The ARC organizational and community intervention strategy for implementing evidence-based children's mental health treatments.
This paper reviews the implications of organizational and community intervention research for the implementation of effective mental health treatments in usual community practice settings. The paper describes an organizational and community intervention model named ARC for Availability, Responsiveness and Continuity, that was designed to support the improvement of social and mental health services for children. The ARC model incorporates intervention components from organizational development, interorganizational domain development, the diffusion of innovation, and technology transfer that target social, strategic, and technological factors in effective children's services. This paper also describes a current NIMH-funded study that is using the ARC intervention model to support the implementation of an evidence-based treatment, Multisystemic Therapy (MST), for delinquent youth in extremely rural, impoverished communities in the Appalachian Mountains of East Tennessee.
Glisson
Charles
C
Children's Mental Health Services Research Center, University of Tennessee, Knoxville, Tennessee 37996-3332, USA. cglisson@utk.edu
Schoenwald
Sonja K
SK
D001061:Appalachian Region; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D018672:Community Health Planning; D003156:Community Mental Health Services / Q000458:organization & administration*; D019317:Evidence-Based Medicine; D006302:Health Services Research; D006801:Humans; D017146:Models, Organizational; D009936:Organizational Innovation; D010934:Planning Techniques; D019035:Rural Health Services / Q000458:organization & administration