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Published in: Administration and Policy in Mental Health and Mental Health Services Research 6/2016

Open Access 01-11-2016 | Original Paper

Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation Planning in Systems

Authors: Lindsey Zimmerman, David W. Lounsbury, Craig S. Rosen, Rachel Kimerling, Jodie A. Trafton, Steven E. Lindley

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2016

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Abstract

Implementation planning typically incorporates stakeholder input. Quality improvement efforts provide data-based feedback regarding progress. Participatory system dynamics modeling (PSD) triangulates stakeholder expertise, data and simulation of implementation plans prior to attempting change. Frontline staff in one VA outpatient mental health system used PSD to examine policy and procedural “mechanisms” they believe underlie local capacity to implement evidence-based psychotherapies (EBPs) for PTSD and depression. We piloted the PSD process, simulating implementation plans to improve EBP reach. Findings indicate PSD is a feasible, useful strategy for building stakeholder consensus, and may save time and effort as compared to trial-and-error EBP implementation planning.
Literature
go back to reference Damschroder, L. & Lowery, J. (2015). Efficient synthesis: Using qualitative comparative analysis (QCA) and the CFIR across diverse studies. Plenary presentation at the 2015 Society for Implementation Research Collaboration, Seattle, WA. Damschroder, L. & Lowery, J. (2015). Efficient synthesis: Using qualitative comparative analysis (QCA) and the CFIR across diverse studies. Plenary presentation at the 2015 Society for Implementation Research Collaboration, Seattle, WA.
go back to reference Department of Veterans Affairs. (2008). Uniform mental health services in VA medical centers and clinics. In Veterans Health Administration (Ed.), VHA handbook 260.01. Washington, DC. Department of Veterans Affairs. (2008). Uniform mental health services in VA medical centers and clinics. In Veterans Health Administration (Ed.), VHA handbook 260.01. Washington, DC.
go back to reference Eftekhari, A., Ruzek, J. I., Crowley, J. J., Rosen, C. S., Greenbaum, M. A., & Karlin, B. E. (2013). Effectiveness of national implementation of prolonged exposure therapy in Veterans Affairs care. JAMA Psychiatry, 70, 49–955.CrossRef Eftekhari, A., Ruzek, J. I., Crowley, J. J., Rosen, C. S., Greenbaum, M. A., & Karlin, B. E. (2013). Effectiveness of national implementation of prolonged exposure therapy in Veterans Affairs care. JAMA Psychiatry, 70, 49–955.CrossRef
go back to reference Finley, E. P., Garcia, H. A., Ketchum, N. S., McGeary, D. D., McGeary, C. A., Stirman, S. W., et al. (2015). Utilization of evidence-based psychotherapies in Veterans Affairs posttraumatic stress disorder outpatient clinics. Psychological services, 12(1), 73. doi:https://doi.org/10.1037/ser0000014 CrossRefPubMed Finley, E. P., Garcia, H. A., Ketchum, N. S., McGeary, D. D., McGeary, C. A., Stirman, S. W., et al. (2015). Utilization of evidence-based psychotherapies in Veterans Affairs posttraumatic stress disorder outpatient clinics. Psychological services, 12(1), 73. doi:https://​doi.​org/​10.​1037/​ser0000014 CrossRefPubMed
go back to reference Forrester, J. W. (1961). Industrial Dynamics. Cambridge: MIT Press. Forrester, J. W. (1961). Industrial Dynamics. Cambridge: MIT Press.
go back to reference Glasser, S., Ellis, W., Chin, J., Glazner, C. & Kane, V. (2014). A model for eliminating veteran homelessness in the USA. Presentation at the 32nd International Conference of the System Dynamics Society, Delft, The Netherlands. Glasser, S., Ellis, W., Chin, J., Glazner, C. & Kane, V. (2014). A model for eliminating veteran homelessness in the USA. Presentation at the 32nd International Conference of the System Dynamics Society, Delft, The Netherlands.
go back to reference Hovmand, P. (2014). Community-based system dynamics modeling. New York: Springer.CrossRef Hovmand, P. (2014). Community-based system dynamics modeling. New York: Springer.CrossRef
go back to reference Karlin, B. E., Brown, G. K., Trockel, M., Cunning, D., Zeiss, A. M., & Taylor, C. B. (2012). National dissemination of cognitive behavioral therapy for depression in the Department of Veterans Affairs health care system: therapist and patient-level outcomes. Journal of Consulting and Clinical Psychology, 80, 707–718. doi:https://doi.org/10.1037/a0029328 CrossRefPubMed Karlin, B. E., Brown, G. K., Trockel, M., Cunning, D., Zeiss, A. M., & Taylor, C. B. (2012). National dissemination of cognitive behavioral therapy for depression in the Department of Veterans Affairs health care system: therapist and patient-level outcomes. Journal of Consulting and Clinical Psychology, 80, 707–718. doi:https://​doi.​org/​10.​1037/​a0029328 CrossRefPubMed
go back to reference Karlin, B., & Cross, G. (2014). From the laboratory to the therapy room: National dissemination and implementation of evidence-based psychotherapies in the U.S. Department of Veterans Affairs Health Care System. American Psychologist, 69(1), 19–33. doi:https://doi.org/10.1037/a0033888 CrossRef Karlin, B., & Cross, G. (2014). From the laboratory to the therapy room: National dissemination and implementation of evidence-based psychotherapies in the U.S. Department of Veterans Affairs Health Care System. American Psychologist, 69(1), 19–33. doi:https://​doi.​org/​10.​1037/​a0033888 CrossRef
go back to reference Lyon, A. R., Maras, M. A., Pate, C. M., Igusa, T., & Vander Stoep, A. (2015). Modeling the impact of school-based universal depression screening on additional service capacity needs: A system dynamics approach. Administration and Policy in Mental Health and Mental Health Services Research,. doi:https://doi.org/10.1007/s10488-015-0628-y CrossRefPubMed Lyon, A. R., Maras, M. A., Pate, C. M., Igusa, T., & Vander Stoep, A. (2015). Modeling the impact of school-based universal depression screening on additional service capacity needs: A system dynamics approach. Administration and Policy in Mental Health and Mental Health Services Research,. doi:https://​doi.​org/​10.​1007/​s10488-015-0628-y CrossRefPubMed
go back to reference Mabry, P. (2014). Simulation as a tool to inform health policy. Part 1: Introduction to health systems simulations for policy. Academy Health Webinar. Mabry, P. (2014). Simulation as a tool to inform health policy. Part 1: Introduction to health systems simulations for policy. Academy Health Webinar.
go back to reference Meadows, D. H., & Robinson, J. M. (1985). The Electronic Oracle: Computer models and social decisions. NewYork: Wiley. Meadows, D. H., & Robinson, J. M. (1985). The Electronic Oracle: Computer models and social decisions. NewYork: Wiley.
go back to reference Meadows, D. H., & Wright, D. (2008). Thinking in systems: A primer. White River Junction: Chelsea Green Publishing. Meadows, D. H., & Wright, D. (2008). Thinking in systems: A primer. White River Junction: Chelsea Green Publishing.
go back to reference Morecroft, J., & Sterman, J. (1994). Modeling for learning organizations. Portland, OR: Productivity Press. Morecroft, J., & Sterman, J. (1994). Modeling for learning organizations. Portland, OR: Productivity Press.
go back to reference Richardson, G. P., & Pugh, A. L. (1981). Introduction to system dynamics modeling with dynamo. Cambridge: MIT Press. Richardson, G. P., & Pugh, A. L. (1981). Introduction to system dynamics modeling with dynamo. Cambridge: MIT Press.
go back to reference Rogers, E. M. (2003). Diffusion of innovations. New York: Free Press. Rogers, E. M. (2003). Diffusion of innovations. New York: Free Press.
go back to reference Ruzek, J., Karlin, B. E., & Zeiss, A. (2012). Implementation of evidence-based psychological treatments in the veterans health administration. In R. K. McHugh & D. H. Barlow (Eds.), Dissemination of evidence-based psychological treatments. New York: Oxford University Press. Ruzek, J., Karlin, B. E., & Zeiss, A. (2012). Implementation of evidence-based psychological treatments in the veterans health administration. In R. K. McHugh & D. H. Barlow (Eds.), Dissemination of evidence-based psychological treatments. New York: Oxford University Press.
go back to reference Rycroft-Malone, J. (2004). The PARIHS framework—a framework for guiding the implementation of evidence-based practice. Journal of Nursing Care Quality, 19(4), 297–304.CrossRefPubMed Rycroft-Malone, J. (2004). The PARIHS framework—a framework for guiding the implementation of evidence-based practice. Journal of Nursing Care Quality, 19(4), 297–304.CrossRefPubMed
go back to reference Senge, P. M. (2006). The fifth discipline: The art and practice of the learning organization. Vancouver, BC: Broadway Business. Senge, P. M. (2006). The fifth discipline: The art and practice of the learning organization. Vancouver, BC: Broadway Business.
go back to reference Sterman, J. D. (2000). Business dynamics: Systems thinking and modeling for a complex world (Vol. 19). Boston: Irwin/McGraw-Hill. Sterman, J. D. (2000). Business dynamics: Systems thinking and modeling for a complex world (Vol. 19). Boston: Irwin/McGraw-Hill.
go back to reference Vennix, J. (1996). Group model building: facilitating team learning using system dynamics. Chichester: Wiley. Vennix, J. (1996). Group model building: facilitating team learning using system dynamics. Chichester: Wiley.
go back to reference Ventana Systems, Inc. (2014). Vensim® Version 6.3. Ventana Systems, Inc. (2014). Vensim® Version 6.3.
go back to reference Yanchus, N. J., Periard, D., Moore, S. C., Carle, A. C., & Osatuke, K. (2015). Predictors of job satisfaction and turnover intention in VHA mental health employees: A comparison between psychiatrists, psychologists, social workers, and mental health nurses. Human Service Organizations: Management, Leadership & Governance, 39(3), 219–244. doi:https://doi.org/10.1080/23303131.2015.1014953 CrossRef Yanchus, N. J., Periard, D., Moore, S. C., Carle, A. C., & Osatuke, K. (2015). Predictors of job satisfaction and turnover intention in VHA mental health employees: A comparison between psychiatrists, psychologists, social workers, and mental health nurses. Human Service Organizations: Management, Leadership & Governance, 39(3), 219–244. doi:https://​doi.​org/​10.​1080/​23303131.​2015.​1014953 CrossRef
Metadata
Title
Participatory System Dynamics Modeling: Increasing Stakeholder Engagement and Precision to Improve Implementation Planning in Systems
Authors
Lindsey Zimmerman
David W. Lounsbury
Craig S. Rosen
Rachel Kimerling
Jodie A. Trafton
Steven E. Lindley
Publication date
01-11-2016
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-016-0754-1

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