Implementation of evidence-based interventions: analyzing critical components for sustainability in community mental health services

Figures & data

Table 1. IPS program fidelity results after one and two years, and the programs’ status after three years.

Site	1	2	3	4	5	6	7	8	9	10	11	12	13	14
Fidelity 1	97	86	102	101	88	93	92	83	82	80	77	81	-	89
Fidelity 2	104	92	108	110	96	100	100	80	89	-	-	67	-	-
Established	Yes	Yes	Yes	Yes	Yes	Yes	Partly	Partly	Partly	No	No	No	No	No

115–125 = Exemplary Fidelity

100–114 = Good Fidelity

74–99 = Fair Fidelity

73 and below = Not Supported Employment

Table 2. Assessments conducted according to SIS for 14 pilot programs after one year (Markström et al., 2017).

Items assessed in the analytical model (n = 14 for each item)	Number of programs assessed as “not in place”	Number of programs assessed as “partly in place”	Number of programs assessed as “fully in place”
Organizational Level
1. Assessment of needs for the model	4	5	5
2. Experiences of the model	6	6	2
3. The model’s legitimacy	4	6	4
4. Organizational fit	4	6	4
5. Implementation climate	7	2	5
6. Collaboration culture	1	10	3
7. Leaders’ engagement	3	6	5
8. Local champions	6	6	2
9. External experts	6	4	4
10. Financial strategy	7	3	4
11. Steering group	3	7	4
12. Collaboration partners	0	13	1
Team Level
1. Selection of staff	1	4	9
2. Continuity among staff	5	2	7
3. Available leader	3	4	7
4. Collaboration partners	0	9	5
5. Information strategies	0	7	7
6. Feedback to financiers	1	7	6
7. Training	0	5	9
Continuous Support
1. Continuing training	5	7	2
2. Supervision	1	7	6
3. Recurrent fidelity assessments	2	5	7
4. Time for reflection	1	4	9
5. Administrative support	0	2	12

Markström, U., Svensson, B., Bergmark, M., Hansson, L., & Bejerholm, U. (2017). What influences a sustainable implementation of evidence-based interventions in community mental health services? Development and pilot testing of a tool for mapping core components. Journal of Mental Health, 1–7. doi:10.1080/09638237.2017.1417544

 PubMed Web of Science ®Google Scholar