Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #117013

Michael Klitzner, PhD, The CDM Group, Inc., 4335 Chancery Park Drive, Fairfax, VA 22030, (703) 278-0448, mdk@klitzner-assoc.com

The science-based practices and infrastructure development approaches discussed in the previous two papers will have little impact unless they find practical application in States and localities. A vast literature on the adoption of clinical and infrastructure innovations suggests that dissemination efforts often fail to produce meaningful, lasting changes in practice. This literature suggests that the factors that inhibit the adoption of clinical and infrastructure innovations are commonly found in the dissemination efforts themselves, the incentives for clinical innovation, and in the contexts into which innovations are introduced.

This paper describes the Co-occurring Center for Excellence's (COCE's) approach to disseminating clinical and infrastructure innovations. This approach draws on a quarter century's work in applying dissemination science and social marketing principles to the fields of health, mental health and substance abuse. The paper will briefly describe lessons learned from past dissemination efforts in health, mental health, and substance abuse, and will relate these to COCE's dissemination strategy.

Central to COCE's approach is a clear understanding of the end-user, including current practices, institutional and community context, professional culture and values, and constraints of time, resources, and skills. This understanding guides all phases of the dissemination process including development, and packaging of dissemination materials, choice of dissemination channels, identification of change agents, and the establishment of benchmarks for success. Other key factors include attention to institutional readiness for change, potential barriers, and impact of innovations on larger systems issues.

The COCE approach will be illustrated through examples drawn from its current dissemination efforts.

Learning Objectives:

• See overall session abstract

Keywords: Evidence Based Practice, Federal Initiatives

Related Web page: www.coce.samhsa.gov

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commertial supporters WITH THE EXCEPTION OF SAMHSA/CSAT; The CDM Group, Inc. (CDM)-CDM has contract with SAMHSA/CSAT to operate SAMHSA's Co-Occurring Center for Excellence (COCE). The presenter is employed by CDM as the COCE TA/CT Expert Advisor..