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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Transforming community prevention systems for sustained impact: embedding active implementation and scaling

William A Aldridge1, Renée I Boothroyd2, W Oscar Fleming2

  • 1FPG Child Development Institute, University of North Carolina at Chapel Hill, CB #8185, Chapel Hill, NC, 27599-8185, USA. will.aldridge@unc.edu.

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Community prevention systems need transformation for sustained, effective strategies. Applied implementation science offers a framework to build local capacity for scaling and continuous improvement of evidence-based prevention programs.

Keywords:
Community preventionEvidence-based practiceImplementationInfrastructureScalingSystems changeType 4 translational research

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Area of Science:

  • Implementation Science
  • Translational Research
  • Community Public Health

Background:

  • Traditional translation of evidence-based prevention strategies often fails to achieve significant community outcomes or build sustainable local capacity.
  • A critical gap lies in transforming community prevention systems to support infrastructure for active implementation, scaling, and continuous improvement.

Purpose of the Study:

  • To discuss the emergence of applied implementation science as a translational extension.
  • To outline active implementation and scaling functions for effective strategy use.
  • To explore organizing local infrastructure for embedding these functions and discuss policy implications.

Main Methods:

  • Conceptual discussion of translational research types (Type 2 vs. Type 3-5).
  • Framework outlining active implementation and scaling functions.
  • Analysis of community prevention system organization and infrastructure alignment.
  • Exploration of policy and practice implications.

Main Results:

  • Applied implementation science (Type 3-5) extends traditional translational science (Type 2).
  • Active implementation and scaling functions are crucial for effective strategy use.
  • Organizing local infrastructure is key to embedding these functions within community systems.
  • Policy and practice changes are needed for social impact and sustainability.

Conclusions:

  • Transforming community prevention systems through applied implementation science is essential for sustainable, large-scale impact.
  • Integrating active implementation and scaling functions into local infrastructure enhances the effective use of evidence-based strategies.
  • Policy and practice adjustments are vital to support community capacity and ensure the long-term success of prevention efforts.