The role of implementation organizations in scaling evidence-based psychosocial interventions

Implementation Science

Debate

Allen R. Miller¹  Judith S. Beck¹  Ceth Ashen²  Philip C. Kendall³  Margaret E. Crane⁴  Bruce F. Chorpita⁵  John A. Pickering⁶  Carolyn Webster-Stratton⁷  Dennis D. Embry⁸  Matthew R. Sanders⁹  Eric L. Daleiden^1,10  Jenna McWilliam^1,11 

[1] Beck Institute for Cognitive Behavior Therapy, 1 Belmont Ave #700, 19004, Bala Cynwyd, PA, USA;C. Ashen Consulting, 222 North Canon Dr. Ste 205, 90210, Beverly Hills, CA, USA;Department of Psychology, Temple University, Weiss Hall, 1701 N 13th St, 19122, Philadelphia, PA, USA;Department of Psychology, Temple University, Weiss Hall, 1701 N 13th St, 19122, Philadelphia, PA, USA;Department of Psychiatry, New York Presbyterian-Weill Cornell Medicine, 425 E 61st St, 10065, New York, NY, USA;Department of Psychology, University of California Los Angeles, 502 Portola Plaza, 90095, Los Angeles, CA, USA;PracticeWise, LLC, 410 Coach Rd, 32937, Satellite Beach, FL, USA;Evidn, 315 Brunswick St, 4006, Fortitude Valley, QLD, Australia;Incredible Years Inc, 1411 8th Avenue, 98119, West Seattle, WA, USA;PAXIS Institute, PO Box 31205, 85751, Tucson, AZ, USA;Parenting and Family Support Centre, School of Psychology, The University of Queensland, 4067, St Lucia, QLD, Australia;PracticeWise, LLC, 410 Coach Rd, 32937, Satellite Beach, FL, USA;Triple P International, 11 Market St N, 4068, Indooroopilly, QLD, Australia;

关键词: Commercialization;    Industry;    Purveyor;    Intermediary;    Dissemination;    Implementation;    Evidence-based intervention;    Stages of Small Business Growth;   

DOI  :  10.1186/s13012-023-01280-5

 received in 2023-02-06, accepted in 2023-06-02,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundTo bring evidence-based interventions (EBIs) to individuals with behavioral health needs, psychosocial interventions must be delivered at scale. Despite an increasing effort to implement effective treatments in communities, most individuals with mental health and behavioral problems do not receive EBIs. We posit that organizations that commercialize EBIs play an important role in disseminating EBIs, particularly in the USA. The behavioral health and implementation industry is growing, bringing the implementation field to an important inflection point: how to scale interventions to improve access while maintaining EBI effectiveness and minimizing inequities in access to psychosocial intervention.Main bodyWe offer a first-hand examination of five illustrative organizations specializing in EBI implementation: Beck Institute for Cognitive Behavioral Therapy; Incredible Years, Inc.; the PAXIS Institute; PracticeWise, LLC; and Triple P International. We use the Five Stages of Small Business Growth framework to organize themes. We discuss practical structures (e.g., corporate structures, intellectual property agreements, and business models) and considerations that arise when trying to scale EBIs including balancing fidelity and reach of the intervention. Business models consider who will pay for EBI implementation and allow organizations to scale EBIs.ConclusionWe propose research questions to guide scaling: understanding the level of fidelity needed to maintain efficacy, optimizing training outcomes, and researching business models to enable organizations to scale EBIs.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 3