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Implementation of an evidence-based intervention to reduce long-term foster care: Practitioner perceptions of key challenges and supports

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  • Akin, Becci A.
  • Mariscal, Susana E.
  • Bass, Linda
  • McArthur, Vickie Burgess
  • Bhattarai, Jackie
  • Bruns, Kimberly

Abstract

Although a growing literature defines significant components of systematic and effective implementation of evidence-based interventions (EBIs), little information exists about real-world successes and setbacks from child welfare practitioners' perspectives. This study sought to identify key challenges and supports during implementation of an EBI to reduce long-term foster care. Semi-structured, individual interviews were conducted with 28 child welfare practitioners implementing an EBI–Parent Management Training, Oregon Model (PMTO). Transcripts were coded and analyzed using theoretical thematic analysis. Member checking was used to confirm identified themes across interviews. Using six implementation factors to organize the results, multiple facilitators and barriers were identified. Study findings suggest that implementation of EBIs in child welfare should consider promoting and ensuring: (a) a learning culture with effective communication, rapid improvement cycles, and timely feedback loops; (b) frequent, direct, supportive, and high-quality coaching and supervision; (c) strong leadership and organizational fit; and, (d) strategies for tailoring the EBI to the child welfare setting, including responses to families' multiple and complex needs and practices for effective client engagement.

Suggested Citation

  • Akin, Becci A. & Mariscal, Susana E. & Bass, Linda & McArthur, Vickie Burgess & Bhattarai, Jackie & Bruns, Kimberly, 2014. "Implementation of an evidence-based intervention to reduce long-term foster care: Practitioner perceptions of key challenges and supports," Children and Youth Services Review, Elsevier, vol. 46(C), pages 285-293.
    • Handle: RePEc:eee:cysrev:v:46:y:2014:i:c:p:285-293
    DOI: 10.1016/j.childyouth.2014.09.006
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    References listed on IDEAS

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    1. Crea, Thomas M. & Crampton, David S. & Abramson-Madden, Anne & Usher, Charles L., 2008. "Variability in the implementation of Team Decisionmaking (TDM): Scope and compliance with the Family to Family practice model," Children and Youth Services Review, Elsevier, vol. 30(11), pages 1221-1232, November.
    2. Maher, Erin J. & Jackson, Lovie J. & Pecora, Peter J. & Schultz, Dana J. & Chandra, Anita & Barnes-Proby, Dionne S., 2009. "Overcoming challenges to implementing and evaluating evidence-based interventions in child welfare: A matter of necessity," Children and Youth Services Review, Elsevier, vol. 31(5), pages 555-562, May.
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    Cited by:

    1. Ressang-Wildschut, Janet & Oldenhof, Lieke & Leistikow, Ian, 2023. "Can leadership make the difference? A scoping review of leadership and its effects in child and youth care," Children and Youth Services Review, Elsevier, vol. 150(C).
    2. Fuller, Tamara & Braun, Michael & Chiu, Yu-ling, 2018. "Increasing worker buy-in for child welfare reform: Examining the influence of individual, organizational, and implementation factors," Children and Youth Services Review, Elsevier, vol. 93(C), pages 301-306.
    3. Akin, Becci A., 2016. "Practitioner views on the core functions of coaching in the implementation of an evidence-based intervention in child welfare," Children and Youth Services Review, Elsevier, vol. 68(C), pages 159-168.

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