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Practical solutions for sustaining long-term academic-community partnerships.
Soo Jeong Youn1, Sarah E Valentine1, Kaylie A Patrick1
1Department of Psychiatry.
Psychotherapy (Chicago, Ill.)
|November 27, 2018
Summary
Bridging the science-practice gap in mental health requires community partnerships. Implementing cognitive-behavioral theory (CBT) programs showed improved staff competency but faced sustainability challenges.
Area of Science:
- Mental Health Implementation Science
- Community-Based Participatory Research
- Cognitive-Behavioral Theory (CBT) Interventions
Background:
- The science-practice gap is prominent in community mental health settings, impacting high-need clients.
- Implementation science and community-based participatory research (CBPR) aim to bridge this gap through rigorous, relevant research partnerships.
- CBPR frameworks offer significant benefits but present unique implementation challenges.
Purpose of the Study:
- To describe evidence-supported strategies for addressing barriers to implementing and sustaining an innovative CBT life skills program in a community setting.
- To detail the collaborative process between a community nonprofit and researchers in identifying and mitigating implementation obstacles.
- To evaluate the effectiveness of specific strategies, including intensive training and coaching, on program fidelity and participant engagement.
Main Methods:
- A partnership between a community nonprofit and researchers was established to address implementation barriers.
- Evidence-supported implementation strategies were deployed to tackle challenges in fidelity, sustainability, and cost.
- An intensive 3-month training and coaching phase was developed and implemented for program staff.
Main Results:
- The training and coaching phase improved staff's cognitive-behavioral theory (CBT) competency and program fidelity.
- Participant engagement in the CBT curriculum increased following the intervention.
- Despite improvements in competency and engagement, long-term sustainability of the program remained a significant challenge.
Conclusions:
- Intensive training and coaching can enhance staff competency and fidelity in community-based mental health programs.
- Addressing the science-practice gap requires collaborative partnerships that proactively identify and mitigate implementation barriers.
- Long-term community research partnerships need early buy-in, needs assessments, and sustained support models for successful sustainability.
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