound for youth who have needs in multiple life domains (e.g., home, school and community). Nine controlled studies of wraparound (see Bruns and Suter 2010;Suter and Bruns 2009) found improved outcomes for youth in wraparound compared to similar youth in other programs, with effect sizes similar to those found in studies of other evidence based interventions implemented in real world practice (Suter and Bruns 2009). However, only one of the nine studies considered the relationship between wraparound fidelity and outcomes (Bruns et al. 2006). Research on other evidencebased practices has repeatedly found that fidelity to the practice model is vital to outcomes (e.g., Henggeler et al. 1997;McGrew et al. 1994;Walton 2006). Additional research on wraparound that includes a measure of fidelity as well as further research on the factors that predict successful outcomes for youth involved in the wraparound process are needed Cox et al. 2010

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“…While understanding healthcare administrative and organizational factors is critical to the implementation of integrated behavioral medicine and specialist care, incorporating patient variables, such as the factors that enable access to care and resources, is particularly relevant when implementation is planned for vulnerable populations, such as underserved urban and rural poor [19,[23][24][25][26][27][28]. Both urban and rural poor experience unique access to care difficulties, including geographic barriers or financial limitations, that may influence health outcomes even when integrated behavioral medicine and specialty care are successfully implemented to others [29].…”

Section: Introductionmentioning

confidence: 99%

Access to care for vulnerable veterans with hepatitis C: a hybrid conceptual framework and a case study to guide translation

Rongey

Asch

Knight

2011

Behav. Med. Pract. Policy Res.

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The Veterans Health Administration (VHA) is the largest single provider of medical care to people with hepatitis C (HCV) in the USA. Given the advent of promising new HCV therapies, the VHA is now faced with a large number of chronically HCV-infected veterans with concomitant psychiatric or substance use comorbid conditions who will need to either be retreated or newly treated for HCV or will require management for chronic liver disease. There is a critical need in the VHA for behavioral medicine and hepatology specialists, along with infectious disease and primary care providers with an interest in hepatitis C, to provide coordinated care for these complex patients. The VHA Health Services Research and Development Service has advocated for the application of strong implementation science theories and methods to translate new models of healthcare delivery in clinical practice. To inform the delivery and evaluation of integrated behavioral medicine and specialty care for vulnerable patient populations, we sought to develop an enriched framework which incorporates implementation science theory and strong conceptual models for access to care. In this paper, we present a hybrid conceptual framework that accomplishes this goal. To illustrate how this hybrid model could inform the translation of a novel method of healthcare delivery, we provide a case study of a VHA initiative to improve access to integrated behavioral medicine and specialty care among veterans with HCV.

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The ARC Organizational and Community Intervention Strategy for Implementing Evidence-Based Children's Mental Health Treatments

Cited by 323 publications

References 65 publications

Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research

Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research

Connecting the Dots: Stages of Implementation, Wraparound Fidelity and Youth Outcomes

Access to care for vulnerable veterans with hepatitis C: a hybrid conceptual framework and a case study to guide translation

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