College of Nursing, The Medical University of South Carolina, 99 Jonathan Lucas Street, Charleston, SC, 29425, USA.
University of California, Los Angeles, 1285 Psychology Building, Los Angeles, CA, 90095, USA.
Community Ment Health J. 2023 Aug;59(6):1163-1171. doi: 10.1007/s10597-023-01099-w. Epub 2023 Mar 14.
Implementation initiatives and technology-based resources aim to address barriers to Evidence-Based Practice (EBP) use by creating generalizable techniques that can be used for a variety of youth-serving agencies. However, research has not carefully examined unique differences between agency types or individual programs in readiness to use such technologies and implementation strategies. The current study explored differences between community mental health clinics and child advocacy centers on organizational cultural factors (e.g., ability to change and commitment for change) to implement a novel technology-based toolkit to support delivery of Trauma Focused Cognitive Behavioral Therapy (TF-CBT). Results indicated that TF-CBT providers from child advocacy centers reported greater commitment to change and more support to use the technology-based system than those from community mental health centers. Findings suggest that implementation initiatives should address the needs of individual agencies and service settings and adaptations should be explored to best meet the needs of these settings.
实施举措和基于技术的资源旨在通过创建可用于各种青少年服务机构的可推广技术来解决实施循证实践(EBP)的障碍。然而,研究尚未仔细研究机构类型或个别计划在准备使用此类技术和实施策略方面的独特差异。本研究探讨了社区心理健康诊所和儿童权益中心在组织文化因素(例如,改变能力和改变承诺)方面的差异,以实施一种新的基于技术的工具包,以支持创伤焦点认知行为疗法(TF-CBT)的实施。结果表明,与来自社区心理健康中心的治疗师相比,来自儿童权益中心的 TF-CBT 提供者报告了对改变的更大承诺,并且更支持使用基于技术的系统。研究结果表明,实施举措应满足各个机构和服务环境的需求,应探索适应措施以最好地满足这些环境的需求。