Oregon Social Learning Center, 10 Shelton McMurphey Blvd., Eugene, OR 97401, USA.
Adm Policy Ment Health. 2012 Jul;39(4):278-90. doi: 10.1007/s10488-011-0349-9.
The current paper describes three models of research-practice collaboration to scale-up evidence-based practices (EBP): (1) the Rolling Cohort model in England, (2) the Cascading Dissemination model in San Diego County, and (3) the Community Development Team model in 53 California and Ohio counties. Multidimensional Treatment Foster Care (MTFC) and KEEP are the focal evidence-based practices that are designed to improve outcomes for children and families in the child welfare, juvenile justice, and mental health systems. The three scale-up models each originated from collaboration between community partners and researchers with the shared goal of wide-spread implementation and sustainability of MTFC/KEEP. The three models were implemented in a variety of contexts; Rolling Cohort was implemented nationally, Cascading Dissemination was implemented within one county, and Community Development Team was targeted at the state level. The current paper presents an overview of the development of each model, the policy frameworks in which they are embedded, system challenges encountered during scale-up, and lessons learned. Common elements of successful scale-up efforts, barriers to success, factors relating to enduring practice relationships, and future research directions are discussed.
本文描述了三种研究-实践合作模式,以扩大循证实践(EBP)的规模:(1)英国的滚动队列模型,(2)圣地亚哥县的级联传播模型,以及(3)加利福尼亚州和俄亥俄州 53 个县的社区发展团队模型。多维治疗寄养(MTFC)和 KEEP 是焦点循证实践,旨在改善儿童福利、少年司法和心理健康系统中儿童和家庭的结果。这三种扩展模型都源于社区合作伙伴和研究人员之间的合作,共同目标是广泛实施和维持 MTFC/KEEP。这三种模式在各种情况下实施;滚动队列在全国范围内实施,级联传播在一个县内实施,社区发展团队则针对州一级。本文介绍了每个模型的发展概况、它们所嵌入的政策框架、在扩展过程中遇到的系统挑战以及经验教训。讨论了成功扩展努力的共同要素、成功的障碍、与持久实践关系相关的因素以及未来的研究方向。