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Implementation structures at work. Exploring implementation and de-implementation attempts regarding Housing First and Individual Placement and Support

Carlsson Stylianides, Kristina LU ; Bejerholm, Ulrika LU ; Denvall, Verner LU ; Knutagård, Marcus LU orcid and Johanson, Suzanne LU (2022) In Social Policy & Administration 56(4). p.617-631
Abstract
Research shows that resistance to change might occur in organisations that implement new evidence-based practices (EBP). Formal and informal structures may work to retain traditional interventions, potentially counteracting the implementation process. Little is known about the de-implementation of traditional practices to leave room for and enhance the implementation of EBPs. This study uses implementation structures as a theoretical framework with the aim of analysing implementation and de-implementation factors among Swedish municipalities that provide support to vulnerable clients through the Housing First (HF) or Individual Placement and Support (IPS) interventional programmes. This cross-sectional study is based on a digital survey... (More)
Research shows that resistance to change might occur in organisations that implement new evidence-based practices (EBP). Formal and informal structures may work to retain traditional interventions, potentially counteracting the implementation process. Little is known about the de-implementation of traditional practices to leave room for and enhance the implementation of EBPs. This study uses implementation structures as a theoretical framework with the aim of analysing implementation and de-implementation factors among Swedish municipalities that provide support to vulnerable clients through the Housing First (HF) or Individual Placement and Support (IPS) interventional programmes. This cross-sectional study is based on a digital survey and collects descriptive and qualitative data from three organisational levels in each responding municipality in Sweden. The descriptive statistics and qualitative texts were analysed using content analysis. The results show the incidence of HF and IPS, if and to what extent the interventions are going to be developed further, and partially, describe the organisational settings of HF and IPS. Organisational factors shown to have a negative impact on the implementation of HF and IPS were identified. The mapping of professional experiences from the intersection between HF or IPS and organisations such as the Swedish Health Insurance Office, the social services, and other similar welfare organisations, indicates that the realisation of HF and IPS requires expanded collaboration, which raises the consideration as to whether it is necessary to de-implement broader frameworks and guidelines in these organisations to provide the prerequisites that enable the implementation of EBPs. (Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
de-implementation, Housing First, implementation,implementation structures, Individual Placement and support
in
Social Policy & Administration
volume
56
issue
4
pages
617 - 631
publisher
Wiley-Blackwell
external identifiers
  • scopus:85126386397
ISSN
1467-9515
DOI
10.1111/spol.12808
project
Take away – disinvestment of established methods when implementing new psychosocial interventions for homeless people and people with mental health problems
language
English
LU publication?
yes
id
627529d5-0443-4949-8552-18fe824d0c90
date added to LUP
2022-03-17 14:59:36
date last changed
2024-01-22 16:00:10
@article{627529d5-0443-4949-8552-18fe824d0c90,
  abstract     = {{Research shows that resistance to change might occur in organisations that implement new evidence-based practices (EBP). Formal and informal structures may work to retain traditional interventions, potentially counteracting the implementation process. Little is known about the de-implementation of traditional practices to leave room for and enhance the implementation of EBPs. This study uses implementation structures as a theoretical framework with the aim of analysing implementation and de-implementation factors among Swedish municipalities that provide support to vulnerable clients through the Housing First (HF) or Individual Placement and Support (IPS) interventional programmes. This cross-sectional study is based on a digital survey and collects descriptive and qualitative data from three organisational levels in each responding municipality in Sweden. The descriptive statistics and qualitative texts were analysed using content analysis. The results show the incidence of HF and IPS, if and to what extent the interventions are going to be developed further, and partially, describe the organisational settings of HF and IPS. Organisational factors shown to have a negative impact on the implementation of HF and IPS were identified. The mapping of professional experiences from the intersection between HF or IPS and organisations such as the Swedish Health Insurance Office, the social services, and other similar welfare organisations, indicates that the realisation of HF and IPS requires expanded collaboration, which raises the consideration as to whether it is necessary to de-implement broader frameworks and guidelines in these organisations to provide the prerequisites that enable the implementation of EBPs.}},
  author       = {{Carlsson Stylianides, Kristina and Bejerholm, Ulrika and Denvall, Verner and Knutagård, Marcus and Johanson, Suzanne}},
  issn         = {{1467-9515}},
  keywords     = {{de-implementation, Housing First, implementation,implementation structures, Individual Placement and support}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{617--631}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Social Policy & Administration}},
  title        = {{Implementation structures at work. Exploring implementation and de-implementation attempts regarding Housing First and Individual Placement and Support}},
  url          = {{http://dx.doi.org/10.1111/spol.12808}},
  doi          = {{10.1111/spol.12808}},
  volume       = {{56}},
  year         = {{2022}},
}