From Programs to Systems: Deploying Implementation Science and Practice for Sustained Real World Effectiveness in Services for Children and Families.
The transfer of knowledge of effective practice, especially into “usual care” settings, remains challenging. This article argues that to close this gap we need to recognize the particular challenges of whole-system improvement. We need to move beyond a limited focus on individual programs and experi...
| Publicado en: | Journal of Clinical Child & Adolescent Psychology Vol. 45; no. 6; pp. 812 - 827 |
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| Formato: | Artículo |
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Taylor & Francis Ltd
Nov/Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=120231947&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 120231947 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15374416 KYT jtl: Journal of Clinical Child & Adolescent Psychology issn: 15374416 maglogo: Y pubinfo: dt: Nov/Dec2016 vid: 45 iid: 6 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 120231947 10.1080/15374416.2015.1077449 ppf: 812 ppct: 15 formats: tig: atl: From Programs to Systems: Deploying Implementation Science and Practice for Sustained Real World Effectiveness in Services for Children and Families. aug: au: Ghate, Deborah affil: The Colebrooke Centre for Evidence and Implementation su: Child services Family services Evidence-based psychiatry Evidence-based psychology Knowledge transfer sug: subj: Child services Family services Evidence-based psychiatry Evidence-based psychology Child and Youth Services Other Individual and Family Services Knowledge transfer ab: The transfer of knowledge of effective practice, especially into “usual care” settings, remains challenging. This article argues that to close this gap we need to recognize the particular challenges of whole-system improvement. We need to move beyond a limited focus on individual programs and experimental research on their effectiveness. The rapidly developing field of implementation science and practice (ISP) provides a particular lens and a set of important constructs that can helpfully accelerate progress. A review of selected key constructs and distinctive features of ISP, including recognizing invisible system infrastructure, co-construction involving active collaboration between stakeholders, and attention to active implementation, supports for providers beyond education and training. Key aspects of an implementation lens likely to be most helpful in sustaining effectiveness include assisting innovators to identify and accommodate the architecture of existing systems, understand the implementation process as a series of distinct but nonlinear stages, identify implementation outcomes as prerequisites for treatment outcomes, and analyse implementation challenges using frameworks of implementation drivers. In complex adaptive systems, how services are implemented may matter more than their specific content, and how services align and adapt to local context may determine their sustained usefulness. To improve implementation-relevant research, we need better process evaluation and cannot rely on experimental methods that do not capture complex systemic contexts. Deployment of an implementation lens may perhaps help to avoid future “rigor mortis,” enabling more productively flexible and integrative approaches to both program design and evaluation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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