scholarly journals Longitudinal, naturalistic study of training and support for implementation of evidence-based youth mental health practices among community providers

2021 ◽  
Author(s):  
◽  
Brigid R. Marriott
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Evidence Based ◽  
Organizational System ◽  
Implementation Support ◽  
Training Outcomes ◽  
Post Graduate ◽  
Training Initiative ◽  
Therapy Strategies ◽  
And Training

Ongoing training and implementation support for mental health (MH) providers may help to bridge the often-noted research-to-practice gap in community MH care. However, MH providers typically have limited ability to access training or implementation support in evidence-based practices (EBPs). To address this need, the current study describes the reach and impact of a county-wide youth MH initiative aimed at increasing youths' and families' access to effective youth MH services by providing free EBP training and implementation support to MH service providers. Specifically, the initiative offered 1) formal workshops focused on specific EBPs, 2) a biweekly learning community, 3) individual case consultation or supervision, and 4) a confidential online session-bysession clinical feedback system. To evaluate the training initiative, we employed a mixed methods approach within a naturalistic, longitudinal design. Providers (N = 717) were asked to complete an initiatrainings and on a yearly basis thereafter (n = 255 completed at least one follow-up assessment). Measures included demographics, clinical practice information, self-reported confidence in treating youths with various problem types, organizational implementation climate, and EBP knowledge, attitudes, and practices. Additionally, we completed individual, semi-structured, qualitative interviews with a stratified purposeful sampling of providers (n = 13) based on level of participation in the training. While the training initiative had high reach, far fewer providers ultimately engaged in training. Results suggested providers who were trainees, who had higher baseline knowledge of EBPs, who used common evidence-based strategies more extensively, and who used other therapy strategies less extensively, engaged in more training. A provider's stage of career (i.e., being a pre-service trainee or post-graduate provider) consistently showed differences in training outcomes, with trainees haviEBPs, using common evidence-based strategies and other therapy strategies less extensively, and self-reporting less confidence in their effectiveness than post-graduate providers. Contrary to hypotheses, quantity and method of training were less consistently associated with change in training outcomes. Rapid qualitative analysis of semi-structured interviews complemented and expanded upon the quantitative results, illuminating provider, organizational, system, practical, and training activity-specific barriers and facilitators to training engagement and EBP implementation. Implications for future research and training initiatives are discussed in light of these findings.

scholarly journals Measuring readiness for implementation: A systematic review of measures’ psychometric and pragmatic properties

2020 ◽  
Vol 1 ◽  
pp. 263348952093389
Author(s):  
Bryan J. Weiner ◽  
Kayne D. Mettert ◽  
Caitlin N. Dorsey ◽  
Elspeth A Nolen ◽  
Cameo Stanick ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Behavioral Health ◽  
Service Providers ◽  
Research And Practice ◽  
Leadership Engagement ◽  
Access To Knowledge ◽  
And Training ◽  
Available Resources

Background: Systematic measure reviews can facilitate advances in implementation research and practice by locating reliable, valid, pragmatic measures; identifying promising measures needing refinement and testing; and highlighting measurement gaps. This review identifies and evaluates the psychometric and pragmatic properties of measures of readiness for implementation and its sub-constructs as delineated in the Consolidated Framework for Implementation Research: leadership engagement, available resources, and access to knowledge and information. Methods: The systematic review methodology is described fully elsewhere. The review, which focused on measures used in mental or behavioral health, proceeded in three phases. Phase I, data collection, involved search string generation, title and abstract screening, full text review, construct assignment, and cited citation searches. Phase II, data extraction, involved coding relevant psychometric and pragmatic information. Phase III, data analysis, involved two trained specialists independently rating each measure using Psychometric and Pragmatic Evidence Rating Scales (PAPERS). Frequencies and central tendencies summarized information availability and PAPERS ratings. Results: Searches identified 9 measures of readiness for implementation, 24 measures of leadership engagement, 17 measures of available resources, and 6 measures of access to knowledge and information. Information about internal consistency was available for most measures. Information about other psychometric properties was often not available. Ratings for internal consistency were “adequate” or “good.” Ratings for other psychometric properties were less than “adequate.” Information on pragmatic properties was most often available regarding cost, language readability, and brevity. Information was less often available regarding training burden and interpretation burden. Cost and language readability generally exhibited “good” or “excellent” ratings, interpretation burden generally exhibiting “minimal” ratings, and training burden and brevity exhibiting mixed ratings across measures. Conclusion: Measures of readiness for implementation and its sub-constructs used in mental health and behavioral health care are unevenly distributed, exhibit unknown or low psychometric quality, and demonstrate mixed pragmatic properties. This review identified a few promising measures, but targeted efforts are needed to systematically develop and test measures that are useful for both research and practice. Plain language abstract: Successful implementation of effective mental health or behavioral health treatments in service delivery settings depends in part on the readiness of the service providers and administrators to implement the treatment; the engagement of organizational leaders in the implementation effort; the resources available to support implementation, such as time, money, space, and training; and the accessibility of knowledge and information among service providers about the treatment and how it works. It is important that the methods for measuring these factors are dependable, accurate, and practical; otherwise, we cannot assess their presence or strength with confidence or know whether efforts to increase their presence or strength have worked. This systematic review of published studies sought to identify and evaluate the quality of questionnaires (referred to as measures) that assess readiness for implementation, leadership engagement, available resources, and access to knowledge and information. We identified 56 measures of these factors and rated their quality in terms of how dependable, accurate, and practical they are. Our findings indicate there is much work to be done to improve the quality of available measures; we offer several recommendations for doing so.

scholarly journals Invited commentaries on… Abortion and mental health disorders

2008 ◽  
Vol 193 (6) ◽  
pp. 452-454 ◽  
Author(s):  
Patricia Casey ◽  
Margaret Oates ◽  
Ian Jones ◽  
Roch Cantwell
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Mental Health Problems ◽  
Mental Health Disorders ◽  
Induced Abortion ◽  
Evidence Based ◽  
Abortion Debate ◽  
Health Disorders ◽  
And Training ◽  
Psychiatric Issues

SummaryThe finding that induced abortion is a risk factor for subsequent psychiatric disorder in some women raises important clinical and training issues for psychiatrists. It also highlights the necessity for developing evidence-based interventions for these women. P.C. / Evidence suggesting a modest increase in mental health problems after abortion does not support the prominence of psychiatric issues in the abortion debate, which is primarily moral and ethical not psychiatric or scientific. M.O. et al.

Accounting for Complexity and Context in Implementation through Coaching, Convening, and Co-Design: A New Intermediary’s Approach

2021 ◽  
pp. 1-5
Author(s):  
MaryAnn Notarianni ◽  
Fardous Hosseiny
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Service Providers ◽  
Health Service Delivery ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Mental Health Service Delivery ◽  
Implementation Challenges ◽  
Centre Of Excellence ◽  
Complex Landscape

The Centre of Excellence on PTSD (the Centre) is a new Canadian intermediary established in part to support the uptake of evidence-based practices among service providers treating veterans. Given the unique and complex landscape for veteran mental health service delivery, the Centre is developing networks and prioritizing co-design to address anticipated implementation challenges.

The North Dakota Mental Health and Aging Education Project: Curriculum Design and Training Outcomes for a Train-the-Trainer Model

2009 ◽  
Vol 30 (2) ◽  
pp. 114-129 ◽  
Author(s):  
Margaret A. Fitzgerald ◽  
Barbara Chromy ◽  
Candace A. Philbrick ◽  
Gregory F. Sanders ◽  
Kara L. Muske ◽  
...  
Keyword(s):  
Mental Health ◽  
North Dakota ◽  
Curriculum Design ◽  
Training Outcomes ◽  
Education Project ◽  
Train The Trainer ◽  
The North ◽  
And Training

scholarly journals 415 Evidence-based fire safety education and training material for social and healthcare service providers

2016 ◽  
Vol 22 (Suppl 2) ◽  
pp. A152.1-A152
Author(s):  
Tarja Ojala ◽  
Satu Pajala ◽  
Markus Grönfors ◽  
Nina Martikainen ◽  
Anne Lounamaa
Keyword(s):  
Fire Safety ◽  
Healthcare Service ◽  
Service Providers ◽  
Education And Training ◽  
Evidence Based ◽  
Safety Education ◽  
Training Material ◽  
And Training

scholarly journals Digitising Creative Psychological Therapy

2022 ◽  
pp. 1-17
Author(s):  
Fleur Farish-Edwards ◽  
Ailsa Shaw Parsons ◽  
Jennifer Starkey ◽  
Linda Dubrow-Marshall ◽  
Scott D. Thurston ◽  
...  
Keyword(s):  
Mental Health ◽  
Group Psychotherapy ◽  
Psychological Therapy ◽  
Psychological Interventions ◽  
Evidence Based ◽  
Adults And Children ◽  
Therapy Option ◽  
Remote Therapy ◽  
And Training ◽  
Creative Group

In response to the COVID-19 pandemic, there has been a need to adapt and develop psychological interventions that address the mental health of those in need. As a result, Arts for the Blues (A4B), an evidence-based creative group psychotherapy model, originally developed for in-person delivery to address the needs of clients with depression, was transformed into a remote therapy option. This chapter presents an overview of plans and steps so far and offers activities used online during a public workshop with 24 participants and training sessions with 70 psychotherapists (qualified and trainee). Concerns around safety, group sizes, time, and guidance/support are discussed, while the value of online work for clients with depression (adults and children) are explored. It is concluded that even when in-person delivery is possible, online versions will be useful since they encourage a wider reach and make interventions more accessible.

scholarly journals Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations

2019 ◽  
Author(s):  
Lissette M. Saavedra ◽  
Antonio A. Morgan-Lopez ◽  
Anna C. Yaros ◽  
Alex Buben ◽  
James V. Trudeau
Keyword(s):  
Mental Health ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Evidence Base ◽  
Future Research ◽  
Evidence Based ◽  
Health Service Provision ◽  
Early Implementation ◽  
Evidence Based Treatments ◽  
Mental Health Service Provision

Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.

scholarly journals Enhancing Employment Services for People with Severe Mental Illness: The Challenge of the Australian Service Environment

2006 ◽  
Vol 40 (5) ◽  
pp. 471-477 ◽  
Author(s):  
Robert King ◽  
Geoffrey Waghorn ◽  
Chris Lloyd ◽  
Pat Mcleod ◽  
Terene Mcmah ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Service Providers ◽  
Evidence Based ◽  
Current Policy ◽  
Policy Environment ◽  
Evidence Based Practices ◽  
Employment Services ◽  
Service Environment

Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain employment, and that employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive employment services; (ii) identify evidence-based practices that improve employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based employment services for people with severe mental illness; and (iv) identify methods and priorities for enhancing employment services for Australians with severe mental illness through implementation of evidence-based practices. Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidence-based employment services for people with severe mental illness were identified through examination of published reviews and the results of recent controlled trials. Results: Current policy settings support the provision of employment services for people with severe mental illness separate from clinical services. Recent studies have identified integration of clinical and employment services as a major factor in the effectiveness of employment services. This is usually achieved through co-location of employment and mental health services. Conclusions: Optimal evidence-based employment services are needed by Australians with severe mental illness. Providing optimal services is a challenge in the current policy environment. Service integration may be achieved through enhanced intersectoral links between employment and mental health service providers as well as by co-locating employment specialists within a mental health care setting.

Recovery from mental illness: changing the focus of mental health services

2011 ◽  
Vol 28 (3) ◽  
pp. 161-164
Author(s):  
Abiola Oshodi ◽  
Gavin Rush
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Personal Narratives ◽  
Integrative Model ◽  
Evidence Based ◽  
Mental Health Practices

AbstractThe concept of recovery entered the lexicon of the mental health services in the 1980s following the publication of a series of studies and personal narratives which demonstrated that the course of mental illness was not always one of inevitable deterioration and that people diagnosed with severe mental illness could reclaim or recover meaningful lives. For a long time, recovery was not thought possible by many family members, service providers and researchers. However globally, specific policy and clinical strategies are being developed to implement recovery principles although key questions remain. In fact, the possibility of recovery is still debated by some. In this paper, we include information about the recovery model and the medical model; we provide evidence for recovery and document changes in mental health practices and policies incorporating recovery as the guiding principle. We also attempt to address the debate as to whether recovery is an evidence based practice. We propose that evidence based practice should be complementary to value-based and narrative-based practices and we suggest an integrative model that maximises the virtues and minimises the weaknesses of each practices (see Figure 1).

Sign in / Sign up

Export Citation Format

Share Document