title: What would it take? Stakeholders' views and preferences for implementing a health care manager program in community mental health clinics under health care reform.
abstract: Health care manager interventions can improve the physical health of people with serious mental illness (SMI). In this study, we used concepts from the theory of diffusion of innovations, the consolidated framework for implementation research and a taxonomy of implementation strategies to examine stakeholders' recommendations for implementing a health care manager intervention in public mental health clinics serving Hispanics with SMI. A purposive sample of 20 stakeholders was recruited from mental health agencies, primary care clinics, and consumer advocacy organizations. We presented participants a vignette describing a health care manager intervention and used semistructured qualitative interviews to examine their views and recommendations for implementing this program. Interviews were recorded, professionally transcribed, and content analyzed. We found that a blend of implementation strategies that demonstrates local relative advantage, addresses cost concerns, and enhances compatibility to organizations and the client population is critical for moving health care manager interventions into practice.
authors.affiliation: School of Social Work, Columbia University, NY, USA New York State Psychiatric Institute, NY, USA ljc2139@columbia.edu.
authors.forename: Leopoldo J
authors.initials: LJ
authors.lastname: Cabassa
authors.affiliation: School of Social Work, Columbia University, NY, USA.
authors.forename: Arminda P
authors.initials: AP
authors.lastname: Gomes
authors.affiliation: New York State Psychiatric Institute, NY, USA.
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D001291:Attitude of Health Personnel; D003155:Community Mental Health Centers / Q000458:organization & administration*; D005260:Female; D018166:Health Care Reform / Q000458:organization & administration*; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D062526:Patient Navigation / Q000458:organization & administration*
keywords: health care management; implementation strategies; serious mental illness