Research to Practice Team TrainingBuilding Your State Team

Agenda Welcome Introductions Making the Case—Community Assessment Making the SHIFT—Readiness Making the SHIFT—Selecting an EBP Making the SHIFT—Action Planning Evaluation/Feedback

Why Now?

Institute of Medicine, 2001

Evidence-based Practice

• “Evidence-based practices are interventions for which there is consistent scientific evidence showing that they improve client

outcomes”(Drake, et al., 2001).

The Shift Project for Adolescent Girls

Rationale

– Evidence based research has not permeated practice settings

– R2P team can serve as catalyst for EBP adoption

Catalysts for Starting a State R2P Team

• National Strategy for Suicide Prevention Goals• The State Suicide Prevention Coalition• Agency policy• High profile• State data• Survivors of suicide

R2P Teams Goal

• The SHIFT Project R2P team is a state-based coalition of change-oriented organizations and individuals working to promote the adoption of evidence-based suicide prevention programs for adolescent girls.

Today’s Goals

Introductions

• Who are you?• Who do you represent?• What can you give to this process?• What can you take from this process?

Making the Case—Community Assessment

STATE DEMOGRAPHICS

PREVALENCE DATA

OPPORTUNITIES & RESOURCES

BARRIERS & LIMITATIONS

COMMUNITY ASSESTS

Suicide As A Leading Cause of Death• 10-14 age group - 3rd

• 15-24 age group - 3rd

• 25-34 age group - 2nd

• 35- 45 age group - 4th

• 45-54 age group - 5th

• 55-64 age group - 8th

• 65+ age group - 18th

• All ages group - 11th

Making the SHIFT—ARE YOU READY?

Making the SHIFT—Selecting an EBP

Implement the Program

Implement the Program

On-Going Evaluation

Organizational Climate

Identify Core Components

Research

Adapt and Adopt

Search for other EBPs.

No to both

Is the intervention supported by strong evidence? (What is strong evidence?)Is the intervention supported by possible evidence? (What is possible evidence?)

Is my agency able to implement the core components of this intervention?(What are the core components?)

Yes

Identify Core Components

Research

Move Forward with the EBP

Yes

RESEARCH— EBP RegistriesSuicide Prevention Programs

• National Registry of Evidence-based Programs and Practices (NREPP)– SAMHSA Project– Continuing reviews (many pending, new on hold until

10/2009)• Evidence-based Practices Project (EBPP)

– Part of the Best Practices Registry on the Suicide Prevention Resource Center website

– Reviews ended in 2005

Selected EBP Models

Signs of Suicide (SOS)Setting Delivery Format Training Cost

•Schools•MH orgs•Hospitals•Youth social clubs•Religious groups•Juvenile justice

Typically a teacher with counselor as site coord.At least one LMH provider on Impl. Team exper. with youth MH and crises

50 minute session with video, discussion & screening (administer & score)

Procedure manual, best practice guidelines & training video

In person training on request

$300 for SOS kit

Coping and Support Training--CASTSetting Delivery Format Training Cost

•Schools •Community•MH agency

TeacherSocial workerNurseSchool Cnslrs (Trained)

12 sessions55 minutes6-8 group members

Training Available

Guidebook (training for trainers)

$699 for the curriculum$191/ student notebook$16,000 to train leaders$800/ Fidelity training

CBT for Adolescent DepressionSetting Delivery Format Training Cost

Outpatient Clinics

MH professionals trained in CBT

12-16 weekly sessions45-50 minutes

Providers must be trained & experienced in CBT

$30 for all manuals

$640 (16 hrs @ $40/hr with SW)

Specialized ER Intervention for Suicidal Adolescent Females

Setting Delivery Format Training Cost

Emergency rooms

ER Staff working with adolescent suicide attempters

20 minute video & therapy session

Protocols available free online

$1500 for training of trainers

YesNo

Identify Core Components

Is my agency able to implement the core components of this intervention?(What are the core components?)

Search for other EBPs.

Move Forward with the EBP

Organizational Climate

Is my agency ready to adopt an evidence-based practice?

(Click for materials to assist in assessing your organization)

No

Provide staff with training, work on creating buy-in, and then re-assess to determine if the organization is ready.

Provide staff with training, work on creating buy-in, and then re-assess to determine if the organization is ready.

Core Components

• Most essential and indispensable components for achieving desired outcomes. –Core Intervention Components–Core Implementation Components

CORE INTERVENTION COMPONENTS

CORE IMPLEMENTATION COMPONENTS

Program Philosophy & Values Program costs

Service Delivery model & activities: program structure, duration, setting, staff skills & protocol

System level strategies to assure financial, organizational and human resources

Components that assure consistency in service delivery

Staff qualifications, experience, selection criteria, & recruitment

Program evaluation/Fidelity

Training logistics/ Ongoing Coaching

Organizational Climate

Is my agency ready to adopt an evidence-based practice?

(Click for materials to assist in assessing your organization)

No

Provide staff with training, work on creating buy-in, and then re-assess to determine if the organization is ready.

Provide staff with training, work on creating buy-in, and then re-assess to determine if the organization is ready.

Adapt and Adopt

Implement the ProgramImplement the Program

Gauging Agency Climate/ Readiness

Implement the ProgramImplement the Program

On-Going Evaluation

Was intervention properly implemented? Could performance be improved?

(Click for program evaluation guidance)

Research

Is the intervention supported by strong evidence?

(What is strong evidence?)

Is the intervention supported by possible evidence?

(What is possible evidence?)

Cultural Considerations in Choosing and Adapting an EBP

• What is the setting for the EBP?• How is the EBP population similar to or different

from our target population?• What cultural factors need to be considered?

– Racial/Ethnic Considerations– GLBT Cultural Considerations– Ability/Disability Considerations

– The Culture of Adolescence• Stigma• Privacy issues• The Internet

Next Steps—Action Planning

Sustainability

How can this effort be sustained?

Thank you for your participation in and commitment to this project.

For more information and resources:http://www.socialworkers.org/practice/adolescent_health/shift/