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Implementation Decision Guide for Child Welfare

In order to provide guidance and support for implementation, the Implementation Decision Guide for Child Welfare uses a multi-level process model of implementation that takes into account system and organizational context as well as the ways that people, systems, and organizations interact.

Implementation Basics: Food for Thought on Implementation of Evidence-Based Practice (EBP)

The process of implementing evidence-based practices (EBPs) is often complex and challenging. Many efforts to implement programs designed to improve the quality and outcomes of human services have not reached their full potential due to a variety of challenges inherent in the implementation process. For example, moving the workforce to a new way of interacting with clients may involve an ideological shift in provider self-concept or perceived workload. With high documentation demands, EBPs may add another layer to an already taxing workload. When employees are overloaded, motivation to learn new skills or approaches may suffer.

Implementation of innovative human service technologies, such as EBPs, is generally considered to be more complex than implementation of other types of technology (e.g., computer software). This is considered to be due to the fact that EBPs are human service technologies delivered within complex, multi-layered social service systems that rely on the actions of individual clinicians and case-managers working in organizations. For example, state and county child welfare agencies operate within a federal and state legislative and policy environment and contracting organizations operate in relation to this larger outer context.

Click here for a list of references for this section.

Key Concepts of Implementation and Conceptual Model of EBP Implementation and Sustainment in Child Welfare

Part of the Implementation Decision Guide is defining all of the key concepts for implementation and graphically representing them in the Conceptual Model of EBP Implementation and Sustainment in Child Welfare. Click here to find out about these key concepts and how they fit together.

Where are You on the Implementation Continuum?

Another key part of the Implementation Decision Guide is understanding that implementation of evidence-based practices occurs on a continuum that can move forwards and backwards with the knowledge that organizations and practices are dynamic and made need to go back to an earlier phase of implementation in order to maintain sustainment. Please click here for a further explanation and link to an interactive graphic.