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A Supervisor-Targeted Implementation Approach to Promote System Change: The R3 Model

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Abstract

Opportunities to evaluate strategies to create system-wide change in the child welfare system (CWS) and the resulting public health impact are rare. Leveraging a real-world, system-initiated effort to infuse the use of evidence-based principles throughout a CWS workforce, a pilot of the R3 model and supervisor-targeted implementation approach is described. The development of R3 and its associated fidelity monitoring was a collaboration between the CWS and model developers. Outcomes demonstrate implementation feasibility, strong fidelity scale measurement properties, improved supervisor fidelity over time, and the acceptability and perception of positive change by agency leadership. The value of system-initiated collaborations is discussed.

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Acknowledgments

The authors would like to thank the New York City Administration for Children’s Services and the NYC supervisors and caseworkers for their collaboration in creating this model. We would also like to thank Courtenay Padgett for her project direction and Katie Lewis for her editorial assistance. This research was supported by the National Institute on Drug Abuse (P50 DA035763; R01 DA 032634; and 1R01DA040416-01A1) and the National Institute of Mental Health (R01 MH097748).

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Correspondence to Lisa Saldana.

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Saldana, L., Chamberlain, P. & Chapman, J. A Supervisor-Targeted Implementation Approach to Promote System Change: The R3 Model. Adm Policy Ment Health 43, 879–892 (2016). https://doi.org/10.1007/s10488-016-0730-9

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  • DOI: https://doi.org/10.1007/s10488-016-0730-9

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