Statewide Implementation of the 4 Rs and 2 Ss for Strengthening Families

Abstract

Embedding evidence-informed practices for children with mental health needs into “real-world” community settings has proven challenging. In this article, we discuss how the Practical, Robust, Implementation, and Sustainability Model (PRISM) guided statewide (New York) implementation of an evidence-informed intervention targeting families and youth with oppositional defiant and conduct disorders, collectively referred to as disruptive behavior disorders. Additionally, we present qualitative findings based on provider reports of integrating a novel, evidence-informed intervention within their respective community mental health settings. Finally, we discuss a process of modifying the intervention to address agency-level factors, as well as inform more widespread implementation efforts.

Keywords:

• Implementation
• PRISM
• service delivery
• child disruptive behavior disorders
• evidence-based practice

Notes

This project was supported by award number R01MH072649 from the National Institute of Mental Health (NIMH). Salary support (only) for this study also came from NIMH (F32MH090614). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.