title: Evidence-based practice implementation in community mental health settings: the relative importance of key domains of implementation activity.
abstract: Implementation research has examined practice prioritization, implementation leadership, workforce development, workflow re-engineering, and practice reinforcement, but not addressed their relative importance as implementation drivers. This study investigated domains of implementation activities and correlated them to implementation success during a large national evidence-based practice implementation project. Implementation success was correlated with active leadership strategically devoted to redesigning the flow of work and reinforcing implementation through measurement and feedback. Relative attention to workforce development was negatively correlated with implementation. Active leaders should focus on redesigning the flow of work to support the implementation and on reinforcing program improvements.
authors.affiliation: Department of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research Center, Rivermill Comercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766, USA. william.c.torrey@dartmouth.edu
authors.forename: William C
authors.initials: WC
authors.lastname: Torrey
authors.forename: Gary R
authors.initials: GR
authors.lastname: Bond
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: McHugo
authors.forename: Karin
authors.initials: K
authors.lastname: Swain
mesh_terms: D003156:Community Mental Health Services / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D055317:Evidence-Based Practice / Q000379:methods* / Q000458:organization & administration; D019983:Guideline Adherence; D006284:Health Plan Implementation / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D001523:Mental Disorders / Q000628:therapy; D012054:Reinforcement, Psychology