Managing to win: Front-line leadership in public mental health settings

Author(s):  
Kenneth Byalin
2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Briana S. Last ◽  
Simone H. Schriger ◽  
Carter E. Timon ◽  
Hannah E. Frank ◽  
Alison M. Buttenheim ◽  
...  

An amendment to this paper has been published and can be accessed via the original article.


2018 ◽  
Vol 267 ◽  
pp. 376-381 ◽  
Author(s):  
Martina Curto ◽  
Enrico Pompili ◽  
Cristiana Silvestrini ◽  
Pina Bellizzi ◽  
Serena Navari ◽  
...  

2019 ◽  
Vol 7 ◽  
Author(s):  
Kelly A. Aschbrenner ◽  
John A. Naslund ◽  
Elizabeth F. Tomlinson ◽  
Allison Kinney ◽  
Sarah I. Pratt ◽  
...  

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218117 ◽  
Author(s):  
Jorge Osma ◽  
Carlos Suso-Ribera ◽  
Óscar Peris-Baquero ◽  
Marta Gil-Lacruz ◽  
Luisa Pérez-Ayerra ◽  
...  

2020 ◽  
Author(s):  
Briana S Last ◽  
Simone H Schriger ◽  
Carter E. Timon ◽  
Hannah E Frank ◽  
Alison M. Buttenheim ◽  
...  

Abstract Background: Trauma focused-cognitive behavioral therapy (TF-CBT) is an evidence-based intervention for youth with posttraumatic stress disorder. An important component of TF-CBT is the trauma narrative (TN), a phase in the intervention in which youth are guided to process the memories, thoughts, and feelings associated with their traumatic experience(s). Previous work has shown that only half of TF-CBT clinicians complete the TN with their clients. Drawing from the behavioral insights literature—an interdisciplinary field studying judgment and decision-making—the present study seeks to understand what determines clinician use of the TN and to generate strategies that target these determinants. Methods: Through semi-structured qualitative interviews, we sought the perspectives of trained TF-CBT clinicians working in public mental health settings across the city of Philadelphia (n=17) to understand their decisions to use the TN with clients. We analyzed the qualitative data using a coding approach informed by the behavioral insights literature. We used an iterative process of structured hypothesis generation, aided by a behavioral insights guide, and rapid validation informed by behavioral insights to uncover the determinants of TN use. We then generated implementation strategies that targeted these determinants using the “Easy Attractive Social Timely” framework, a behavioral insights design approach. Results: We generated and validated three broad themes about what determines clinician implementation of the TN: decision complexity, clinician affective experience, and agency norms. We hypothesized the behavioral insights that underlie these implementation determinants and generated a list of nine behavioral insights strategies that theoretically may facilitate TN implementation. Conclusions: Our study investigated why an effective component of an evidence-based intervention is difficult to implement. We leveraged robust scientific theories and empirical regularities from the behavioral insights literature to understand clinician perspectives on TN implementation. These factors were theoretically linked to implementation strategies. Our work revealed the potential for using behavioral insights in the diagnosis of evidence-based intervention determinants and the design of implementation strategies.


1985 ◽  
Vol 4 (2) ◽  
pp. 83-92 ◽  
Author(s):  
S. Mark Pancer

One reason often cited for the difficulty in implementing and utilizing evaluation in mental health settings is the resistance of clinical staff. This resistance can often be traced to the lack of involvement of front-line staff in the research process, despite the fact that they are major stakeholders in the evaluation and its results. This article outlines a number of ways in which the needs of program staff can be addressed by involving them more in the design, implementation and reporting of the evaluation, by providing information that can be used in the assessment and treatment of individual clients, and by minimizing the negative consequences resulting from evaluation activities. An evaluation of a camp for children with learning disabilities and behaviour problems is used to illustrate some of the principles discussed.


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