Implementation of innovations, a world to win

Implementation of innovations, a world to win

Implementation of innovations, a world to win

Symposium68Ilja Bongers, GGzE Institute for Mental Health Care, The Netherlands; David Buitenweg, GGzE Institute for Mental Health Care, The Netherlands; Ruth Naus, GGzE Institute for Mental Health Care, The Netherlands

Room 3DThu 10:30 - 12:00

Implementation is key for innovations to achieve real impact. Innovations that are not properly implemented, are not as effective as they could be. Problems with implementation of innovations are not caused by one factor but by a multitude of factors. Starting point for successful implementation is to explore different stakeholders’ perspectives to implementation. In the first presentation, the ForCA QuickScan is presented. This QuickScan can be used to gain insight into the facilitators and barriers to implementation of for instance interventions. The second presentation is an evaluation recovery-oriented, peer-to-peer intervention, barriers and facilitators for the implementation of the intervention are investigated. The last presentation focuses on youngsters’ experiences with treatment feedback and their suggestions to improve the implementation of feedback-informed treatment. This symposium might be an inspiring example of youngsters’ powerful role and added value in the implementation of innovations.

Presentation 1: IMPROVING THE IMPLEMENTATION OF INNOVATIONS: A QUICKSCAN

Background:
Implementation of interventions is never easy and simple and the quality of the implementation is significantly related to the effectiveness of the intervention. To gain insight into the barriers and facilitators of an implementation process a screening instrument is developed, the ForCA QuickScan (www.forcaquickscan.nl). The purpose of the QuickScan is to quickly determine the barriers and facilitators that play a role when implementing interventions or innovations. The QuickScan is developed with professionals working with forensic youth. Implementation barriers related to the forensic setting are part of the QuickScan.

Objective:
In this presentation the QuickScan will be explained which is illustrated with an example.

Method:The QuickScan was filled out by 13 professionals at the start of the implementation process of an innovative feedback tool INKT for youngsters in (forensic) mental healthcare.

Results:
The QuickScan describes barriers and facilitators on four domains; i.e. the youngster, organization, intervention, and professionals. Main barriers for the feedback tool were related to problems within the organization. According to the professionals the main facilitator was the understanding of their treatment progress for youngsters when using the feedback tool.

Conclusion: Using the results of the QuickScan an implementation strategy for the feedback tool was designed.

Presentation 2: Preliminary evaluation of Project Life: a recovery-oriented training for youngsters in forensic youth care

Background:
Youngsters with the skills and possibilities to fulfil their life goals contribute positively to society and show less delinquent behaviour (Barendregt, van der Laan, Bongers & van Nieuwenhuizen, 2018). In the Project Life intervention, young people think about what they want to achieve in life and set their own goals.

Objectives:
The current study examines the effectiveness of the recovery-oriented, peer-to-peer intervention Project Life. In addition, barriers and facilitators for the implementation of Project Life are investigated.

Methods:
Data will be collected in two ways. First, participants fill out three questionnaires on empowerment, hope and self-esteem during two moments: directly before (T0) and after the Project Life intervention (T1). The differences between the pre-measurement (T0) and post-measurement (T1) will be investigated using the Reliable Change index to determine the effectiveness of Project Life on an individual level. Second, the experiences of youngsters and trainers will be assessed through qualitative group- and individual interviews. In addition, a Quickscan will be used to identify factors that may act as barriers or facilitators for the implementation of the intervention. All qualitative data will be analysed thematically.

Results:
In this presentation, the preliminary results of both the quantitative and qualitative evaluation of Project Life will be reported. Specifically, the Reliable Change Index and qualitative results regarding the implementation of Project Life will be presented.

Conclusion: The suitability of the Project Life intervention for youngsters in forensic youth care and will be discussed.

References:
Barendregt, C. S., Van der Laan, A. M., Bongers, I. L., & Van Nieuwenhuizen, C. (2018). Quality of life, delinquency and psychosocial functioning of adolescents in secure residential care: testing two assumptions of the Good Lives Model. Child and Adolescent Psychiatry and Mental Health, 12(1), 4.

Presentation 3: WHAT DO ADOLESCENTS THINK ABOUT ROUTINE OUTCOME MEASURES AND THEIR USE?

Background:
Routine Outcome Monitoring (ROM) has become an integral part of Mental Health Care (GGZ). Feedback based on ROM during treatment is considered a successful addition to the overall treatment, which can lead to improved treatment outcomes. Research on feedback in adolescents, however, is scarce. From studies on adult-samples, feedback on treatment progress is related to improvement in daily functioning and a higher quality of life.

Objective:
The goal of this study is to explore adolescents’ experiences with feedback about results of routine outcome monitoring in their treatment and its influence on empowerment.

Method:
Two weeks to six months after adolescents filled out the ROM-questionnaires, in-depth interviews were conducted with eight adolescents aged 12-18. A thematic analysis was performed using Atlas.ti.

Results:
Five themes and corresponding subthemes were identified: (1) insight into functioning, (2) positive and negative effects of insight through routine outcome monitoring data, (3) feedback-informed treatment, (4) shared-decision-making and (5) sense of empowerment. Most adolescents emphasized the importance of feedback and wanted to see the results from the questionnaires they filled out.

Conclusion:
Adolescents’ narratives suggest that feedback is important in treatment. Furthermore, it helps adolescents to engage in treatment. These points stress the importance of the implementation of the feedback tool in the treatment.
Co-authors: Chijs van Nieuwenhuizen, Marilyn Peeters, Romy van Kuijk

Practices in ambulantory & residential care of children and youngsters
expert by experiences, feedback, implementation, routine outcome monitoring
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