Evaluating implementation strategies in a community model to facilitate early identification and treatment of developmental and social-emotional problems in young children in out-of-home placement

Brookman‐Frazee, Lauren; Turner, Shelley; Gordon, Jeanne; Myers, Roseann; Gist, Kristin; Dickson, Kelsey S.; Meza, Marisol

doi:10.1016/j.childyouth.2018.03.037

Cited by 2 publications

(3 citation statements)

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“…In policy implementation research, aligning local and national needs and resources is an important consideration for successful implementation (Exworthy et al, 2000; Schofield, 2001). The relationship between local and national levels (policy levels in this case) can be considered in terms of system‐level, programme‐level and cross‐level implementation strategies (Brookman‐Frazee et al, 2018). Misalignment is likely to create confusion for team managers and practitioners as to which policy they should be implementing or how the two might work together.…”

Section: Findings/discussionmentioning

confidence: 99%

“…Acknowledging the existence of a macroscale allows policymakers to take into account wider constraints in the system their work is embedded in, or to examine ‘[…] from the very beginning how the context of practice influences the use of the interventions in community settings in order to enhance their relevance, acceptability, cultural sensitivity and sustainability’ (Cabassa, 2016, p. 7). This also helps when developing what Brookman‐Frazee et al (2018) call programme‐level and cross‐level strategies, strategies that straddle between the system‐wide and the organizational scales.…”

Section: Introduction/literature Reviewmentioning

confidence: 99%

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How are policies implemented in children's services? Developing an initial programme theory to evaluate the implementation of the new Child Sexual Exploitation guidance in Wales

Usubillaga

Diaz

Forrester

2022

Child & Family Social Work

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Although children's social care is an area rich in guidance, there is very little research looking at the implementation of new policies in the United Kingdom. In this article, we report on the first stage of a realist evaluation of the implementation of the new Safeguarding Children from Child Sexual Exploitation guidance in Wales. We discuss the development of an initial programme theory, for which we conducted semistructured interviews with practitioners and managers in three local authorities. We developed programme theories across three areas: policy nature and development, implementation plans and organizational context. Findings suggest that, for policies to produce a significant impact on practice, they need to be sufficiently different to social workers' current perceptions of practice. Second, we found that the coordination between national and local policies is critical for successful implementation as contradictions between them might lead to confusion in what local teams should prioritize. Finally, our findings highlight the importance of effective communication of policy changes, as well as a supportive organizational culture to strengthen implementation in local contexts. These findings illustrate the complexity of policy implementation and the need for policymakers to consider the meaningful involvement of local practitioners in national policy development.

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Section: Findings/discussionmentioning

confidence: 99%

Section: Introduction/literature Reviewmentioning

confidence: 99%

How are policies implemented in children's services? Developing an initial programme theory to evaluate the implementation of the new Child Sexual Exploitation guidance in Wales

Usubillaga

Diaz

Forrester

2022

Child & Family Social Work

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“…However, they can enhance two streams of implementation strategy research and practice: (1) multifaceted, large-scale strategies (e.g., those that involve entities within an entire county, province, prefecture, or state), and (2) discrete, inner context-focused strategies. Multifaceted, large-scale implementation strategies that require coordination among outer and inner actors are understudied compared to other strategy types [ 10 , 18 – 21 ]. Examples in the Expert Recommendations for Implementing Change project include accessing new funding, altering incentives for implementation or creating disincentives (de-implementation) structures, modifying payments or fees, building a coalition or community-academic partnership, and staging implementation scale-up [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Forms and functions of bridging factors: specifying the dynamic links between outer and inner contexts during implementation and sustainment

et al. 2021

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Background Bridging factors are relational ties, formal arrangements, and processes that connect outer system and inner organizational contexts. They may be critical drivers of evidence-based practice (EBP) implementation and sustainment. Yet, the complex interplay between outer and inner contexts is often not considered. Bridging factors were recently defined in the updated Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Further identification and specification of this construct will advance implementation models, measures, and methods. Our goal is to advance bridging factor research by identifying relevant dimensions and exemplifying these dimensions through illustrative case studies. Methods We used a multiple case study design. Each case (n = 10) represented different contexts, EBPs, and bridging factor types. Inclusion criteria were the presence of clearly distinguishable outer and inner contexts, identifiable bridging factor, sufficient information to describe how the bridging factor affected implementation, and variation from other cases. We used an iterative qualitative inquiry process to develop and refine a list of dimensions. Case data were entered into a matrix. Dimensions comprised the rows and case details comprised the columns. After a review of all cases, we collectively considered and independently coded each dimension as function or form. Results We drew upon the concepts of functions and forms, a distinction originally proposed in the complex health intervention literature. Function dimensions help define the bridging factor and illustrate its purpose as it relates to EBP implementation. Form dimensions describe the specific structures and activities that illustrate why and how the bridging factor has been customized to a local implementation experience. Function dimensions can help researchers and practitioners identify the presence and purpose of bridging factors, whereas form dimensions can help us understand how the bridging factor may be designed or modified to support EBP implementation in a specific context. We propose five function and three form bridging factor dimensions. Conclusions Bridging factors are described in many implementation models and studies, but without explicit reference or investigation. Bridging factors are an understudied and critical construct that requires further attention to facilitate implementation research and practice. We present specific recommendations for a bridging factors research agenda.

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Evaluating implementation strategies in a community model to facilitate early identification and treatment of developmental and social-emotional problems in young children in out-of-home placement

Cited by 2 publications

References 36 publications

How are policies implemented in children's services? Developing an initial programme theory to evaluate the implementation of the new Child Sexual Exploitation guidance in Wales

How are policies implemented in children's services? Developing an initial programme theory to evaluate the implementation of the new Child Sexual Exploitation guidance in Wales

Forms and functions of bridging factors: specifying the dynamic links between outer and inner contexts during implementation and sustainment

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