Breakout C – May 16, 2013
1. Effective Implementation of EBP Legislation by Engaging Providers in a Coaching Process
Presenter: Gabrielle D’Angelo, MSW
Authors: Eric Trupin, PhD, & Gabrielle D’Angelo, MSW, Division of Public Behavioral Health & Justice Policy, University of Washington
Abstract: Legislation to re-define evidence-based practice (EBP) and inventory all EBPs currently in practice in Washington was passed in Spring 2012 (HB 2536). Responding to HB 2536, The University of Washington Evidence-Based Practice Institute and Washington State Institute for Public Policy (WSIPP) engaged with community providers to overcome barriers to these policy changes. First, UW and WSIPP engaged in education of providers about the law, and dialogued about implications for practice as usual on all levels of practice. Next, UW engaged in a coaching process with selected providers to help them move their existing interventions into the promising or research-based categories, or prepare their organizations for implementation of current EBPs. Case studies of organizational evolution toward evidence-based practice reflect the ongoing challenges on the national, state, and individual stakeholder levels. The strategies used by UW and WSIPP for engaging community providers provide extractable models for overcoming EBP implementation barriers across service systems. The case studies and strategies presented could suggest solutions to many of the “Implementation Research Dilemmas???. Common stakeholder needs for coaching include: maintaining fidelity, accessibility of training especially considering turnover rates and referral streams, and analysis of existing qualitative data to demonstrate effectiveness of existing interventions
2. Negotiating Implementation Science & Evaluation Research: Lessons Learned from a National Teen Pregnancy Prevention Implementation Study
Presenter: Jacqueline Berman, PhD
Jacqueline Berman, PhD,1 & Ellen Kisker, PhD2
1Mathematica Policy Research; 2Twin Peaks Partners, LLC
Abstract: Implementation research seeks to guide the adoption, initial implementation, and continuous improvement of evidence-based programs over time. Implementation science, which focuses on how to translate, replicate, adapt, and scale up evidence-based programs or practices in “real world??? settings, can serve as a key support to implementation research. This paper explores emergent lessons about the application of tools from implementation science to the design and execution of systematic, high-quality implementation evaluations. Because implementation science evolved primarily in clinical settings, however, its practices require some negotiation and translation when applied to the evaluation of public policies and programs. This paper examines lessons learned with regard to how to (1) use concepts and tools from implementation science to identify key drivers and elements of implementation necessary for replication and scalability of effective programs; (2) select valid quantitative and qualitative measures of these elements; and (3) determine multiple, appropriate data sources for these measures. These lessons are drawn from the development of a conceptual framework and measures of core program elements for an in-depth implementation study, embedded in a large-scale impact evaluation of evidence-based teen pregnancy prevention programs funded by the Administration for Children and Families, DHHS.
3. Identifying the Needs of OEF/OIF Veterans with Traumatic Brain Injury (TBI) & Co-Occurring Behavioral Health Issues and Their Families
Presenter: Lisa Brenner, PhD
Authors: Lisa Brenner, PhD, Jennifer Olson-Madden, PhD, Bridget Matarazzo, PsyD, Gina Signoracci, PhD, Veterans Integrated Service Network (VISN) 19 Mental Illness Research, Education, & Clinical Center (MIRECC)
Abstract: Background: Estimates of TBI among Soldiers deployed to Iraq and Afghanistan vary, and the long-term implications of such injuries are not understood. In light of concerns regarding the behavioral health needs of Veterans with TBI, the U.S. Department of Health and Human Services Administration awarded the State of Colorado, in collaboration with the Veterans Integrated Service Network (VISN) 19 Mental Illness Research Education and Clinical Center (MIRECC) a grant to improve the community mental health system’s ability to provide services to individuals with TBI.
Methods: The MIRECC team has conducted focus groups with stakeholders throughout Colorado. In addition, a consensus conference with national experts specializing in the assessment and treatment of TBI and co-occurring behavioral health issues was conducted.
Results: Data obtained from focus groups will be shared along with findings from the consensus conference.
Conclusions: Utilizing data obtained, researchers will work with Statewide Steering Committee (SSC) members to develop assessment and treatment guidelines. A training module and toolkit based on these guidelines will also be created. Additionally, the VISN 19 MIRECC and the SSC will develop a statewide Brain Injury Resource Team comprised of community mental health providers to act as internal facilitators for the above described best practices.