Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
Inter-organizational alignment and implementation outcomes in integrated mental healthcare for children and adolescents: a cross-sectional observational study.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
- معلومة اضافية
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101258411 Publication Model: Electronic Cited Medium: Internet ISSN: 1748-5908 (Electronic) Linking ISSN: 17485908 NLM ISO Abbreviation: Implement Sci Subsets: MEDLINE
- بيانات النشر:
Original Publication: [London] : BioMed Central, 2006-
- الموضوع:
- نبذة مختصرة :
Background: Integrated care involves care provided by a team of professionals, often in non-traditional settings. A common example worldwide is integrated school-based mental health (SBMH), which involves externally employed clinicians providing care at schools. Integrated mental healthcare can improve the accessibility and efficiency of evidence-based practices (EBPs) for vulnerable populations suffering from fragmented traditional care. However, integration can complicate EBP implementation due to overlapping organizational contexts, diminishing the public health impact. Emerging literature suggests that EBP implementation may benefit from the similarities in the implementation context factors between the different organizations in integrated care, which we termed inter-organizational alignment (IOA). This study quantitatively explored whether and how IOA in general and implementation context factors are associated with implementation outcomes in integrated SBMH.
Methods: SBMH clinicians from community-based organizations (CBOs; n clinician = 27) and their proximal student-support school staff (n school = 99) rated their schools and CBOs (clinician only) regarding general (organizational culture and molar climate) and implementation context factors (Implementation Climate and Leadership), and nine common implementation outcomes (e.g., treatment integrity, service access, acceptability). The levels of IOA were estimated by intra-class correlations (ICCs). We fitted multilevel models to estimate the standalone effects of context factors from CBOs and schools on implementation outcomes. We also estimated the 2-way interaction effects between CBO and school context factors (i.e., between-setting interdependence) on implementation outcomes.
Results: The IOA in general context factors exceeded those of implementation context factors. The standalone effects of implementation context factors on most implementation outcomes were larger than those of general context factors. Similarly, implementation context factors between CBOs and schools showed larger 2-way interaction effects on implementation outcomes than general context factors.
Conclusions: This study preliminarily supported the importance of IOA in context factors for integrated SBMH. The findings shed light on how IOA in implementation and general context factors may be differentially associated with implementation outcomes across a broad array of integrated mental healthcare settings.
(© 2024. The Author(s).)
- Comments:
Update of: Res Sq. 2024 Jan 02:rs.3.rs-3745830. doi: 10.21203/rs.3.rs-3745830/v1. (PMID: 38260462)
- References:
Healthc (Amst). 2018 Mar;6(1):52-66. (PMID: 28958470)
School Ment Health. 2014 May 1;6(2):99-111. (PMID: 26413173)
J Clin Child Adolesc Psychol. 2014;43(6):890-901. (PMID: 24134063)
Child Abuse Negl. 2012 Sep;36(9):621-32. (PMID: 22980071)
Implement Sci. 2015 Jan 16;10:11. (PMID: 25592163)
Clin Child Fam Psychol Rev. 2000 Dec;3(4):223-41. (PMID: 11225738)
J Am Acad Child Adolesc Psychiatry. 2004 Aug;43(8):960-70. (PMID: 15266190)
Adm Policy Ment Health. 2006 May;33(3):398-409. (PMID: 16755398)
Lancet. 2003 Oct 11;362(9391):1225-30. (PMID: 14568747)
Implement Sci. 2011 Jul 22;6:78. (PMID: 21781328)
Implement Sci. 2018 Jan 08;13(1):5. (PMID: 29310673)
Annu Rev Psychol. 2022 Jan 4;73:659-689. (PMID: 34982593)
Child Youth Serv Rev. 2010 Dec 1;32(12):1814-1822. (PMID: 21076622)
Soc Sci Med. 2008 Nov;67(10):1530-40. (PMID: 18760519)
Adm Policy Ment Health. 2007 Jul;34(4):319-30. (PMID: 17268858)
Adm Policy Ment Health. 2014 Nov;41(6):737-49. (PMID: 24046236)
Am J Public Health. 2012 Jun;102(6):e41-5. (PMID: 22515849)
Implement Sci. 2017 Aug 29;12(1):108. (PMID: 28851459)
Pharm Stat. 2021 Jan;20(1):109-116. (PMID: 32790026)
Adm Policy Ment Health. 2008 Mar;35(1-2):98-113. (PMID: 18085434)
Implement Sci. 2018 Feb 07;13(1):24. (PMID: 29415749)
Implement Sci. 2018 Aug 22;13(1):116. (PMID: 30134943)
Adm Policy Ment Health. 2007 Jul;34(4):411-9. (PMID: 17410420)
Annu Rev Public Health. 2014;35:255-74. (PMID: 24641560)
Implement Sci. 2014 Oct 23;9:157. (PMID: 25338781)
Lancet Psychiatry. 2014 Oct;1(5):377-387. (PMID: 26114092)
Adm Policy Ment Health. 2014 Nov;41(6):788-99. (PMID: 24202067)
Implement Sci. 2007 Nov 30;2:40. (PMID: 18053122)
J Appl Psychol. 2005 Jul;90(4):616-28. (PMID: 16060782)
Child Maltreat. 2012 Feb;17(1):67-79. (PMID: 22146861)
Evid Rep Technol Assess (Full Rep). 2008 Nov;(173):1-362. (PMID: 19408966)
Implement Sci. 2015 May 07;10:65. (PMID: 25948489)
Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
J Sch Health. 2000 May;70(5):201-5. (PMID: 10900598)
Adm Policy Ment Health. 2011 Jan;38(1):4-23. (PMID: 21197565)
Adm Policy Ment Health. 2013 Jul;40(4):258-63. (PMID: 22371190)
Implement Sci. 2017 Mar 3;12(1):29. (PMID: 28253900)
Clin Psychol (New York). 2010 Mar;17(1):1-30. (PMID: 20877441)
BMC Med Res Methodol. 2014 Mar 20;14:41. (PMID: 24650044)
Adm Policy Ment Health. 2023 May;50(3):427-449. (PMID: 36585557)
JAMA Pediatr. 2015 Oct;169(10):929-37. (PMID: 26259143)
Child Welfare. 2009;88(4):77-111. (PMID: 20405778)
Child Abuse Negl. 1998 May;22(5):401-21. (PMID: 9631252)
J Occup Rehabil. 2015 Jun;25(2):279-87. (PMID: 25134514)
Implement Sci. 2024 Feb 19;19(1):16. (PMID: 38373979)
Implement Sci. 2024 Feb 12;19(1):13. (PMID: 38347639)
Annu Rev Psychol. 2013;64:361-88. (PMID: 22856467)
Health Serv Res. 1994 Aug;29(3):341-66. (PMID: 8063569)
J Consult Clin Psychol. 2010 Aug;78(4):537-50. (PMID: 20658810)
Adm Policy Ment Health. 2014 Jan;41(1):74-85. (PMID: 22886317)
Implement Sci. 2020 Feb 7;15(1):10. (PMID: 32033575)
Implement Sci. 2018 Jun 25;13(1):85. (PMID: 29940989)
- Grant Information:
F31 MH011069 United States MH NIMH NIH HHS; R21MH11069 United States MH NIMH NIH HHS
- Contributed Indexing:
Keywords: General organizational context; Implementation context; Integrated mental healthcare; Inter-organizational alignment; Organizational implementation context
- الموضوع:
Date Created: 20240527 Date Completed: 20240528 Latest Revision: 20240718
- الموضوع:
20240719
- الرقم المعرف:
PMC11129427
- الرقم المعرف:
10.1186/s13012-024-01364-w
- الرقم المعرف:
38802827
No Comments.