A Supervisor-Targeted Implementation Approach to Promote System Change: The R³ Model

Area of Science:

• Child welfare system reform
• Public health impact assessment
• Implementation science

Background:

• System-wide change in child welfare systems (CWS) is challenging to evaluate.
• Real-world opportunities for such evaluations are infrequent.
• Evidence-based principles are crucial for effective CWS interventions.

Purpose of the Study:

• To describe the pilot implementation of the R³ model within a CWS.
• To evaluate a supervisor-targeted approach for infusing evidence-based principles.
• To assess the feasibility, fidelity, and impact of the R³ model.

Main Methods:

• Collaboration between CWS and model developers for R³ model development.
• Implementation of the R³ model with a focus on supervisor training and support.
• Fidelity monitoring using a developed scale to measure adherence to the model.

Main Results:

• Demonstrated implementation feasibility of the R³ model in a CWS setting.
• Strong measurement properties of the fidelity scale were observed.
• Improved supervisor fidelity to evidence-based practices over the study period.
• Positive perceptions of change by agency leadership.

Conclusions:

• The R³ model and supervisor-targeted approach are feasible for CWS.
• System-initiated collaborations are valuable for implementing evidence-based practices.
• The R³ model shows promise for improving child welfare services and public health outcomes.