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

Abstract Background To 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 probl...

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Main Authors: Margaret E. Crane, Philip C. Kendall, Bruce F. Chorpita, Matthew R. Sanders, Allen R. Miller, Carolyn Webster-Stratton, Jenna McWilliam, Judith S. Beck, Ceth Ashen, Dennis D. Embry, John A. Pickering, Eric L. Daleiden
Format: Article
Language:English
Published: BMC 2023-06-01
Series:Implementation Science
Subjects:
Online Access:https://doi.org/10.1186/s13012-023-01280-5
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author Margaret E. Crane
Philip C. Kendall
Bruce F. Chorpita
Matthew R. Sanders
Allen R. Miller
Carolyn Webster-Stratton
Jenna McWilliam
Judith S. Beck
Ceth Ashen
Dennis D. Embry
John A. Pickering
Eric L. Daleiden
author_facet Margaret E. Crane
Philip C. Kendall
Bruce F. Chorpita
Matthew R. Sanders
Allen R. Miller
Carolyn Webster-Stratton
Jenna McWilliam
Judith S. Beck
Ceth Ashen
Dennis D. Embry
John A. Pickering
Eric L. Daleiden
author_sort Margaret E. Crane
collection DOAJ
description Abstract Background To 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 body We 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. Conclusion We 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.
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spelling doaj.art-f3c68d64f0084fdba3ce02c7dd3d4f7f2023-06-25T11:23:46ZengBMCImplementation Science1748-59082023-06-0118111510.1186/s13012-023-01280-5The role of implementation organizations in scaling evidence-based psychosocial interventionsMargaret E. Crane0Philip C. Kendall1Bruce F. Chorpita2Matthew R. Sanders3Allen R. Miller4Carolyn Webster-Stratton5Jenna McWilliam6Judith S. Beck7Ceth Ashen8Dennis D. Embry9John A. Pickering10Eric L. Daleiden11Department of Psychology, Temple UniversityDepartment of Psychology, Temple UniversityDepartment of Psychology, University of California Los AngelesParenting and Family Support Centre, School of Psychology, The University of QueenslandBeck Institute for Cognitive Behavior TherapyIncredible Years IncTriple P InternationalBeck Institute for Cognitive Behavior TherapyC. Ashen ConsultingPAXIS InstituteEvidnPracticeWise, LLCAbstract Background To 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 body We 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. Conclusion We 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.https://doi.org/10.1186/s13012-023-01280-5CommercializationIndustryPurveyorIntermediaryDisseminationImplementation
spellingShingle Margaret E. Crane
Philip C. Kendall
Bruce F. Chorpita
Matthew R. Sanders
Allen R. Miller
Carolyn Webster-Stratton
Jenna McWilliam
Judith S. Beck
Ceth Ashen
Dennis D. Embry
John A. Pickering
Eric L. Daleiden
The role of implementation organizations in scaling evidence-based psychosocial interventions
Implementation Science
Commercialization
Industry
Purveyor
Intermediary
Dissemination
Implementation
title The role of implementation organizations in scaling evidence-based psychosocial interventions
title_full The role of implementation organizations in scaling evidence-based psychosocial interventions
title_fullStr The role of implementation organizations in scaling evidence-based psychosocial interventions
title_full_unstemmed The role of implementation organizations in scaling evidence-based psychosocial interventions
title_short The role of implementation organizations in scaling evidence-based psychosocial interventions
title_sort role of implementation organizations in scaling evidence based psychosocial interventions
topic Commercialization
Industry
Purveyor
Intermediary
Dissemination
Implementation
url https://doi.org/10.1186/s13012-023-01280-5
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