Learning and change in a community mental health setting.
This article offers methodological reflections and lessons learned from a three-year university-community partnership that used participatory action research methods to develop and evaluate a model for learning and change. Communities of practice were used to facilitate the translation of recovery-oriented and evidence-based programs into everyday practice at a community mental health agency. Four lessons were drawn from this project. First, the processes of learning and organizational change are complex, slow, and multifaceted. Second, development of leaders and champions is vital to sustained implementation in an era of restricted resources. Third, it is important to have the agency's values, mission, policies, and procedures align with the principles and practices of recovery and integrated treatment. And fourth, effective learning of evidence-based practices is influenced by organizational culture and climate. These four lessons are expanded upon and situated within the broader literature and implications for future research are discussed.
a School of Social Work, Saint Louis University , St. Louis , Missouri , USA.
Michael A
MA
Mancini
Craig S
CS
Miner
D003156:Community Mental Health Services / Q000458:organization & administration* / Q000639:trends*; D055812:Community-Based Participatory Research / Q000458:organization & administration / Q000639:trends; D003159:Community-Institutional Relations / Q000639:trends*; D003299:Cooperative Behavior; D017831:Diagnosis, Dual (Psychiatry); D055317:Evidence-Based Practice / Q000458:organization & administration* / Q000639:trends*; D005544:Forecasting; D006284:Health Plan Implementation / Q000458:organization & administration / Q000639:trends; D006801:Humans; D033183:Interdisciplinary Communication; D007857:Leadership; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D010348:Patient Care Team / Q000458:organization & administration / Q000639:trends; D055818:Public-Private Sector Partnerships; D012947:Social Work / Q000458:organization & administration* / Q000639:trends*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D014495:Universities