An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system.
Abstract
In response to recommendations from the Special Committee on posttraumatic stress disorder (PTSD), the United States Department of Veterans Affairs, Veterans Health Administration (VHA) chartered a workgroup to identify strategies for improving the reach and fidelity of evidence-based psychotherapies (EBPs) implemented by VHA through clinician training initiatives. The workgroup, which comprised stakeholders in a variety of roles within the VHA, used an Intervention Mapping process, a practical approach to designing change strategies based on theory, evidence, and stakeholder input. High-level recommendations centered around implementation of recent VHA/Department of Defense (VA/DoD) treatment guidelines. In addition to recommended first-line and suggested second-line treatments, the guidelines include measurement-based care and shared decision making around EBPs and their alternatives to ensure that care is goal-oriented and patient-centered. To support increased reach and fidelity, the workgroup made four broad recommendations: (a) enhancing leadership support; (b) alignment of policies, programs, and processes that influence reach of EBPs as recommended in clinical practice guidelines, including implementation support to accompany EBP trainings; (c) use of clinical data to inform decision making at multiple levels, and to provide fidelity support when outcomes are lower than expected or desired; and (d) increasing veteran and stakeholder education and awareness of guideline recommendations and availability of EBPs. These recommendations accompanied a more detailed set of recommended steps for implementation. This article describes the Intervention Mapping process and a summary of resulting workgroup recommendations. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Stakeholders can utilize mapping insights to improve quality of care and facilitate a cohesive flow between the multiple healthcare disciplines involved in pediatric psychiatric patient care.
“Further, stakeholders can utilize mapping insights to improve quality of care and facilitate a cohesive flow between the multiple healthcare disciplines involved in pediatric psychiatric patient care (Crowe et al., 2020; Trebble et al., 2010).”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Crowe et al., 2020
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- Authors
- Crowe, C., Collie, C., Johnson, C., & Wiltsey Stirman, S.
- Affiliations
- United States Department of Veterans Affairs (US)
- VA Palo Alto Health Care System (US)
- Venue
- American Psychologist
- Published
- 2020-11
- Volume
- 75
- Issue
- 8
- Pages
- 1116-1129
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W3107495434
- Cited by
- 14
- References
- 12
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- evidence-based psychotherapy, post-traumatic stress disorder, veterans, Veterans Health Administration, intervention mapping, implementation strategies, clinician training, treatment guidelines, measurement-based care, shared decision-making, leadership support, guideline adherence, stakeholder engagement, patient-centered care
- MeSH terms
- Implementation Science, Delivery of Health Care, Humans, Psychotherapy, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Veterans, Evidence-Based Practice
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