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Oxford Handbooks Online
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 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.
Contextual Influences and Strategies for Dissemination and Implementation in Mental Health by Wolk, C.B., Powell, B.J., & Beidas, R.S., 2015, reproduced by permission of Oxford University Press http://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199935291.001.0001/oxfordhb-9780199935291-e-12
dissemination, implementation, organizational culture and climate, mental health services, implementation strategies
Wolk, Courtney L B; Powell, Byron J.; and Beidas, Rinad S., "Contextual Influences and Strategies for Dissemination and Implementation in Mental Health" (2015). Departmental Papers (Psychiatry). 7.
Date Posted: 15 August 2017