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Implementation of evidence-based interventions : analyzing critical components for sustainability in community mental health services

Bergmark, Magnus; Bejerholm, Ulrika LU and Markström, Urban (2018) In Social Work in Mental Health
Abstract

This study analyses the implementation and sustainability of evidence-based community mental health services in the form of publicly financed Individual Placement and Support programs. Critical implementation components and program fidelity were assessed after one year. After two years, program fidelity was assessed once again. After three years, the programs’ sustainability was assessed and semi-structured interviews performed, in order to deepen the understanding of implementation. Interviews and documents provided the quantitative and qualitative data, which were analyzed by the use of the Supported Employment Fidelity Scale, the Sustainable Implementation Scale (which was developed in a connecting study), and qualitative content... (More)

This study analyses the implementation and sustainability of evidence-based community mental health services in the form of publicly financed Individual Placement and Support programs. Critical implementation components and program fidelity were assessed after one year. After two years, program fidelity was assessed once again. After three years, the programs’ sustainability was assessed and semi-structured interviews performed, in order to deepen the understanding of implementation. Interviews and documents provided the quantitative and qualitative data, which were analyzed by the use of the Supported Employment Fidelity Scale, the Sustainable Implementation Scale (which was developed in a connecting study), and qualitative content analysis. Despite promising fidelity results after one year, eight out of 14 programs were terminated within three years. Implementation of integrated evidence-based programs in community-based settings is a delicate undertaking. Implementing agencies can benefit from rigorous preparation before program start, especially concerning the circumstances at the organizational level, such as making plans for collaboration, financing and assessments of program fidelity.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Community mental health, evidence-based, implementation, IPS, practice, Psychosocial
in
Social Work in Mental Health
external identifiers
  • scopus:85053301348
ISSN
1533-2985
DOI
10.1080/15332985.2018.1511500
language
English
LU publication?
yes
id
60d17395-10f7-46af-8af8-14442626afe3
date added to LUP
2018-10-23 12:51:17
date last changed
2019-01-06 14:11:53
@article{60d17395-10f7-46af-8af8-14442626afe3,
  abstract     = {<p>This study analyses the implementation and sustainability of evidence-based community mental health services in the form of publicly financed Individual Placement and Support programs. Critical implementation components and program fidelity were assessed after one year. After two years, program fidelity was assessed once again. After three years, the programs’ sustainability was assessed and semi-structured interviews performed, in order to deepen the understanding of implementation. Interviews and documents provided the quantitative and qualitative data, which were analyzed by the use of the Supported Employment Fidelity Scale, the Sustainable Implementation Scale (which was developed in a connecting study), and qualitative content analysis. Despite promising fidelity results after one year, eight out of 14 programs were terminated within three years. Implementation of integrated evidence-based programs in community-based settings is a delicate undertaking. Implementing agencies can benefit from rigorous preparation before program start, especially concerning the circumstances at the organizational level, such as making plans for collaboration, financing and assessments of program fidelity.</p>},
  author       = {Bergmark, Magnus and Bejerholm, Ulrika and Markström, Urban},
  issn         = {1533-2985},
  keyword      = {Community mental health,evidence-based,implementation,IPS,practice,Psychosocial},
  language     = {eng},
  month        = {09},
  series       = {Social Work in Mental Health},
  title        = {Implementation of evidence-based interventions : analyzing critical components for sustainability in community mental health services},
  url          = {http://dx.doi.org/10.1080/15332985.2018.1511500},
  year         = {2018},
}