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Workshop: Implementation of evidence and research in children and young people’s mental health
Led by: Tim Clarke, Holly Bear, Georgia Naughton, Thai-Sha Richards, Kate Reeve, and Sarah Shenow from the BRIDGE: Building Research Implementation to Develop and Grow Evidence-Based Practice Project
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.
Workshop Presentation
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.
Further Resources
Check out these pictures from the day!
Photos from Oxford Atelier and artwork by Tom Bailey (@tombaileyart).
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
Our presenters for this session Holly Bear, Tim Clarke
— The Mental Elf (@Mental_Elf) October 17, 2022
Co-facilitators: Georgia Naughton, Thai-Sha Richards, Kate Reeve, Sarah Shenow. Here's some background to the sessions https://t.co/6GcgK0SLcv#emergingminds
If you're following at home, you can join in by following this link, saying who you are https://t.co/DwfHb3IJgd #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
According to the Menti poll, most of the people here are researchers; perhaps fitting for a presentation about the gap in implementing health research findings in practice. (the gap is measurable in decades, not months!) #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
Now up is Holly Bear introducing the session. We're going to be looking at implementation models; how to bridge the gap to implementation and then practical approaches and tips #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
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
Bear: we're focusing on not the outcomes of the implementation here but the aim of implementation science is to look at how well, or not, something is put into action. We use frameworks to understand implementation #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
Bear: we need to find ways to use the same language when we're looking at implementation. Frameworks provide that, making sure we're talking about the same things when we discuss implementation #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
Bear is quickly walking through different implementation frameworks (says she is happy to share the slides for these afterwards) #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
Now up is Tim Clarke, speaking about work funded by #emergingminds. Stresses the importance of youth and parent involvement in shaping what we do and how we share knowledge. https://t.co/9xz6cmICRY
— 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: Organisation barriers to implementation include: culture and climate; lack of time and resources; lack of funding; lack of structure and infrastructure to implement new things and ways of working #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
Clarke: Implementation is knowledge and practice in context. Staff need to be rewarded for their desire to bring new ways of working to the organisation #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
Clarke: Implementation needs ringfenced funding; needs sustaining beyond trials; needs staff to be upskilled; needs to have framework adoption prioritised. #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
Bear: we plan to develop top 10 tips to increase uptake of research evidence. Leading a 'what is commissioning?' resource with young people. #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
Clarke: rapid scoping exercises are super important. Work out the problems that services are having then quickly look at research and implementation models: 'We don't want to waste research!' #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022
Now up Sarah Shenow is introducing a bit of interactivity here, and is asking everyone to fill in this menti poll: how would you bridge the gap of research implementation? https://t.co/Tykd3NQXfR #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
Someone from the digital room asks: are we lacking diversity when we think of implementation. Asks: do we just speak to enthusiasts and ignore the rest? #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
Someone from the room raises the point that charities, trusts and foundations can often move more quickly to implement innovation. #emergingminds
— The Mental Elf (@Mental_Elf) October 17, 2022