Skip to main content
Top
Gepubliceerd in:

08-09-2015 | Original Paper

Worker Perspectives from the Front Line: Implementation of Evidence-Based Interventions in Child Welfare Settings

Auteurs: Becci A. Akin, Jody Brook, Kaela D. Byers, Margaret H. Lloyd

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Despite the expansion of evidence-based interventions (EBIs) into child welfare settings, there are gaps in existing knowledge about how to effectively put them into practice. Implementation scientists suggest that multiple factors influence quality EBI delivery and ultimately positive outcomes. To understand the applicability of existing implementation evidence for child welfare settings and to document real-world experiences of EBI implementation in this setting, this study interviewed program staff from two child welfare agencies in two separate states. We sought their perspectives on what helps and what hinders EBI implementation. Transcripts were coded and analyzed with a modified analytic induction approach. This analytic technique permitted researchers to confirm or disconfirm prior research on key implementation factors. Findings describe the role of six broad factors consistent with extant literature: process, provider, innovation, client, organizational, and structural. Front line workers conceptualized these factors as distinct but interrelated and viewed them as influencing the success of EBI implementation. Child welfare staff made several important suggestions including: interactive, engaging training; coaching supports that facilitate high-fidelity implementation alongside well-tailored interventions; organizational supports and leadership that create a welcoming environment for the EBI, including adequate resources for the day-to-day use of the EBI and proactive problem-solving to manage the inevitable unforeseen implementation barriers; and, efforts to actively educate and gain the buy-in of external stakeholders. As EBIs continue to expand into child welfare settings, local implementers should carefully consider how various factors at multiple levels may impede or facilitate effective implementation.
Literatuur
go back to reference Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74.PubMedCentralCrossRefPubMed Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74.PubMedCentralCrossRefPubMed
go back to reference Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57(8), 1162.PubMedCentralCrossRefPubMed Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57(8), 1162.PubMedCentralCrossRefPubMed
go back to reference Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012a). Expanding the domains of attitudes towards evidence-based practice: The evidence based practice attitude scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39(5), 331–340.PubMedCentralCrossRefPubMed Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012a). Expanding the domains of attitudes towards evidence-based practice: The evidence based practice attitude scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39(5), 331–340.PubMedCentralCrossRefPubMed
go back to reference Aarons, G. A., Glisson, C., Green, P., Hoagwood, K., Kelleher, K., Landsverk, J., & Health, T. R. N. o. Y. M. (2012b). The organizational social context of mental health services and clinician attitudes toward evidence-based practice: A United States national study. Implementation Science, 7(1), 56. http://www.implementationscience.com/content/7/1/56. Aarons, G. A., Glisson, C., Green, P., Hoagwood, K., Kelleher, K., Landsverk, J., & Health, T. R. N. o. Y. M. (2012b). The organizational social context of mental health services and clinician attitudes toward evidence-based practice: A United States national study. Implementation Science, 7(1), 56. http://​www.​implementationsc​ience.​com/​content/​7/​1/​56.
go back to reference Aarons, G. A., Green, A., & Miller, E. (2012c). Researching readiness for implementation of evidence-based practice: A comprehensive review of the evidence-based practice attitude scale (EBPAS). In B. Kelly & D. Perkins (Eds.), Cambridge handbook of implementation science for psychology in education. New York: Cambridge University Press. Aarons, G. A., Green, A., & Miller, E. (2012c). Researching readiness for implementation of evidence-based practice: A comprehensive review of the evidence-based practice attitude scale (EBPAS). In B. Kelly & D. Perkins (Eds.), Cambridge handbook of implementation science for psychology in education. New York: Cambridge University Press.
go back to reference Aarons, G. A., Hurlburt, M. S., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23.PubMedCentralCrossRefPubMed Aarons, G. A., Hurlburt, M. S., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23.PubMedCentralCrossRefPubMed
go back to reference Aarons, G. A., McDonald, E. J., Sheehan, A. K., & Walrath-Greene, C. M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research, 34(5), 465–469.CrossRefPubMed Aarons, G. A., McDonald, E. J., Sheehan, A. K., & Walrath-Greene, C. M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research, 34(5), 465–469.CrossRefPubMed
go back to reference Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419.CrossRefPubMed Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419.CrossRefPubMed
go back to reference Aarons, G. A., & Sawitzky, A. C. (2006). Organizational climate partially mediates the effect of culture on work attitudes and staff turnover in mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 33(3), 289–301.PubMedCentralCrossRefPubMed Aarons, G. A., & Sawitzky, A. C. (2006). Organizational climate partially mediates the effect of culture on work attitudes and staff turnover in mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 33(3), 289–301.PubMedCentralCrossRefPubMed
go back to reference Aarons, G. A., Sommerfeld, D. H., Hecht, D. B., Silovsky, J. F., & Chaffin, M. J. (2009). The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect. Journal of Consulting and Clinical Psychology, 77(2), 270.PubMedCentralCrossRefPubMed Aarons, G. A., Sommerfeld, D. H., Hecht, D. B., Silovsky, J. F., & Chaffin, M. J. (2009). The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect. Journal of Consulting and Clinical Psychology, 77(2), 270.PubMedCentralCrossRefPubMed
go back to reference Akin, B. A., Mariscal, S. E., Bass, L., McArthur, V. B., Bhattarai, J., & Bruns, K. (2014). Implementation of an evidence-based intervention to reduce long-term foster care: Practitioner perceptions of key challenges and supports. Children and Youth Services Review, 46, 285–293. doi:10.1016/j.childyouth.2014.09.006.CrossRef Akin, B. A., Mariscal, S. E., Bass, L., McArthur, V. B., Bhattarai, J., & Bruns, K. (2014). Implementation of an evidence-based intervention to reduce long-term foster care: Practitioner perceptions of key challenges and supports. Children and Youth Services Review, 46, 285–293. doi:10.​1016/​j.​childyouth.​2014.​09.​006.CrossRef
go back to reference Barth, R. P. (2008). The move to evidence-based practice: How well does it fit child welfare services. Journal of Public Child Welfare, 2(2), 145–171.CrossRef Barth, R. P. (2008). The move to evidence-based practice: How well does it fit child welfare services. Journal of Public Child Welfare, 2(2), 145–171.CrossRef
go back to reference Beidas, R. S., Edmunds, J. M., Cannuscio, C. C., Gallagher, M., Downey, M. M., & Kendall, P. C. (2013). Therapists perspectives on the effective elements of consultation following training. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 507–517.PubMedCentralCrossRefPubMed Beidas, R. S., Edmunds, J. M., Cannuscio, C. C., Gallagher, M., Downey, M. M., & Kendall, P. C. (2013). Therapists perspectives on the effective elements of consultation following training. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 507–517.PubMedCentralCrossRefPubMed
go back to reference Bogdan, R., & Biklen, S. K. (1998). Qualitative research for education: An introduction to theories and methods (3rd ed.). Boston: Allyn & Bacon. Bogdan, R., & Biklen, S. K. (1998). Qualitative research for education: An introduction to theories and methods (3rd ed.). Boston: Allyn & Bacon.
go back to reference Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
go back to reference Century, J., Cassata, A., Rudnick, M., & Freeman, C. (2012). Measuring enactment of innovations and the factors that affect implementation and sustainability: Moving toward common language and shared conceptual understanding. The Journal of Behavioral Health Services & Research, 39(4), 343–361.CrossRef Century, J., Cassata, A., Rudnick, M., & Freeman, C. (2012). Measuring enactment of innovations and the factors that affect implementation and sustainability: Moving toward common language and shared conceptual understanding. The Journal of Behavioral Health Services & Research, 39(4), 343–361.CrossRef
go back to reference Chaudoir, S. R., Dugan, A. G., & Barr, C. H. (2013). Measuring factors affecting implementation of health innovations: A systematic review of structural, organizational, provider, patient, and innovation level measures. Implementation Science, 8, 22.PubMedCentralCrossRefPubMed Chaudoir, S. R., Dugan, A. G., & Barr, C. H. (2013). Measuring factors affecting implementation of health innovations: A systematic review of structural, organizational, provider, patient, and innovation level measures. Implementation Science, 8, 22.PubMedCentralCrossRefPubMed
go back to reference Crea, T. M., Crampton, D. S., Abramson-Madden, A., & Usher, C. L. (2008). Variability in the implementation of Team Decisionmaking (TDM): Scope and compliance with the Family to Family practice model. Children and Youth Services Review, 30(11), 1221–1232.CrossRef Crea, T. M., Crampton, D. S., Abramson-Madden, A., & Usher, C. L. (2008). Variability in the implementation of Team Decisionmaking (TDM): Scope and compliance with the Family to Family practice model. Children and Youth Services Review, 30(11), 1221–1232.CrossRef
go back to reference Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 50.PubMedCentralCrossRefPubMed Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 50.PubMedCentralCrossRefPubMed
go back to reference Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350.CrossRefPubMed Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350.CrossRefPubMed
go back to reference Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531–540.CrossRef Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531–540.CrossRef
go back to reference Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231). Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
go back to reference Gilgun, J. F. (1992). Definitions, methods, and methodologies in qualitative family research. In J. F. Gilgun, K. Daly, & G. Handel (Eds.), Qualitative methods in family research (pp. 22–40). Beverley Hills, CA: Sage Publications. Gilgun, J. F. (1992). Definitions, methods, and methodologies in qualitative family research. In J. F. Gilgun, K. Daly, & G. Handel (Eds.), Qualitative methods in family research (pp. 22–40). Beverley Hills, CA: Sage Publications.
go back to reference Gilgun, J. F. (1995). We shared something special: The moral discourse of incest perpetrators. Journal of Marriage and Family, 57(2), 265–281. Gilgun, J. F. (1995). We shared something special: The moral discourse of incest perpetrators. Journal of Marriage and Family, 57(2), 265–281.
go back to reference Gray, M., Joy, E., Plath, D., & Webb, S. A. (2013). Implementing evidence-based practice a review of the empirical research literature. Research on Social Work Practice, 23(2), 157–166.CrossRef Gray, M., Joy, E., Plath, D., & Webb, S. A. (2013). Implementing evidence-based practice a review of the empirical research literature. Research on Social Work Practice, 23(2), 157–166.CrossRef
go back to reference Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82(4), 581–629.PubMedCentralCrossRefPubMed Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82(4), 581–629.PubMedCentralCrossRefPubMed
go back to reference Kaye, S., DePanfilis, D., Bright, C. L., & Fisher, C. (2012). Applying implementation drivers to child welfare systems change: Examples from the field. Journal of Public Child Welfare, 6(4), 512–530.CrossRef Kaye, S., DePanfilis, D., Bright, C. L., & Fisher, C. (2012). Applying implementation drivers to child welfare systems change: Examples from the field. Journal of Public Child Welfare, 6(4), 512–530.CrossRef
go back to reference Kimber, M., Barwick, M., & Fearing, G. (2012). Becoming an evidence-based service provider: Staff perceptions and experiences of organizational change. Journal of Behavioral Health Services & Research, 39(3), 314–332.CrossRef Kimber, M., Barwick, M., & Fearing, G. (2012). Becoming an evidence-based service provider: Staff perceptions and experiences of organizational change. Journal of Behavioral Health Services & Research, 39(3), 314–332.CrossRef
go back to reference Maher, E. J., Jackson, L. J., Pecora, P. J., Schultz, D. J., Chandra, A., & Barnes-Proby, D. S. (2009). Overcoming challenges to implementing and evaluating evidence-based interventions in child welfare: A matter of necessity. Children and Youth Services Review, 31(5), 555–562.CrossRef Maher, E. J., Jackson, L. J., Pecora, P. J., Schultz, D. J., Chandra, A., & Barnes-Proby, D. S. (2009). Overcoming challenges to implementing and evaluating evidence-based interventions in child welfare: A matter of necessity. Children and Youth Services Review, 31(5), 555–562.CrossRef
go back to reference Metz, A., & Bartley, L. (2012). Active implementation frameworks for program success: How to use implementation science to improve outcomes for children. Zero to Three, 32, 11–18. Metz, A., & Bartley, L. (2012). Active implementation frameworks for program success: How to use implementation science to improve outcomes for children. Zero to Three, 32, 11–18.
go back to reference Michalopoulos, L., Ahn, H., Shaw, T. V., & O’Connor, J. (2012). Child welfare worker perception of the implementation of family-centered practice. Research on Social Work Practice, 22(6), 656–664.CrossRef Michalopoulos, L., Ahn, H., Shaw, T. V., & O’Connor, J. (2012). Child welfare worker perception of the implementation of family-centered practice. Research on Social Work Practice, 22(6), 656–664.CrossRef
go back to reference Nadeem, E., Gleacher, A., & Beidas, R. S. (2013). Consultation as an implementation strategy for evidence-based practices across multiple contexts: Unpacking the black box. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 439–450.PubMedCentralCrossRefPubMed Nadeem, E., Gleacher, A., & Beidas, R. S. (2013). Consultation as an implementation strategy for evidence-based practices across multiple contexts: Unpacking the black box. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 439–450.PubMedCentralCrossRefPubMed
go back to reference Proctor, E. K., Knudsen, K. J., Fedoravicius, N., Hovmand, P., Rosen, A., & Perron, B. (2007). Implementation of evidence-based practice in community behavioral health: Agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(5), 479–488.CrossRefPubMed Proctor, E. K., Knudsen, K. J., Fedoravicius, N., Hovmand, P., Rosen, A., & Perron, B. (2007). Implementation of evidence-based practice in community behavioral health: Agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(5), 479–488.CrossRefPubMed
go back to reference Quittan, G. A. (2004). An evaluation of the impact of the celebrating families program and family drug treatment court (FDTC) on parents receiving family reunification services. San Jose: San Jose State University. Quittan, G. A. (2004). An evaluation of the impact of the celebrating families program and family drug treatment court (FDTC) on parents receiving family reunification services. San Jose: San Jose State University.
go back to reference Wharton, T. C., & Bolland, K. A. (2012). Practitioner perspectives of evidence-based practice. Families in Society: The Journal of Contemporary Social Services, 93(3), 157–164.CrossRef Wharton, T. C., & Bolland, K. A. (2012). Practitioner perspectives of evidence-based practice. Families in Society: The Journal of Contemporary Social Services, 93(3), 157–164.CrossRef
Metagegevens
Titel
Worker Perspectives from the Front Line: Implementation of Evidence-Based Interventions in Child Welfare Settings
Auteurs
Becci A. Akin
Jody Brook
Kaela D. Byers
Margaret H. Lloyd
Publicatiedatum
08-09-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 3/2016
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-015-0283-7

Andere artikelen Uitgave 3/2016

Journal of Child and Family Studies 3/2016 Naar de uitgave