Implementing a Measurement Feedback System in Community Mental Health Clinics: A Case Study of Multilevel Barriers and Facilitators

Measurement feedback systems (MFSs) have been proposed as a means of improving practice. The present study examined the implementation of a MFS, the Contextualized Feedback System (CFS), in two community-based clinic sites. Significant implementation differences across sites provided a basis for exa...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2016-05, Vol.43 (3), p.426-440
Main Authors: Gleacher, Alissa A., Olin, Serene S., Nadeem, Erum, Pollock, Michele, Ringle, Vanesa, Bickman, Leonard, Douglas, Susan, Hoagwood, Kimberly
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Barriers
Case studies
Clinical Psychology
Clinics
Communities
Community health services
Community mental health services
Corporate culture
Facilitators
Feedback
Female
Health Administration
Health Informatics
Health information
Health services
Humans
Innovations
Leadership
Male
Measurement
Medicine
Medicine & Public Health
Mental disorders
Mental health
Mental Health Services
Organizational change
Organizational Innovation
Original Article
Outcome Assessment (Health Care)
Psychiatry
Public Health
Qualitative analysis
Qualitative Research
Quality
Social services delivery
Structured interviews
Uptake
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Summary:Measurement feedback systems (MFSs) have been proposed as a means of improving practice. The present study examined the implementation of a MFS, the Contextualized Feedback System (CFS), in two community-based clinic sites. Significant implementation differences across sites provided a basis for examining factors that influenced clinician uptake of CFS. Following the theoretical implementation framework of Aarons et al. (Adm Policy Mental Health Mental Health Serv Res 38(1):4–23, 2011 ), we coded qualitative data collected from eighteen clinicians (13 from Clinic U and 5 from Clinic R) who participated in semi-structured interviews about their experience with CFS implementation. Results suggest that clinicians at both clinics perceived more barriers than facilitators to CFS implementation. Interestingly, clinicians at the higher implementing clinic reported a higher proportion of barriers to facilitators (3:1 vs. 2:1); however, these clinicians also reported a significantly higher level of organizational and leadership supports for CFS implementation. Implications of these findings are discussed.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-015-0642-0