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Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-07-2008 | Original Paper

Engaging and Recruiting Counties in an Experiment on Implementing Evidence-based Practice in California

Authors: Patricia Chamberlain, C. Hendricks Brown, Lisa Saldana, John Reid, Wei Wang, Lynne Marsenich, Todd Sosna, Courtenay Padgett, Gerard Bouwman

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 4/2008

Abstract

There is a growing consensus that implementation of evidence-based intervention and treatment models holds promise to improve the quality of services in child public service systems such as mental health, juvenile justice, and child welfare. Recent policy initiatives to integrate such research-based services into public service systems have created pressure to expand knowledge about implementation methods. Experimental strategies are needed to test multi-level models of implementation in real world contexts. In this article, the initial phase of a randomized trial that tests two methods of implementing Multidimensional Treatment Foster Care (an evidence-based intervention that crosses child public service systems) in 40 non-early adopting California counties is described. Results are presented that support the feasibility of using a randomized design to rigorously test contrasting implementation models and engaging system leaders to participate in the trial.

One additional county involved in a class action lawsuit that precluded their participation was also excluded.

Although not relevant to the current article, it is noteworthy that at the time of recruitment, system leaders were asked to complete a set of pre-implementation assessment measures. Baseline measures included: the Organizational Culture Survey (Glisson and James 2002) an adapted version of the Organizational Readiness for Change (ORC; Lehman et al. 2002), an adapted version of the MST Personnel Data Inventory (Schoenwald 1998), the Attitudes toward Treatment Manuals Survey (Addis and Krasnow 2000) and the Evidence-based Practice Attitude Scale (Aarons 2004). Those system leaders in counties who were randomized to Cohorts 2 and 3 will be asked to repeat these measures once or twice, respectively (a wait-list feature of the design).

Some counties had more than one person from each service sector choose to consent to participate in the study (i.e., the discussions about whether or not to implement MTFC and completing the pre-implementation assessment battery).

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Title: Engaging and Recruiting Counties in an Experiment on Implementing Evidence-based Practice in California
Authors: Patricia Chamberlain
C. Hendricks Brown
Lisa Saldana
John Reid
Wei Wang
Lynne Marsenich
Todd Sosna
Courtenay Padgett
Gerard Bouwman
Publication date: 01-07-2008
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 4/2008
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-008-0167-x

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Engaging and Recruiting Counties in an Experiment on Implementing Evidence-based Practice in California

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