Using Implementation Science and Continuous Quality Assurance to Increase Program Effectiveness

Due to barriers in accessing information, time constraints, and limited funds, treatment providers struggle to implement and sustain evidence-based programming. We will present an approach to implementation science and... [ view full abstract ]

Due to barriers in accessing information, time constraints, and limited funds, treatment providers struggle to implement and sustain evidence-based programming. We will present an approach to implementation science and continuous quality improvement designed to enable programs to consistently incorporate evidenced-based programming to better serve and improve outcomes for children and families involved in child welfare services. This process centers on the idea that a program, much like the children and families it serves, is able to improve more reliably and rapidly when provided with: 1) timely feedback on current functioning which results in actionable insight; 2) strategies that incorporate principles of learning which structure the change process; and 3) extensive motivational support. The evaluation and improvement process presented in this session puts these ideas into practice by addressing the following evaluation activities: engagement, structured assessment, personalized feedback, collaborative planning, and ongoing technical assistance.

The approach will be illustrated with a four step process which focuses on: 1) the target population; 2) evidence-based components; 3) changes in participant attitudes and behaviors; and 4) changes in system outcomes, such as reduced neglect and abuse. We have found this process to assist programs in meeting their own goals of improvement, as well as help move the program to better align with the goals and vision of the child welfare agency. It also has helped identify areas that need improvement across providers and motivated the agency to provide additional resources to address these areas. Finally, this has helped the agency to identify and address problems within their system that have inhibited treatment providers’ ability to adequately addressing treatment needs.