title: Democratizing Implementation and Innovation in Mental Health Care.
abstract: Improvements in the quality of mental health care in the United States depend on the successful implementation of evidence-based treatments (EBT's) in typical settings of care. Unfortunately, there is little evidence that EBT's are used in ways that would approximate their established fidelity standards in such settings. This article describes an approach to more successful implementation of EBT's via a collaborative process between intervention developers and intervention users (e.g. providers, administrators, consumers) called Lead-user Innovation. Lead-user Innovation democratizes the implementation process by integrating the expertise of lead-users in the delivery, adaptation, innovation and evaluation of EBT's.
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University, New York, USA.
authors.forename: Glenn
authors.initials: G
authors.lastname: Saxe
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University, New York, USA. mary.acri@nyumc.org.|The McSilver Institute for Poverty, Policy, and Research, The Silver School of Social Work, New York, USA. mary.acri@nyumc.org.
authors.forename: Mary
authors.initials: M
authors.lastname: Acri
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D035703:Therapies, Investigational; D014481:United States
keywords: Democraticizing innovation; Lead-user innovation; Treatment innovation