Sustainment of Trauma-Focused and Evidence-Based Practices Following Learning Collaborative Implementation

Sarah A. Helseth*, Samuel O. Peer, Funlola Are, Alyssa M. Korell, Benjamin E. Saunders, Sonja K. Schoenwald, Jason E. Chapman, Rochelle F. Hanson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Given the need to develop and validate effective implementation models that lead to sustainable improvements, we prospectively examined changes in attitudes, behaviors, and perceived organizational support during and after statewide Community-Based Learning Collaboratives (CBLCs) promoting trauma-focused evidence-based practices (EBPs). Participants (N = 857; i.e., 492 clinicians, 218 brokers, and 139 senior leaders) from 10 CBLCs completed surveys pre- and post-CBLC; a subsample (n = 146) completed a follow-up survey approximately two years post-CBLC. Results indicated (a) medium, sustained increases in clinician-reported use of trauma-focused EBPs, (b) medium to large, sustained increases in perceived organizational support for trauma-focused EBPs, and (c) trivial to small, sustained increases in perceived organizational support for EBPs broadly. In contrast, clinician-reported overall attitudes towards EBPs decreased to a trivial degree pre- to post-CBLC, but then increased to a small, statistically significant degree from post-CBLC to follow-up. Notably, the degree of perceived improvements in organizational support for general and trauma-focused EBPs varied by professional role. Findings suggest the CBLC implementation strategies may both increase and sustain provider practices and organizational support towards EBPs, particularly those EBPs a CBLC explicitly targets.

Original languageEnglish (US)
Pages (from-to)569-580
Number of pages12
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume47
Issue number4
DOIs
StatePublished - Jul 1 2020

Keywords

  • Evidence-based practices
  • Learning collaboratives
  • Sustainability
  • Trauma-focused cognitive-behavioral therapy

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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