Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators
| Autor: | Kimberly Hoagwood, Erum Nadeem, Vanesa A. Ringle, Leonard Bickman, S. Serene Olin, Alissa Gleacher, Michele Pollock, Susan Douglas |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Mental Health Services musculoskeletal diseases 050103 clinical psychology medicine.medical_specialty Organizational innovation Attitude of Health Personnel Qualitative property Health informatics Article Feedback Health administration Nursing Outcome Assessment Health Care Humans Medicine 0501 psychology and cognitive sciences Qualitative Research business.industry Health Policy Public health 05 social sciences Public Health Environmental and Occupational Health Mental health Organizational Innovation Leadership Psychiatry and Mental health Family medicine Female Pshychiatric Mental Health business 050104 developmental & child psychology Qualitative research |
| Zdroj: | Administration and Policy in Mental Health and Mental Health Services Research. 43:426-440 |
| ISSN: | 1573-3289 0894-587X |
| Popis: | Measurement feedback systems (MFSs) have been proposed as a means of improving practice. The present study examined the implementation of a MFS, the Contextualized Feedback System (CFS), in two community-based clinic sites. Significant implementation differences across sites provided a basis for examining factors that influenced clinician uptake of CFS. Following the theoretical implementation framework of Aarons et al. (Adm Policy Mental Health Mental Health Serv Res 38(1):4-23, 2011), we coded qualitative data collected from eighteen clinicians (13 from Clinic U and 5 from Clinic R) who participated in semi-structured interviews about their experience with CFS implementation. Results suggest that clinicians at both clinics perceived more barriers than facilitators to CFS implementation. Interestingly, clinicians at the higher implementing clinic reported a higher proportion of barriers to facilitators (3:1 vs. 2:1); however, these clinicians also reported a significantly higher level of organizational and leadership supports for CFS implementation. Implications of these findings are discussed. |
| Databáze: | OpenAIRE |
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