Background: Despite a push to implement evidence-based practices in behavioral healthcare, few studies have focused on the processes involved in this endeavor. This study describes the organizational transformation process at a large child and youth mental health service provider organization in Ontario, Canada. A detailed qualitative analysis of the change processes involved in shifting all service delivery to evidence-based practices examined process themes over time (4 years) and mapped these processes against the NIRN model of implementation. Methods/Design: This was a prospective single case study of process change in a child and youth mental health service provider organization using participant observation and verbatim field notes to capture elements of the change process over time (4 years).
Results: Process themes from this real world change initiative did map onto the NIRN model of scaling up for organizational change. Emergent themes provide a rich, detailed description of the scaling up activities with respect to organizational change, building on the stages laid out by NIRN.
Discussion: Findings have implications for the viable field use of the NIRN model for scaling up change and implementation of evidence-based practices in behavioural healthcare. Lessons learned provide greater definition of issues related to EBP change implementation that can assist other organizations.
|Keywords:||Implementation, Evidence-based Practice, Organizational Change, Practice Change|
Psychologist and Health Systems Scientist, Community Health Systems Resource Group and the Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada
Clinical Research Project Coordinator, Community Health Systems Resource Group, The Hospital for Sick Children, Toronto, Ontario, Canada
Research Assistant, Community Health Systems Resource Group, The Hospital for Sick Children, Toronto, Ontario, Canada
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