Penetration is defined as the integration of a practice within a service setting and its subsystems. (Proctor et. al., 2011)

To see the head-to-head comparisons of the evidence-based assessment rating profiles for the instruments listed below, please click on the image below.

AF-CBT Implementation Measure

Kolko 2012

35-item instrument to evaluate the degree to which practitioners reported using various AF-CBT treatment practices in the past six months (items not available).

Cohen Measure of Reach

Cohen 2015

Tailored tracking sheet to collect REACH data for an “Advancing Care Together” intervention (items not available). 

Degree of Implementation Form

Forchuk 2012

Instrument  developed as a specific measure of the degree to which the Transitional Relationship Model is being implemented in practice (items not available).

Dialectical Behavior Therapy Skills Use Self-Report

Dimeff 2011

A self-report item asking about use of DBT skills learned at 2, 7, 11, and 15 weeks following training.

Level of Institutionalization Scale

Goodman 1993

30-item instrument measuring the level of institutionalization of health promotion programs. 

Level of Integration Measure

Beehler 2015

35-item instrument assessing clinic system integration, provider beliefs, commitment to integrated care, clinical practices, interdisciplinary alliances, training and consultation, and leadership.

Reach Reporter

Balasubramanian 2015

Instrument including data on the (1) number of target patients seen at the practice during the 3-month period, (2) number of target patients screened for targeted primary care or behavioral healthcare conditions, (3) number of screened patients who screened positive, and (4) number of patients screened positive who were referred for further care.

Service Activity Scale

Tobin 2001

Self-report tool including items assessing appropriate tools for use by ED and MH staff, policies and protocols guiding each aspect of clinical care, including formal referral and discharge procedures, service capability to deliver CBT, and processes to ensure ongoing staff training. 

Swain Penetration Measure

Swain 2010

47-item instrument assessing practice evaluation, penetration,
training, supervision and consultation.

Not Suitable for Rating

Barwick Frequency of CAFAS Rating

Barwick 2009

The number of times clinicians rated the the Child and Adolescent Functional Assessment Scale (CAFAS) in practice was used as in indicator of
actual change in practice.

Fein Penetration Measure

Fein 2010

The rate of adoption of the BHS-ED system into clinical practice.

Fortney Measure of Reach

Fortney 2012

Reach during the 12-month post-period at each CBOC was defined as the total number of patients referred to the depression care manager divided by the total number of patients with a depression diagnosis who were not already receiving specialty care.

Hagedorn Penetration Measure

Hagedorn 2012

The percentage of patients approached that agreed to participate and to
compare basic demographic and diagnostic characteristics of those agreeing and declining participation.

Kaner Penetration Measure

Kaner 1999

Implementation rate: The number of GPs who screened at least one patient using the programme as a proportion of those GPs who agreed to implement it.

Kilbourne Penetration Measure

Kilbourne 2013

Percentage of veterans that the Local Recovery Coordinators successfully contacted among those who were on their lists and still alive and able to be contacted, and the percentage of veterans contacted who re-engaged in VA healthcare services. 

Kirchner Penetration Measure

Kirchner 2014

The percentage of patients seen in PC with a PC-MHI encounter.

Pace Proportion/Penetration Measure

Pace 2014

Penetration of behavioral health services into primary care setting.

Reid Measure of Reach

Reid 2006

Number of smokers that were identified and documented at admission;
received in-hospital counselling from the nurse counselor; received pharmacotherapy during hospitalization; received additional support from UOHI post-hospitalization; were contacted by the IVR system post-hospitalization; were referred to other outpatient resources; and were contacted for outcome assessment.

Uppal Proportion/Penetration Measure

Uppal 2010

Proportion of clinicians implementing intervention 6-months after training.

Willenbring Penetration Measure

Willenbring 2004

Program leaders were asked to estimate the approximate percentage of unique patients who received specific treatment services.

Wiltsey-Stirman Penetration Measure

Wiltsey-Stirman 2017

Number/proportion of PTSD cases who received CPT since
the last assessment & number of CPT sessions delivered.

Woltmann Penetration Measure

Woltmann 2008

Penetration rate was defined as the number of clients served in the specific evidence-based practice divided by either the number of eligible clients at the agency (if systematically tracked) or the estimated number of eligible clients derived by multiplying the total target population by the corresponding estimated percentage of eligible clients on the basis of the literature.