Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators.
Measurement feedback systems (MFSs) have been proposed as a means of improving practice. The present study examined the implementation of a MFS, the Contextualized Feedback System (CFS), in two community-based clinic sites. Significant implementation differences across sites provided a basis for examining factors that influenced clinician uptake of CFS. Following the theoretical implementation framework of Aarons et al. (Adm Policy Mental Health Mental Health Serv Res 38(1):4-23, 2011), we coded qualitative data collected from eighteen clinicians (13 from Clinic U and 5 from Clinic R) who participated in semi-structured interviews about their experience with CFS implementation. Results suggest that clinicians at both clinics perceived more barriers than facilitators to CFS implementation. Interestingly, clinicians at the higher implementing clinic reported a higher proportion of barriers to facilitators (3:1 vs. 2:1); however, these clinicians also reported a significantly higher level of organizational and leadership supports for CFS implementation. Implications of these findings are discussed.
New York University Langone Medical Center, New York, USA.
Alissa A
AA
Gleacher
New York University Langone Medical Center, New York, USA.
Serene S
SS
Olin
New York University Langone Medical Center, New York, USA.
Erum
E
Nadeem
New York University Langone Medical Center, New York, USA.
Michele
M
Pollock
New York University Langone Medical Center, New York, USA.
Vanesa
V
Ringle
Vanderbilt University, Nashville, USA.
Leonard
L
Bickman
Vanderbilt University, Nashville, USA.
Susan
S
Douglas
New York University Langone Medical Center, New York, USA. KimberlyE.Hoagwood@nyumc.org.
Kimberly
K
Hoagwood
D000328:Adult; D001291:Attitude of Health Personnel; D005246:Feedback; D005260:Female; D006801:Humans; D007857:Leadership; D008297:Male; D008605:Mental Health Services; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D036301:Qualitative Research
Implementation; Measurement feedback; Mixed methods