title: Implementing a continuum of evidence-based psychosocial interventions for people with severe mental illness: part 2-review of critical implementation issues.
abstract: OBJECTIVE
  In North America and internationally, efforts have been made to reduce the gaps between knowledge of psychosocial evidence-based practices (EBPs) and the delivery of such services in routine mental health practice. Part 2 of this review identifies key issues for stakeholders to consider when implementing comprehensive psychosocial EBPs for people with severe mental illness (SMI).
  
  
  METHODS
  A rapid review of the literature was conducted. Searches were carried out in MEDLINE and PsycINFO for reports published between 1990 and 2012 using key words related to SMI, and psychosocial practices and implementation. The Consolidated Framework for Implementation Research (CFIR) was used to structure findings according to key domains and constructs known to influence the implementation process.
  
  
  RESULTS
  The CFIR allowed us to identify 17 issues reflecting more than 30 constructs of the framework that were viewed as influential to the process of implementing evidence-based psychosocial interventions for people with SMI. Issues arising at different levels of influence (intervention, individual, organizational, and system) and at all phases of the implementation process (planning, engagement, execution, and evaluation) were found to play important roles in implementation.
  
  
  CONCLUSIONS
  The issues identified in this review should be taken into consideration by stakeholders when engaging in efforts to promote uptake of new psychosocial EBPs and to widen the range of effective psychosocial services available in routine mental health care.
authors.affiliation: Associate Professor, School of Rehabilitation, University of Montreal, Montreal, Quebec; Researcher, Centre d'études sur la réadaptation, le rétablissement et l'insertion sociale (CÉRRIS), Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec.
authors.forename: Catherine
authors.initials: C
authors.lastname: Briand
authors.affiliation: Student, Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, Quebec.
authors.forename: Matthew
authors.initials: M
authors.lastname: Menear
mesh_terms: D055317:Evidence-Based Practice / Q000379:methods / Q000458:organization & administration; D006297:Health Services Accessibility; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D010346:Patient Care Management / Q000379:methods / Q000458:organization & administration; D012720:Severity of Illness Index; D012944:Social Support; D057170:Translational Research, Biomedical