Van Deinse Tonya B, Bunger Alicia, Burgin Stacey, Wilson Amy Blank, Cuddeback Gary S
School of Social Work, University of North Carolina at Chapel Hill, 325 Pittsboro Street, CB#3550, Chapel Hill, NC, 27599, USA.
College of Social Work, The Ohio State University, 1947 N. College Rd., Columbus, OH, 43210, USA.
Health Justice. 2019 Dec 5;7(1):17. doi: 10.1186/s40352-019-0098-5.
Specialty mental health probation (SMHP) is designed to improve outcomes for the large number of people with serious mental illnesses who are on probation and/or parole. The evidence for specialty mental health probation is promising; however, little is known about the implementation challenges and facilitators associated with SMHP. To address this gap, we used the consolidated framework for implementation research (CFIR) to analyze 26 interviews with stakeholders representing multiple agencies involved in the implementation of SMHP.
Results indicate a number of challenges and facilitators related to the inner setting, outer setting, implementation process, and characteristics of individuals.
Findings suggest that complex and cross-sectoral interventions are context-dependent and introduce a number of challenges and facilitators related to multiple CFIR domains. Consequently, agency administrators implementing these types of interventions should consider small pilot studies and develop implementation strategies tailored to the local implementation context.
专业心理健康缓刑（SMHP）旨在改善大量处于缓刑和/或假释期的严重精神疾病患者的预后。专业心理健康缓刑的证据很有前景；然而，对于与SMHP相关的实施挑战和促进因素知之甚少。为了填补这一空白，我们使用实施研究综合框架（CFIR）对来自多个参与SMHP实施机构的利益相关者进行的26次访谈进行了分析。
结果表明，在内部环境、外部环境、实施过程和个人特征方面存在一些挑战和促进因素。
研究结果表明，复杂的跨部门干预措施依赖于具体情境，并带来了与多个CFIR领域相关的一些挑战和促进因素。因此，实施这类干预措施的机构管理人员应考虑开展小型试点研究，并制定适合当地实施情况的实施策略。
