Journal
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
Volume 43, Issue 6, Pages 834-849Publisher
SPRINGER
DOI: 10.1007/s10488-016-0754-1
Keywords
Implementation science; Mental health; Evidence-based practices; System dynamics; Participatory stakeholder engagement
Funding
- National Center for PTSD, Department of Veterans Affairs
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Implementation planning typically incorporates stakeholder input. Quality improvement efforts provide data-based feedback regarding progress. Participatory system dynamics modeling (PSD) triangulates stakeholder expertise, data and simulation of implementation plans prior to attempting change. Frontline staff in one VA outpatient mental health system used PSD to examine policy and procedural mechanisms they believe underlie local capacity to implement evidence-based psychotherapies (EBPs) for PTSD and depression. We piloted the PSD process, simulating implementation plans to improve EBP reach. Findings indicate PSD is a feasible, useful strategy for building stakeholder consensus, and may save time and effort as compared to trial-and-error EBP implementation planning.
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