Implementation Science 101 Vestena Robbins, PhD Kentucky Dept for Behavioral Health, Developmental...
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Transcript of Implementation Science 101 Vestena Robbins, PhD Kentucky Dept for Behavioral Health, Developmental...
Implementation Science
101Vestena Robbins, PhD
Kentucky Dept for Behavioral Health, Developmental and
Intellectual Disabilities
LESSON #1
Individuals cannot benefit from good
interventions… if they don’t experience them!Nor do they benefit… even with the best of
intentions.
Funding for Innovation
US Federal Government spends $95+ billion a year to fund research on new interventions
and over $1.6 trillion to support services to
citizens but these do not result in intended
benefits or outcomes to consumers and communities.
SCIENCE TO SERVICE GAP
SCIENCE
SERVICE
?
IMPLEMENTATION GAP
SCIENCE
SERVICE
IMPLEMENTATION
“The bridge from science to service must be built, repaired, maintained, and improved.” -—NIRN Brief, January 2009
Implementation Defined
Putting a program or specific set of activities to work in a real setting, such as a school, hospital, or community, to bring benefits to the population you want to serve.
LESSON #2
Evidence Usability
“Evidence” on effectiveness helps you select what to implement for whom and under what circumstances
“Evidence” on effectiveness does not help you implement
LESSON #3
Interventiona
Implementation
Effective Not Effective
Effective Actual Benefits
Inconsistent; Not Sustainable; Poor OUtcomes
Not Effective
Poor Outcomes
Poor Outcomes; Sometimes harmful
Institute of Medicine, 2000; 2001; 2009; New Freedom Commission on Mental Health, 2003; National Commission on Excellence in Education, 1993; Department for Health and Human Services, 1999)
“The use of effective interventions without
implementation strategies is like serum without a
syringe; the cure is available but the delivery system is
not.”
~Fixsen, Blase, Duda, Naoom, & Van Dyke, 2010
LESSON #4
Successfully implementing a program that fits your organization’s needs is a process—not a single event—that occurs in multiple stages of planning, purposeful action, and evaluating.
Implementation Research: A Synthesis of the LiteratureFixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M. & Wallace, F. (2005)
Stages of ImplementationExploration: Getting
StartedInstallation: launchingInitial Implementation:
Expect the UnexpectedFull Implementation:
Practice is in PlaceProgram
Sustainability: Maintaining Success
LESSON #5
Successful implementation is based on a framework of integrated and compensatory core components or “drivers”
Adapted from © Fixsen & Blase, 2008
Consumer Benefits
Technical
Integrated & Compensatory
Participant Assessment
Coaching
Preparation & Training
Participant Recruitment & Selection
System Intervention (External Supports)
Facilitative Administration (Internal Supports)
Data to Support Decision Making
Competency Organization
Leadership
Adaptive
Implementation Drivers Framework
Integrated and Compensatory(% of Participants who Demonstrate Knowledge, Demonstrate New Skills in a Training Setting, and Use New Skills in the Classroom)
TRAININGCOMPONENTS
Knowledge Skill Demonstration
Use in Classroom
Theory and Discussion 10% 5% 0%
+ Demonstration in Training
30% 20% 0%
+ Practice & Feedback in Training
60% 60% 5%
+ Coaching in Classroom 95% 95% 95%
Joyce and Showers, 2002
Homework Assignment: Review the Monograph
Download the monograph at:http://www.fpg.unc.edu/~nirn/resources/publications/Monograph
Homework Assignment: Join A WebinarThe National Center for Child
Traumatic Stress will host a live webinar with Dean Fixsen, Ph.D. on Establishing a Framework for the Implementation of Evidence-Based Programs
Wednesday, May 25th at 12:00pm EST/9:00am PST
http://learn.nctsn.org/file.php/1/pdf/NCTSN_Implementing_and_Sustaining_Evidence-Based_Practice_Speaker_Series.pdf
Homework Assignment: Attend the GIC
Homework Assignment:Contact DBHDIDVestena (Tena) RobbinsKari CollinsOutcome Transformation
and Education BranchKDBHDID502/[email protected]