Workshop: Implementation of evidence and research in children and young people’s mental health
This hybrid workshop introduced delegates to key concepts and models relating to implementation science. Facilitators shared their learning and tips from the programme of work in children and young people’s mental health.
Three key messages:
- Providers are faced with a complex array of barriers which impede the implementation and adoption of established evidence-based practice (EBP). Similarly, researchers can face challenges in progressing their findings into ‘real-world’ settings.
- Implementation models and frameworks are useful tools when implementing and evaluating EBP, however, knowing how to choose and use them is not straightforward.
- When considering implementation, identify and assess factors such as need, support needed, evidence, fit, usability and capacity to help with planning.
This workshop was connected to our Big Question research challenge: how do we implement effective promotion of good mental health, prevention, and early treatment for mental health problems at scale amongst children and young people?
Research Reflections Interview
Tim and Holly joined us before the Summit to explain what implementation policy was, as well as some of the key barriers and faciltators that they wanted to discuss in the workshop, you can catch their video with us down below.
This session was filmed on Teams for our online delegates, and you can watch the video below to hear what Holly and Tim had to say about their research. The discussion at the end was not recorded but to find out more about the questions that audience members asked, have a look at the Twitter conversation below.
Check out these pictures from the day!
Workshop Live Tweets
You can read a great thread below from Mark who live-tweeted the workshop via @Mental_Elf.
Good afternoon and welcome to the afternoon sessions at #emergingminds in Oxford. I'm @markoneinfour tweeting for Mental Elf. Our next session is: 'Implementation of evidence and research in children— The Mental Elf (@Mental_Elf) October 17, 2022
and young people’s mental health' beginning at 13.20. https://t.co/LDuHtCokqF
Bear: by implementation we mean the systematic integration and embedding of research and evidence-based practices into routine practice to improve mental health services for young people.Research often fails to translate into 'the real world' #emergingminds— The Mental Elf (@Mental_Elf) October 17, 2022
Clark: We hope that Building Research Implementation to Develop and Grow Evidence-based practice in children and young people’s mental health (BRIDGE) goes on beyond the funding of #EmergingMinds. We worked with parents and carers set priorities; developed relationships— The Mental Elf (@Mental_Elf) October 17, 2022
Clarke: Our question was 'what are the barriers and facilitators to implementing research in young people's and children's mental health?' We found clinician resistance to manuals; competing priorities; lack of knowledge; high staff turnover #emergingminds— The Mental Elf (@Mental_Elf) October 17, 2022
Clarke: passion for change; good support and flexibility; education and training; individual sense of self-efficacy and agency: all of these things are needed for implementation. Infrastructure includes all staff in a setting, not just clinicians. #emergingminds— The Mental Elf (@Mental_Elf) October 17, 2022
Bear: The Bridging the Gap project found there is huge interest implementation science; but funding gap exists. It's also hard to 'de implement' or change things that aren't working, easier to go for something new. Doing different harder than doing new #emergingminds— The Mental Elf (@Mental_Elf) October 17, 2022
Clarke: embedding routine outcome measures in clinical practice is really hard. But there is lots of research out there. Says its key to make this learning attractive to clinicians. Mentions Fixsen and Blase's model of implementation https://t.co/EOaw1Z3Ojo #EmergingMinds— The Mental Elf (@Mental_Elf) October 17, 2022
Someone from the room says that in CAMHS, regardless of people's enthusiasm for change, there's just not resources and time. Another consurs, saying that often stuff that's new gets tacked on to established stuff, just adding complexity and not solving problems #EmergingMinds— The Mental Elf (@Mental_Elf) October 17, 2022
Shenow wonders whether service design views and implementation views aren't always present in discussions of service change and implementation. Someone in room suggests that we shouldn't just speak those who receive services, should incentivise clinicians as well #emergingminds— The Mental Elf (@Mental_Elf) October 17, 2022
Shenow says that directly asking people through processes like the Lind method is a way of setting priority. Says organising a project oversight board works really well. Clarke says: find your local decision makers, local relationships https://t.co/6IMiNQklfq #emergingminds— The Mental Elf (@Mental_Elf) October 17, 2022