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APHA Scientific Session and Event Listing

Recorded presentation

Jennifer L. Magnabosco, PhD, Department of Veteran's Affairs: HSR&D Center of Excellence for the Study of Health Care Provider Behavior, 1450 North Bundy Drive, Los Angeles, CA 90049, 310-440-8059, jlmagnabosco@mindspring.com

Background: The national Evidence-Based (EBP) Project has been investigating the implementation of mental health EBPs in state public mental health systems for adults with serious mental illness for 5 years. The study reported is a secondary analysis of site visit key informant interview reports that described state-level activities and strategies associated with the implementation of the Project's EBPs in 8 states. Method: Qualitative data analysis methods-content analysis-and application of Greenhalgh et al's (2004) definition of innovation, were used to evaluate number and types of state-level activities and strategies associated with the Project's Pre-Implementation, Initial Implementation and Plans for Sustainability phases from initial (2002-2003) and follow-up (2004) site visits in all 8 states. Results: 106 discreet innovative implementation activities and strategies were classified into 5 types. Differrent implementation strategies were needed at different phases of implementation. The state's role was shown to be critical in the implementation of EBPs at the community level and the evolutionary model of implementation was shown to help explain the processes by which this occurs. Conclusions: This study contributes to the limited knowledge base that exists for innovations in mental health services implementation, and reports that inventory the spectrum of state-level EBP implementation activities and strategies. A variety of stakeholders can consider using the interdisciplinary theoretical bases, methods and classifications of implementation activities and strategies, to conduct further research, and help enhance the development, implementation and evaluation of EBP service delivery cultures in mental health and healthcare systems.

Learning Objectives: At the conclusion of this session, the participant (learner) will be able to

• Identify theoretical approaches to implementation and innovation, and qualitative research methods, that can be used to evaluate the development of evidence-based practice development processes and implementation strategies and activities.
• Articulate different types of implementation activities and strategies that are associated with three phases of implementation that are part of any start-up evidence-based practice effort.
• Can consider applying theory and methods used to analyze similar data that they may have collected or are planning to collect, and to apply the list of implementation activities and strategies to help plan or enhance evidence-based efforts with which they are involved.

Keywords: Evidence Based Practice, Mental Health System

Related Web page: www.implementationscience.com

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation