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Evaluation ViewAttendees 5

Dissemination & Implementation Science
Symposia

Symposium 32 - Community-Partnered Implementation in Diverse Settings: Strategies for Identifying and Tailoring Solutions to Implementation of Novel Interventions

Friday, November 15, 2024
11:30 AM – 1:00 PM EST
Location: Liberty C, Level 3, Downtown Marriott
CE: 1.5

Keywords: Implementation, Abuse / Maltreatment, Community-Based
Level of Familiarity: All
Recommended Readings: Waltz, T. J., Powell, B. J., Fernández, M. E., Abadie, B., & Damschroder, L. J. (2019). Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions. Implementation Science : IS, 14(1), 42–42.,   Sanchez, A. L., Cliggitt, L. P., Dallard, N. L., Irby, D., Harper, M., Schaffer, E., ... & Beidas, R. S. (2023). Power redistribution and upending white supremacy in implementation research and practice in community mental health. Psychiatric services, 74(9), 987-990. ,   McGuier, E. A., Aarons, G. A., Byrne, K. A., Campbell, K. A., Keeshin, B., Rothenberger, S. D., Weingart, L. R., Salas, E., & Kolko, D. J. (2023). Associations between teamwork and implementation outcomes in multidisciplinary cross-sector teams implementing a mental health screening and referral protocol. Implementation Science Communications, 4(1), 13. https://doi.org/10.1186/s43058-023-00393-8 ,   Salisbury, E. J., Sundt, J. & Boppre, B. (2019). Mapping the implementation landscape: Assessing the systemic capacity of statewide community corrections agencies to deliver evidence-based practices. Corrections, 4(1), 19-38.,  

Many factors contribute to the slow journey from the development of an efficacious intervention to its dissemination and implementation in the settings that can deliver it to those who will benefit. An understanding of common implementation barriers and empirical strategies that can be used to identify those that arise in specific settings is key to improving equitable access to effective treatments in real-world clinical settings.  In this symposium presenters will describe the development and implementation of novel interventions that focus on body image in middle schools, intimate partner violence in corrections and community agencies, treatment of psychosis risk syndromes in community mental health clinics, and screening for child maltreatment in Children’s Advocacy Centers. Presenters will each describe their study findings, discuss barriers and facilitators that have impacted implementation, and discuss observational and empirical methods that can be used to these barriers and facilitators. Key barriers discussed include contextual factors, complex pathways to care in those who would benefit from the interventions, climate of stigma and intervention acceptability, burden on individuals who have already navigated complex pathways to care, and level of team cohesiveness. Facilitators include fostering interdependence of teams, collaborative development with agencies of implementation strategies, ability to integrate new assessments and interventions into setting-specific procedures and workflows, and iterative adjustments to content and practices during implementation. Methods for identifying barriers include qualitative interviews and analyses, the consolidated framework for implementation research, iterative procedural changes based on evaluation of implementation data, and community engaged research. These factors point to the necessity of efforts to develop collaborative partnerships and trust with community organizations who will ultimately use and benefit from these interventions. Meaningful engagement of community partners at multiple steps of the intervention development process is a critical step towards implementing sustainable interventions.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Present an overview of common implementation frameworks and how they can be applied to different settings.
  2. Describe how teamwork impacts implementation outcomes in a multidisciplinary team-based setting.
  3. Describe key strategies for building community partnerships.
  4. Describe how stepped-care model implementation models increase access to care for underserved populations who are at-risk for psychopathology.
  5. Describe a method for matching relevant determinants to appropriate implementation strategies (using CFIR/ERIC framework).

Presentations:

  • 11:30 AM – 1:00 PM EST
    (SYM 32) A Mixed-method Analysis to Explore Barriers to and Facilitators of Implementing a Novel Stepped-care Intervention for Clinical High Risk for Psychosis in Community Settings

    Speaker: Yen-Ling Chen, Ph.D. (she/her/hers) – University of California Davis

    Co-author: Sabrina Ereshefsky, Ph.D. – University of California, Davis

    Co-author: Shirley Yau, BS/BA (they/them/theirs) – UC Davis Early Psychosis Programs; Dept Of Psychiatry And Behavioral Sciences

    Co-author: Alvaro Gonzalez, AMFT (he/him/his) – UC Davis Early Psychosis Programs; Dept Of Psychiatry And Behavioral Sciences

    Co-author: Tara a. Niendam, Ph.D. – UC Davis Department of Psychiatry

    Co-author: Daniel I. Shapiro, Ph.D. – University of California, Davis

  • 11:30 AM – 1:00 PM EST
    (SYM 32) The Impact of the Body Justice Project for Early Adolescents: Using Community-engaged Research to Implement School-based Body Image Interventions

    Speaker: Anna Ciao, Ph.D. (she/her/hers) – Western Washington University

    Co-author: Kevin Delucio, PhD – Fairhaven College, Western Washington University

    Co-author: Malia-Isabel Berbano, BS (she/her/hers) – Western Washington University

    Co-author: Alex Park, BS (they/them/theirs) – Western Washington University

    Co-author: Lily Ngo, BS (she/her/hers) – Western Washington University

  • 11:30 AM – 1:00 PM EST
    (SYM 32) Developing an Implementation Plan for an Intimate Partner Violence Intervention in Corrections and Community Agencies

    Speaker: Katherine Collison, Ph.D. (she/her/hers) – The Family Institute at Northwestern University

    Co-author: Erika Lawrence, PhD – The Family Institute at Northwestern University

    Co-author: Pankhuri Aggarwal, Ph.D. – Northwestern University

    Co-author: Claudia Hindo, Therapist-in-Training (she/her/hers) – The Family Institute at Northwestern University

  • 11:30 AM – 1:00 PM EST
    (SYM 32) Team Influences on Implementation of a Mental Health Screening and Referral Protocol in Children's Advocacy Centers: A Matrixed Multiple Case Study

    Speaker: Elizabeth McGuier, Ph.D. (she/her/hers) – University of Pittsburgh School of Medicine

    Co-author: Elizabeth McGuier, Ph.D. (she/her/hers) – University of Pittsburgh School of Medicine

    Co-author: Jaely Wright, MA – University of Pittsburgh Medical Center

    Co-author: Angelina Faust, - (she/her/hers) – University of Pittsburgh

    Co-author: Ainsley Moore (she/her/hers) – University of Pittsburgh

    Co-author: David J. Kolko, Ph.D. – University of Pittsburgh School of Medicine