title: Implementing CommonGround in a community mental health center: Lessons in a computerized decision support system.
abstract: OBJECTIVE
  Although shared decision making (SDM) is a key element of client-centered care, it has not been widely adopted. Accordingly, interventions have been developed to promote SDM. The aim of this study was to explore the implementation process of one SDM intervention, CommonGround, which utilizes peer specialists and a computerized decision support center to promote SDM.
  
  
  METHODS
  As part of a larger study, CommonGround was implemented in 4 treatment teams in a community mental health center. The implementation process was examined by conducting semistructured interviews with 12 staff members that were integral to the CommonGround implementation. Responses were analyzed using content analysis. Program fidelity and client program use were also examined.
  
  
  RESULTS
  Although key informants identified several client and staff benefits to using CommonGround, including improved treatment engagement and availability of peer specialists, most clients did not use CommonGround consistently throughout the implementation. Key informants and fidelity reports indicated a number of program (e.g., technological difficulties, increased staff burden) and contextual barriers (e.g., poor fit with service structure, decision support center location, low staff investment and high turnover) to the successful implementation of CommonGround. Strategies to maximize the implementation by increasing awareness, buy-in, and utilization are also reported.
  
  
  CONCLUSIONS
  This implementation of CommonGround was limited in its success partly as a result of program and contextual barriers. Future implementations may benefit from incorporating the strategies identified to maximize implementation in order to obtain the full program benefits. (PsycINFO Database Record
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis.
authors.forename: Kelsey A
authors.initials: KA
authors.lastname: Bonfils
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis.
authors.forename: Kimberly C
authors.initials: KC
authors.lastname: Dreison
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis.
authors.forename: Lauren
authors.initials: L
authors.lastname: Luther
authors.affiliation: School of Social Welfare Center for Mental Health Research and Innovation, University of Kansas.
authors.forename: Sadaaki
authors.initials: S
authors.lastname: Fukui
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis.
authors.forename: Abigail E
authors.initials: AE
authors.lastname: Dempsey
authors.affiliation: School of Social Welfare Center for Mental Health Research and Innovation, University of Kansas.
authors.forename: Charles A
authors.initials: CA
authors.lastname: Rapp
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis.
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
mesh_terms: D003155:Community Mental Health Centers; D003156:Community Mental Health Services / Q000379:methods*; D003657:Decision Making; D003661:Decision Support Techniques; D006801:Humans; D010379:Peer Group; D016730:Program Development; D015397:Program Evaluation