Worker Perspectives from the Front Line: Implementation of Evidence-Based Interventions in Child Welfare Settings.

Despite the expansion of evidence-based interventions (EBIs) into child welfare settings, there are gaps in existing knowledge about how to effectively put them into practice. Implementation scientists suggest that multiple factors influence quality EBI delivery and ultimately positive outcomes. To...

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Publicado en:Journal of Child & Family Studies Vol. 25; no. 3; pp. 870 - 883
Autores principales: Akin, Becci, Brook, Jody, Byers, Kaela, Lloyd, Margaret
Formato: Artículo
Publicado: Springer Nature Mar2016
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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          Akin, Becci
          Brook, Jody
          Byers, Kaela
          Lloyd, Margaret
        affil: School of Social Welfare, University of Kansas, 1545 Lilac Lane, Twente Hall Lawrence 66045 USA
      su:
        Child welfare
        Employee attitudes
        Foster home care
        Parents
        Substance abuse
        Questionnaires
        Early medical intervention
      sug:
        subj:
          Child welfare
          Employee attitudes
          Foster home care
          Parents
          Substance abuse
          Child and Youth Services
          Other Residential Care Facilities
          All other residential care facilities
          Questionnaires
          Early medical intervention
      keyword:
        Evidence-based intervention
        Foster care
        Implementation science
        Parental substance abuse
        Parenting intervention
        Evidence-based intervention
        Foster care
        Implementation science
        Parental substance abuse
        Parenting intervention
      ab: Despite the expansion of evidence-based interventions (EBIs) into child welfare settings, there are gaps in existing knowledge about how to effectively put them into practice. Implementation scientists suggest that multiple factors influence quality EBI delivery and ultimately positive outcomes. To understand the applicability of existing implementation evidence for child welfare settings and to document real-world experiences of EBI implementation in this setting, this study interviewed program staff from two child welfare agencies in two separate states. We sought their perspectives on what helps and what hinders EBI implementation. Transcripts were coded and analyzed with a modified analytic induction approach. This analytic technique permitted researchers to confirm or disconfirm prior research on key implementation factors. Findings describe the role of six broad factors consistent with extant literature: process, provider, innovation, client, organizational, and structural. Front line workers conceptualized these factors as distinct but interrelated and viewed them as influencing the success of EBI implementation. Child welfare staff made several important suggestions including: interactive, engaging training; coaching supports that facilitate high-fidelity implementation alongside well-tailored interventions; organizational supports and leadership that create a welcoming environment for the EBI, including adequate resources for the day-to-day use of the EBI and proactive problem-solving to manage the inevitable unforeseen implementation barriers; and, efforts to actively educate and gain the buy-in of external stakeholders. As EBIs continue to expand into child welfare settings, local implementers should carefully consider how various factors at multiple levels may impede or facilitate effective implementation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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