title: Using distance technologies to facilitate a learning collaborative to implement stagewise treatment.
abstract: OBJECTIVE
  This report describes experiences and outcomes of an online learning collaborative focused on implementation of stagewise treatment.
  
  
  METHODS
  Eleven participating programs convened online monthly for a year. Between meetings, program staff created an implementation plan and programs collected performance indicator data, including assessment of staff knowledge of integrated treatment for people with co-occurring disorders, whether a person's current stage of treatment was documented in his or her chart, and whether the treatments were appropriate for the stage of treatment. Descriptive statistics were used to characterize performance indicators and feedback. Wilcoxon matched-pairs signed-rank tests examined changes in performance indicators over time.
  
  
  RESULTS
  Program staff generally demonstrated significant improvements in performance indicators over time and rated the distance learning collaborative favorably.
  
  
  CONCLUSIONS
  Distance learning collaboratives can be structured to provide opportunities for program staff to interact and learn from one another and to implement and sustain changes.
authors.affiliation: Dr. Covell, Mr. Foster, Dr. Margolies, Mr. Lopez, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: covelln@nyspi.columbia.edu). Dr. Covell, Dr. Margolies, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York City. Preliminary data were presented at the Global Implementation Conference, Washington, D.C., August 19-21, 2013.
authors.forename: Nancy H
authors.initials: NH
authors.lastname: Covell
authors.affiliation: Dr. Covell, Mr. Foster, Dr. Margolies, Mr. Lopez, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: covelln@nyspi.columbia.edu). Dr. Covell, Dr. Margolies, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York City. Preliminary data were presented at the Global Implementation Conference, Washington, D.C., August 19-21, 2013.
authors.forename: Forrest P
authors.initials: FP
authors.lastname: Foster
authors.affiliation: Dr. Covell, Mr. Foster, Dr. Margolies, Mr. Lopez, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: covelln@nyspi.columbia.edu). Dr. Covell, Dr. Margolies, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York City. Preliminary data were presented at the Global Implementation Conference, Washington, D.C., August 19-21, 2013.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Margolies
authors.affiliation: Dr. Covell, Mr. Foster, Dr. Margolies, Mr. Lopez, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: covelln@nyspi.columbia.edu). Dr. Covell, Dr. Margolies, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York City. Preliminary data were presented at the Global Implementation Conference, Washington, D.C., August 19-21, 2013.
authors.forename: Luis O
authors.initials: LO
authors.lastname: Lopez
authors.affiliation: Dr. Covell, Mr. Foster, Dr. Margolies, Mr. Lopez, and Dr. Dixon are with the New York State Psychiatric Institute, New York City (e-mail: covelln@nyspi.columbia.edu). Dr. Covell, Dr. Margolies, and Dr. Dixon are also with the Department of Psychiatry, Columbia University Medical Center, New York City. Preliminary data were presented at the Global Implementation Conference, Washington, D.C., August 19-21, 2013.
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Dixon
mesh_terms: D002983:Clinical Competence; D003299:Cooperative Behavior; D020375:Education, Distance / Q000379:methods*; D004521:Educational Measurement; D019317:Evidence-Based Medicine; D006801:Humans; D020407:Internet; D000067250:Psychiatric Rehabilitation / Q000193:education* / Q000379:methods