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...
Main Authors: | , , , , , , , , , , , |
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Format: | Article |
Language: | English |
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BMC
2023-06-01
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Series: | Implementation Science |
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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. |
first_indexed | 2024-03-13T03:20:44Z |
format | Article |
id | doaj.art-f3c68d64f0084fdba3ce02c7dd3d4f7f |
institution | Directory Open Access Journal |
issn | 1748-5908 |
language | English |
last_indexed | 2024-03-13T03:20:44Z |
publishDate | 2023-06-01 |
publisher | BMC |
record_format | Article |
series | Implementation Science |
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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