The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence: Implementation Support for Evidence-Based Practice

Biegel, David E.; Kola, Lenore A.; Ronis, Robert J.; Boyle, Patrick E.; Reyes, Christina M. Delos; Wieder, Barbara L.; Kubek, Paul M.

doi:10.1177/1049731503013004007

Cited by 30 publications

(28 citation statements)

References 14 publications

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“…This approach drew upon the MidAmerica Addiction Technology Transfer Strategy-Stages of the Implementation Process (Baehni, Harmon, & Stilen, 2006), Fixsen et al's (2005) stages of implementation and work by the Ohio Substance Abuse and Mental Illness CoOccurring Center of Excellence (Biegel et al, 2003;Ronis, 2004). It included a program change agent, bimonthly implementation coaching, intensive training on specific EBPs for COD, and fidelity visits by outside evaluators that supported the development of an implementation plan.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence for program location is limited, but a few studies suggest that urban programs are more likely than rural programs to implement EBPs or innovative technologies (Fendrick, Escarce, McLane, Shea, & Schwartz, 1994;Poulsen et al, 2001). Biegel et al (2003) noted that rural agencies implementing IDDT encountered difficulties, such as clinicians having significant non-COD caseloads (and thus having to split their focus on different types of clients), few housing resources, travel distances that limited outreach and engagement, and agency financial stress.…”

Section: Structural Characteristicsmentioning

confidence: 97%

See 1 more Smart Citation

Increasing program capability to provide treatment for co-occurring substance use and mental disorders: Organizational characteristics

Gotham

Claus

Selig

et al. 2010

Journal of Substance Abuse Treatment

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Section: Discussionmentioning

confidence: 99%

Section: Structural Characteristicsmentioning

confidence: 97%

Increasing program capability to provide treatment for co-occurring substance use and mental disorders: Organizational characteristics

Gotham

Claus

Selig

et al. 2010

Journal of Substance Abuse Treatment

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“…The National Institute on Drug Abuse (NIDA) and the National Institute of Mental Health (NIMH) have initiated strategic plans for dissemination. Additionally, many state-based initiatives have commenced programs to implement EBT programs (Biegel et al, 2003; Chorpita et al, 2002). Despite this move towards dissemination of EBTs, there remain major obstacles to the effectiveness of dissemination attempts.…”

Section: Stages Of Treatment Developmentmentioning

confidence: 99%

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

Foa

Gillihan

Bryant

2013

Psychol Sci Public Interest

170

138

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Posttraumatic stress disorder (PTSD) poses monumental public health challenges because of its contribution to mental health, physical health, and both interpersonal and social problems. Recent military engagements in Iraq and Afghanistan and the multitude of resulting cases of PTSD have highlighted the public health significance of these conditions. There are now psychological treatments that can effectively treat most individuals with PTSD, including active duty military personnel, veterans, and civilians. We begin by reviewing the effectiveness of these treatments, with a focus on prolonged exposure (PE), a cognitive-behavioral therapy (CBT) for PTSD. Many studies conducted in independent research labs have demonstrated that PE is highly efficacious in treating PTSD across a wide range of trauma types, survivor characteristics, and cultures. Furthermore, therapists without prior CBT experience can readily learn and implement the treatment successfully. Despite the existence of highly effective treatments like PE, the majority of individuals with PTSD receive treatments of unknown efficacy. Thus, it is crucial to identify the barriers and challenges that must be addressed in order to promote the widespread dissemination of effective treatments for PTSD. In this review, we first discuss some of the major challenges, such as a professional culture that often is antagonistic to evidence-based treatments (EBTs), a lack of clinician training in EBTs, limited effectiveness of commonly used dissemination techniques, and the significant cost associated with effective dissemination models. Next, we review local, national, and international efforts to disseminate PE and similar treatments and illustrate the challenges and successes involved in promoting the adoption of EBTs in mental health systems. We then consider ways in which the barriers discussed earlier can be overcome, as well as the difficulties involved in effecting sustained organizational change in mental health systems. We also present examples of efforts to disseminate PE in developing countries and the attendant challenges when mental health systems are severely underdeveloped. Finally, we present future directions for the dissemination of EBTs for PTSD, including the use of newer technologies such as web-based therapy and telemedicine. We conclude by discussing the need for concerted action among multiple interacting systems in order to overcome existing barriers to dissemination and promote widespread access to effective treatment for PTSD. These systems include graduate training programs, government agencies, health insurers, professional organizations, healthcare delivery systems, clinical researchers, and public education systems like the media. Each of these entities can play a major role in reducing the personal suffering and public health burden associated with posttraumatic stress.

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“…Activities pertaining to disseminating and facilitating the implementation of the IDDT treatment model typically draw from knowledge transfer principles and strategies. Examples of such activities include, but not limited to: audience segmentation (a social marketing construct) via the use of ‗tool kits' created for specific stakeholder subgroups ; standardized practice guidelines and fidelity measures (Drake et al, 2001); consultation and training (Drake et al, 2001); and the facilitation of stakeholder collaboration and consensus building toward maintaining maximal fidelity to the original innovation (Biegel et al, 2003) .…”

Section: "Implementation": a Linear Process Discrete From Creating Nementioning

confidence: 99%

“…With regards to fidelity and organizational variations from the IDDT model that may occur, Biegel et al (2003) stated:…”

Section: "Implementation": a Linear Process Discrete From Creating Nementioning

confidence: 99%

Outcomes and incomes: implementing a mental health recovery measure in a medical model world

Hoy¹,

Floersch²

2009

PsycEXTRA Dataset

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Because social work practice and policy changes are often not easily implemented under everyday conditions, increasing attention is being focused on implementation (NIMH, 2002, 2005). The aims of this qualitative case study are twofold: (1) to describe how frontline clinicians and clients implement a state-mandated mental health policy; and, (2) to articulate the system processes connected to and embedded in frontline implementation experiences. Ethnographic methodology was employed to explicate the processes through which frontline clinicians implemented a state mental health policy mandating completion and clinical utilization of a 67-question outcomes survey with adults living with severe mental illness (mental health consumers). Data was collected through participant-observation of 17 consumer-clinician dyads (n= 17 consumers and 9 clinicians recruited from 4 mental health centers) completing and/or discussing the survey. To trace processes embedded in clinical experiences, a bottom-up, snowball

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The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence: Implementation Support for Evidence-Based Practice

Abstract: Mental health and chemical dependency providers, administrators, policy makers, and advocates across the country have become increasingly aware of the challenges related to the needs of dually disordered clients. Co-occurring 531

Cited by 30 publications

References 14 publications

Increasing program capability to provide treatment for co-occurring substance use and mental disorders: Organizational characteristics

Increasing program capability to provide treatment for co-occurring substance use and mental disorders: Organizational characteristics

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

Outcomes and incomes: implementing a mental health recovery measure in a medical model world

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