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Contextual Influences and Strategies for Dissemination and Implementation in Mental Health
Abstract
Implementation science has emerged to bridge the gap between research and practice. A number of conceptual frameworks have been developed to advance implementation research and illuminate the contextual influences that can facilitate or impede the implementation of evidence-based practices. Contextual factors that may be important in the dissemination and implementation of evidence-based practice may occur at the system-, organizational-, and provider-levels. System-level barriers may include external policies, incentives, and peer pressure. Organizational-level factors that are important in implementation include organizational culture and climate and implementation climate. At the individual provider-level, barriers may occur around provider attitudes, knowledge, and self-efficacy. Finally, additional barriers such as client-level factors and characteristics of the intervention itself can exist. Implementation strategies have been developed that can be used to overcome contextual barriers when attempting to implement evidence-based practices into new settings. Several exemplar implementation strategies are discussed, including the Availability, Responsiveness, and Continuity intervention, Community Development Team model, and Interagency Collaborative Team Model.
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Implementation strategies are too often designed in an unsystematic manner and fail to address key contextual determinants.
“Implementation strategies are too often designed in an unsystematic manner and fail to address key contextual determinants (13–16).”
From Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda (2019) · cites this paper as [16]
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References 79 · Cited by 6
Research works printed but not linked: 16
- Aarons, G. A., Ehrhart, M., & Dlugosz, L. (March, 2012). Implementation climate and leadership for evidence-based practice implementation: Development of two new scales. Presented at the NIH Conference on the Science of Dissemination and Implementation, Bethesda, MD.
- 2012, The Research Network on Youth Mental Health: The organizational social context of mental health services and clinician attitudes toward evidence-based practice: A United States national study., Implementation Science
- Benjamin, C. L., Taylor, K. P., Goodin, S. M., & Creed, T. A. (2014). Dissemination and implementation of Cognitive Therapy for depression in schools. In R. S. Beidas & P. C. Kendall (Eds.), Dissemination and implementation of evidence-based practices in child and adolescent mental health (pp. 277–293). New York, NY: Oxford University Press.
- Chambers, D. A. (2014). Guiding theory for dissemination and implementation research: A reflection on models used in research and practice. In R. S. Beidas & P. C. Kendall (Eds.), Dissemination and implementation of evidence-based practices in child and adolescent mental health (pp. 9–21). New York, NY: Oxford University Press.
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- Proctor, E. K., Powell, B. J., & Feely, M. (2014). Measurement in dissemination and implementation science. In R. S. Beidas, P. C. Kendall, (Eds.), Dissemination and implementation of evidence-based practices in child and adolescent mental health. New York, NY: Oxford University Press.
- 2006, Community development team model: Supporting the model adherent implementation of programs and practices.
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Metadata
- Authors
- Benjamin Wolk, C., Powell, B. J., & Beidas, R. S.
- Affiliations
- Psychiatry, University of Pennsylvania
- University of Pennsylvania (US)
- Venue
- Oxford Handbook Topics in Psychology
- Publisher
- Oxford University Press
- Published
- 2015-09-10
- OpenAlex
- W2178456427
- Cited by
- 6
- References
- 79
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2019: 2
- FWCI
- 0.00
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- ScholarlyCommons (University of Pennsylvania) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- implementation science, dissemination, evidence-based practice, mental health services, contextual barriers, implementation strategies, organizational culture, implementation climate, provider self-efficacy, research-practice gap
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