Exploring Determinants of Effective Implementation of an Innovation Within Health Care: Qualitative Insights from Program Champions on Implementing One-at-a-Time Therapy Within Addictions and Mental Health Services in New Brunswick DOI Creative Commons
Natalie R. Keeler-Villa,

Danie Beaulieu,

Laura M. Harris-Lane

и другие.

Administration and Policy in Mental Health and Mental Health Services Research, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 23, 2024

Government of New Brunswick implemented One-at-a-Time (OAAT) therapy, a single-session approach to care, within Addiction and Mental Health (A&MH) services. We conducted interviews understand determinants implementation from program champions. Champions the OAAT therapy (N = 19; Child/Youth n 8, Adult 11) working A&MH services school districts were recruited through provincial team. Transcripts synthesized using thematic analysis. Determinants organized as facilitators barriers in accordance with Consolidated Framework for Implementation Research (CFIR). Thematic analysis resulted 18 themes 5 recommendations. Facilitators inner setting included: (1) need change perceived benefits therapy; (2) compatibility previous practice service processes; (3) support received champions colleagues. Insufficient resources (e.g., staff physical infrastructure), culture that favored long-term barriers. Navigating age consent, around COVID-19 outer setting. process domain interconnected teams across sites, regions province; collaborative planning; flexibility tailor at sites; (4) mentorship provided by standardization limited representation among affected parties community partners) process. This study elucidated influenced new delivery an Eastern Canadian health care system. Findings can serve heuristic organizations looking enact similar initiatives.

Язык: Английский

Exploring Determinants of Effective Implementation of an Innovation Within Health Care: Qualitative Insights from Program Champions on Implementing One-at-a-Time Therapy Within Addictions and Mental Health Services in New Brunswick DOI Creative Commons
Natalie R. Keeler-Villa,

Danie Beaulieu,

Laura M. Harris-Lane

и другие.

Administration and Policy in Mental Health and Mental Health Services Research, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 23, 2024

Government of New Brunswick implemented One-at-a-Time (OAAT) therapy, a single-session approach to care, within Addiction and Mental Health (A&MH) services. We conducted interviews understand determinants implementation from program champions. Champions the OAAT therapy (N = 19; Child/Youth n 8, Adult 11) working A&MH services school districts were recruited through provincial team. Transcripts synthesized using thematic analysis. Determinants organized as facilitators barriers in accordance with Consolidated Framework for Implementation Research (CFIR). Thematic analysis resulted 18 themes 5 recommendations. Facilitators inner setting included: (1) need change perceived benefits therapy; (2) compatibility previous practice service processes; (3) support received champions colleagues. Insufficient resources (e.g., staff physical infrastructure), culture that favored long-term barriers. Navigating age consent, around COVID-19 outer setting. process domain interconnected teams across sites, regions province; collaborative planning; flexibility tailor at sites; (4) mentorship provided by standardization limited representation among affected parties community partners) process. This study elucidated influenced new delivery an Eastern Canadian health care system. Findings can serve heuristic organizations looking enact similar initiatives.

Язык: Английский

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