title: Integration of treatment innovation planning and implementation: strategic process models and organizational challenges.
abstract: Sustained and effective use of evidence-based practices in substance abuse treatment services faces both clinical and contextual challenges. Implementation approaches are reviewed that rely on variations of plan-do-study-act (PDSA) cycles, but most emphasize conceptual identification of core components for system change strategies. A two-phase procedural approach is therefore presented based on the integration of Texas Christian University (TCU) models and related resources for improving treatment process and program change. Phase 1 focuses on the dynamics of clinical services, including stages of client recovery (cross-linked with targeted assessments and interventions), as the foundations for identifying and planning appropriate innovations to improve efficiency and effectiveness. Phase 2 shifts to the operational and organizational dynamics involved in implementing and sustaining innovations (including the stages of training, adoption, implementation, and practice). A comprehensive system of TCU assessments and interventions for client and program-level needs and functioning are summarized as well, with descriptions and guidelines for applications in practical settings.
authors: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA. w.lehman@tcu.edu
authors: Wayne E K
authors: WE
authors: Lehman
authors: D Dwayne
authors: DD
authors: Simpson
authors: Danica K
authors: DK
authors: Knight
authors: Patrick M
authors: PM
authors: Flynn
mesh_terms: D004059:Diffusion of Innovation; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D017146:Models, Organizational; D009936:Organizational Innovation; D010347:Patient Care Planning; D019966:Substance-Related Disorders / Q000628:therapy*