Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors

Развитие концептуальной модели внедрения практики, основанной на доказательствах, в секторах государственных услуг
Gregory A. Aarons, Michael S. Hurlburt, Sarah McCue Horwitz
2010-12-14

Exploration Adoption Preparation Implementation Sustainmentevidence-based practiceimplementation sciencemulti-level implementation modelpublic sector services
Implementation science is a quickly growing discipline. Lessons learned from business and medical settings are being applied but it is unclear how well they translate to settings with different historical origins and customs (e.g., public mental health, social service, alcohol/drug sectors). The purpose of this paper is to propose a multi-level, four phase model of the implementation process (i.e., Exploration, Adoption/Preparation, Implementation, Sustainment), derived from extant literature, and apply it to public sector services. We highlight features of the model likely to be particularly important in each phase, while considering the outer and inner contexts (i.e., levels) of public sector service systems.
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It highlights uncertainty about how effectively implementation lessons from business and medical settings translate to public service contexts.
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The framework is derived from existing implementation-science literature and adapted for public mental health, social service, and alcohol/drug sectors.
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The model comprises Exploration, Adoption/Preparation, Implementation, and Sustainment phases.
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The model emphasizes how outer and inner organizational contexts influence implementation across each phase.
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The paper identifies phase-specific features likely to be especially important in public sector service systems.
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The paper proposes a multilevel, four-phase model for implementing evidence-based practices in public service sectors.

Implementation of evidence-based practices in public service sectors (public mental health, social services, alcohol/drug sectors)

the multi-level, four-phase implementation process across exploration, adoption/preparation, implementation, and sustainment, including the influence of outer and inner contexts

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2010-12-14
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Gregory A. Aarons
Michael S. Hurlburt
Sarah McCue Horwitz
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