title: Facilitators and Barriers of Implementing a Measurement Feedback System in Public Youth Mental Health.
abstract: This study examines implementation facilitators and barriers of a statewide roll-out of a measurement feedback system (MFS) in a youth public mental health system. 76 % of all state care coordinators (N = 47) completed interviews, which were coded via content analysis until saturation. Facilitators (e.g., recognition of the MFS's clinical utility) and barriers (e.g., MFS's reliability and validity) emerged paralleling the Exploration, Adoption/Preparation, Implementation, and Sustainment framework outlined by Aarons et al. (Adm Policy Mental Health Mental Health Serv Res, 38:4-23, 2011). Sustainment efforts may leverage innovation fit, individual adopter, and system related facilitators.
authors.affiliation: University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Amelia
authors.initials: A
authors.lastname: Kotte
authors.affiliation: University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Kaitlin A
authors.initials: KA
authors.lastname: Hill
authors.affiliation: University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Albert C
authors.initials: AC
authors.lastname: Mah
authors.affiliation: University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Priya A
authors.initials: PA
authors.lastname: Korathu-Larson
authors.affiliation: University of Hawai'i at Hilo, Hilo, HI, USA.
authors.forename: Janelle R
authors.initials: JR
authors.lastname: Au
authors.affiliation: University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Sonia
authors.initials: S
authors.lastname: Izmirian
authors.affiliation: Child and Adolescent Mental Health Division, Hawai'i Department of Health, Honolulu, HI, USA.
authors.forename: Scott S
authors.initials: SS
authors.lastname: Keir
authors.affiliation: University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Brad J
authors.initials: BJ
authors.lastname: Nakamura
authors.affiliation: University of Hawai'i at Hilo, Hilo, HI, USA. higac@hawaii.edu.
authors.forename: Charmaine K
authors.initials: CK
authors.lastname: Higa-McMillan
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards*; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002648:Child; D002662:Child Health Services / Q000592:standards*; D005246:Feedback; D006254:Hawaii; D006801:Humans; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D036301:Qualitative Research; D011785:Quality Assurance, Health Care; D015203:Reproducibility of Results
keywords: Care coordinator; Implementation; Measurement feedback system; Qualitative