Table 1.
Implementation category | Implementation strategy |
---|---|
Train and educate stakeholders/provide interactive assistance | Beck/IU training/supervision |
Develop stakeholder interrelationships | Hold cross-staff clinical meetings |
Adapt and tailor to context | Facilitate, structure, and promote adaptability (Beck to work with IT to modify CBT to fit the sites) |
Train and educate stakeholders | Conduct educational outreach visits |
Utilize financial strategies | Shift resources (ensure strategy for monitoring outcomes) |
Develop stakeholder interrelationships | Identify early adopters (have person shadowed, talk in clinical meetings about overcoming barriers) |
Provide interactive assistance | Provide clinical supervision—include IT on calls |
Train and educate stakeholders | Use train-the-trainers strategies |
Change infrastructure | Increase demand—present data to courts and state level |
Support clinicians | Change performance evaluations, change professional roles |
Use evaluative and iterative strategies | Develop and institute self-assessment of competency |
Develop stakeholder interrelationships | Capture and share local knowledge |
Support clinicians | Remind clinicians |
Train and educate stakeholders | Prep CBT client handouts (Beck to provide examples) |
Utilize financial strategies | Alter incentives (certification, vacation, salary) |
Support clinicians | Facilitate relay of clinical data to providers (data parties) |
Support clinicians | Modify context to prompt new behaviors |
Train and educate stakeholders | Shadow other experts |
Use evaluative and iterative strategies | Obtain and use consumer and family feedback (exit interviews and surveys) |
Note. IU = Indiana University; IT = implementation team; CBT = cognitive-behavioral therapy.