220211 Sustainability of Two EBPs in Public Mental Health Settings

Wednesday, November 10, 2010

Mary C. Ruffolo, PhD, LMSW , School of Social Work, University of Michigan, Ann Arbor, MI
Brian Perron, PhD , School of Social Work, University of Michigan, Ann Arbor, MI
Jeff Capobianco, MS , Washtenaw Community Mental Health Organization, Ypsilanti, MI
Stephen Wiland, MSW , Community Support and Treatment Services, Ypsilanti, MI
Stephanie Benson, MSW , School of Social Work, University of Michigan, Ann Arbor, MI
Deborah Bybee, PhD , School of Social Work, University of Michigan, Ann Arbor, MI
Orion Mowbray, MS , School of Social Work, University of Michigan, Ann Arbor, MI
One of the most critical gaps in mental health services research is between the implementation of evidence-based practices (EBPs) and what is known about the sustainability of these practices once implemented. This area is further complicated by a lack of data that allows researchers to identify characteristics of organizational practices associated with successful sustainability of EBPs. Discovering what organizational factors affect sustainability of EBPs will support the uptake of these interventions at the local, regional and state levels within public mental health systems. This statewide study used a mixed method approach to uncover the organizational factors that drive sustainability and those that create barriers to sustainability. The State had completed two years of grant funding to support all of its regions in implementing EBPs with fidelity. Two of these practices, Integrated Dual Disorders Treatment (IDDT) and Family Psychoeducation (FPE) were adopted in all regions of the State. The two EBPs target adult consumers. The grant funding supported training clinicians to deliver the EBPs, establishing Evidence-Based Practices Leaderships Teams and a certification process to support ongoing fidelity to the practices in each region. The study examined state- and regional-level organizational factors that are hypothesized to influence successful implementation outcomes and sustainability practices. The study participants were administrators, administrative team members, clinicians, consumers who serve on advisory committees and work teams, and other relevant personnel involved in the implementation of EBPs and sustainability efforts at the State, region and local community mental health centers.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health administration or related administration
Social and behavioral sciences

Learning Objectives:
Describe organizational factors that influence the sustainability of EBPs in public mental health settings. Identify what worked in one statewide implementation of EBPs as it relates to sustaining the practices once fidelity has been established.

Keywords: Adult and Child Mental Health, Sustainability

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I have been a member of the research team for this project and have been involved in the data collection and analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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