Despite the proliferation of evidence-based practices, we know little about how to achieve ‘successful’ implementation when interventions are rolled out into community settings. What agency-based factors need to be in place before successful implementation can occur?
The lack of understanding of ‘what it takes’ to install these evidence-based practices can have costly public health consequences, including a lack of availability of the most beneficial services, wasted efforts and resources on failed implementation attempts, and, after failed attempts, the potential for engendering reluctance to try implementing new ones. The Stages of Implementation Completion (SIC), originally developed with funding from the National Institutes of Mental Health, is an eight-stage tool of implementation process and milestones, with stages spanning three implementation phases (pre-implementation, implementation, and sustainability). The 8-stages span implementation activities from Engagement to Achieving Competency. This tool has been adapted for a number of evidence-based practices specifically, and a “universal” tool has been developed for use of monitoring of general implementation strategies.
The SIC and its associated cost mapping tool, the Cost of Implementing New Strategies (COINS), are being utilized in other implementation efforts funded by the NIMH. As part of sub-awards, the SIC research team is involved in (1) a pragmatic randomized controlled trial to evaluate an implementation strategy for collaborative care for perinatal depression in federally qualified health centers (R01 MH108548; PI: Bennett) and (2) a global health study in Myanmar focused on developing a protocol, including relevant measurement tools, to assess organizational readiness to implement evidence-based mental health services and to monitor organizational progress to achieving service sustainability in low resourced global settings (U19MH110002; PI: Bass).
If you would like consultation on assessing roll-outs of evidence-based practices or other general implementation efforts, please contact Lisa Saldana, Ph.D.
Lisa Saldana, Ph.D.
Funder: National Institute on Drug Abuse
Lisa Saldana, Ph.D.
Oregon Social Learning Center
Active Research Projects
Primary Research and Clinical Interests
Lisa joined OSLC in 2007. She received her doctorate in clinical psychology from the University of Missouri-Columbia in 2003 with a research and clinical emphasis in child maltreatment and evidence-based practice. She has been active in the development, evaluation, and implementation of evidence-based practices, with a particular emphasis in services for child welfare populations.
Lisa is currently the PI on the Stages of Implementation Completion for Evidence-Based Practice, an NIMH-funded R01 that examines the successful implementation of interventions in community settings. She is also working on NIH-funded research grants focusing on the economic evaluation of EBPs and is a Co-Investigator on the NIDA-funded Translational Drug Abuse Prevention Center at OSLC. Lisa is a Co-Investigator on a large real-world implementation of two linked EBPs in a large multi-site child welfare system. She is the developer of the Stages of Implementation Completion (SIC) and Cost of Implementing New Strategies (COINS) implementation tools. Recently, in collaboration with OSLC colleague Patti Chamberlain, Lisa has helped to develop the R3 practice model focused on maximizing the quality of positive relationships between caseworkers and families involved in the child welfare system.
She received funding from ACYF to conduct an efficacy evaluation of the FAIR model, an integrative treatment for maternal substance abuse and child neglect which she developed using a NIDA-funded Career Development award. The Families Actively Improving Relationships (FAIR) model integrates evidence-based techniques targeting three key components: treatment of parenting deficits, substance use, and mental health symptoms as well as their correlated contextual problems such as housing and employment. Families referred to FAIR receive services in their natural environments (e.g., home, school, court) and receive incentives that are related to healthy households for meeting individualized treatment goals. A dynamic wait-list design is being utilized to evaluate services being delivered in a Medicaid environment to families referred through the child welfare system.
Previously, Lisa was a Co-Investigator on a large-scale trial evaluating “what it takes” to implement an evidence-based practice (TFCO) for youth in foster care in communities with barriers to implementation. Lisa also collaborated on a trial evaluating the dissemination of the KEEP foster parent training group to prevent placement disruptions in foster children.