Table 4:
Importance of factors in successful implementation of clinical programs in general at your clinical site (from the DOOR-R; n = 32)
| Factors potentially influencing successful implementation (1 = not important, 4 = moderately important, 7 = extremely important) |
Mean (SD) |
|---|---|
| Leadership support from director for the new treatment or service | 6.4 (0.7) |
| Support for it by your management staff | 6.3 (0.9) |
| Fit or match between the clinical needs of the populations served by your clinical site and the target population served by the new clinical program | 6.1 (1.3) |
| Needs of the prisoner/probationer/parolee | 6.1 (1.1) |
| Fit or match of it with the philosophy or mission of your organization | 6.0 (1.0) |
| Staff qualifications | 6.0 (1.2) |
| Potential impact on inmates’ disruptive behaviors | 6.0 (1.3) |
| Support for it by your clinical staff (therapists, psychiatrists, psychologists) | 5.9 (1.5) |
| Feasibility | 5.9 (1.3) |
| Support for the new service by particular individuals in the agency (other than the director) who are respected by others within the agency | 5.8 (1.3) |
| Adequate number of staff | 5.8 (1.3) |
| Availability of and support from staff already knowledgeable about the program | 5.7 (1.2) |
| Availability of space | 5.6 (1.7) |
| Description of the treatments / services that implied they were “evidence based” or “scientifically tested” | 5.5 (1.4) |
| Support for it by agencies with which your organization has contracts | 5.5 (1.8) |
| Group consensus on willingness to implement | 5.5 (1.1) |
| Available resources | 5.5 (1.6) |
| Time required to implement | 5.5 (1.5) |
| Amount of training required | 5.5 (1.4) |
| Potential impact on recidivism | 5.5 (1.5) |
| Policies and regulations | 5.5 (1.5) |
| Fit or match of it with the techniques or therapies already used by your staff | 5.4 (1.2) |
| How it impacts the current routine in this facility | 5.4 (1.7) |
| Inner context individuals (clinicians, unions, correctional officers, parole/probation officers, administrators, medical directors) | 5.2 (2.0) |
| What other facilities are doing/have done | 5.1 (1.5) |
| Fit or match of it with the clinical supervision practices already in place | 5.1 (1.4) |
| Fit or match of it with the clinical training practices already in place | 5.0 (1.6) |
| Cost of implementation | 5.0 (1.9) |
| Fit or match of it with the administrative training already in place | 4.7 (1.6) |
| Support for it by clients of your clinical site | 4.7 (2.0) |
| Support for it by accreditation agencies | 4.6 (2.0) |
| Financial support | 4.5 (2.2) |
| Level of administrative burden | 4.4 (1.7) |
| Support for it by the relevant public agency (i.e., mental health, child welfare, health, juvenile justice, education) | 4.2 (2.1) |
| Compatibility with existing equipment and technology | 4.0 (1.7) |
| Affiliated treatment providers/agencies | 3.8 (2.0) |
| Government and community agencies (state and local governments) | 3.6 (2.0) |
| Political pressures from lawmakers and the public | 3.5 (1.9) |
| Fiscal benefits from adoption of it (e.g. ability to bill Medicaid) | 3.4 (2.4) |
| Compatibility with current Management Information System | 3.4 (1.8) |
| Public relations implications | 3.4 (1.7) |
| The public (such as victim advocates, lawsuits, media coverage) | 3.4 (1.8) |
| Former offenders (such as advocates, lawsuits) | 3.3 (2.0) |
| CJ agencies (including judges and attorneys) | 3.2 (2.1) |
| Communications from advocates | 3.0 (1.6) |
| Support for it by consumer groups in your county | 2.3 (1.5) |