Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations

Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Bunger, Alicia C. [verfasserIn] Chuang, Emmeline Girth, Amanda M. Lancaster, Kathryn E. Smith, Rebecca Phillips, Rebecca J. Martin, Jared Gadel, Fawn Willauer, Tina Himmeger, Marla J. Millisor, Jennifer McClellan, Jen Powell, Byron J. Saldana, Lisa Aarons, Gregory A.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Collaboration Implementation strategies Cross-system interventions

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: Implementation science - London : BioMed Central, 2006, 19(2024), 1 vom: 12. Feb.
Übergeordnetes Werk:	volume:19 ; year:2024 ; number:1 ; day:12 ; month:02

Links:	Volltext

DOI / URN:	10.1186/s13012-024-01335-1

Katalog-ID:	SPR054743168

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allfields	10.1186/s13012-024-01335-1 doi (DE-627)SPR054743168 (SPR)s13012-024-01335-1-e DE-627 ger DE-627 rakwb eng Bunger, Alicia C. verfasserin (orcid)0000-0002-6407-5111 aut Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. Collaboration (dpeaa)DE-He213 Implementation strategies (dpeaa)DE-He213 Cross-system interventions (dpeaa)DE-He213 Chuang, Emmeline aut Girth, Amanda M. aut Lancaster, Kathryn E. aut Smith, Rebecca aut Phillips, Rebecca J. aut Martin, Jared aut Gadel, Fawn aut Willauer, Tina aut Himmeger, Marla J. aut Millisor, Jennifer aut McClellan, Jen aut Powell, Byron J. aut Saldana, Lisa aut Aarons, Gregory A. aut Enthalten in Implementation science London : BioMed Central, 2006 19(2024), 1 vom: 12. Feb. (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:19 year:2024 number:1 day:12 month:02 https://dx.doi.org/10.1186/s13012-024-01335-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 12 02
spelling	10.1186/s13012-024-01335-1 doi (DE-627)SPR054743168 (SPR)s13012-024-01335-1-e DE-627 ger DE-627 rakwb eng Bunger, Alicia C. verfasserin (orcid)0000-0002-6407-5111 aut Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. Collaboration (dpeaa)DE-He213 Implementation strategies (dpeaa)DE-He213 Cross-system interventions (dpeaa)DE-He213 Chuang, Emmeline aut Girth, Amanda M. aut Lancaster, Kathryn E. aut Smith, Rebecca aut Phillips, Rebecca J. aut Martin, Jared aut Gadel, Fawn aut Willauer, Tina aut Himmeger, Marla J. aut Millisor, Jennifer aut McClellan, Jen aut Powell, Byron J. aut Saldana, Lisa aut Aarons, Gregory A. aut Enthalten in Implementation science London : BioMed Central, 2006 19(2024), 1 vom: 12. Feb. (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:19 year:2024 number:1 day:12 month:02 https://dx.doi.org/10.1186/s13012-024-01335-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 12 02
allfields_unstemmed	10.1186/s13012-024-01335-1 doi (DE-627)SPR054743168 (SPR)s13012-024-01335-1-e DE-627 ger DE-627 rakwb eng Bunger, Alicia C. verfasserin (orcid)0000-0002-6407-5111 aut Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. Collaboration (dpeaa)DE-He213 Implementation strategies (dpeaa)DE-He213 Cross-system interventions (dpeaa)DE-He213 Chuang, Emmeline aut Girth, Amanda M. aut Lancaster, Kathryn E. aut Smith, Rebecca aut Phillips, Rebecca J. aut Martin, Jared aut Gadel, Fawn aut Willauer, Tina aut Himmeger, Marla J. aut Millisor, Jennifer aut McClellan, Jen aut Powell, Byron J. aut Saldana, Lisa aut Aarons, Gregory A. aut Enthalten in Implementation science London : BioMed Central, 2006 19(2024), 1 vom: 12. Feb. (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:19 year:2024 number:1 day:12 month:02 https://dx.doi.org/10.1186/s13012-024-01335-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 12 02
allfieldsGer	10.1186/s13012-024-01335-1 doi (DE-627)SPR054743168 (SPR)s13012-024-01335-1-e DE-627 ger DE-627 rakwb eng Bunger, Alicia C. verfasserin (orcid)0000-0002-6407-5111 aut Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. Collaboration (dpeaa)DE-He213 Implementation strategies (dpeaa)DE-He213 Cross-system interventions (dpeaa)DE-He213 Chuang, Emmeline aut Girth, Amanda M. aut Lancaster, Kathryn E. aut Smith, Rebecca aut Phillips, Rebecca J. aut Martin, Jared aut Gadel, Fawn aut Willauer, Tina aut Himmeger, Marla J. aut Millisor, Jennifer aut McClellan, Jen aut Powell, Byron J. aut Saldana, Lisa aut Aarons, Gregory A. aut Enthalten in Implementation science London : BioMed Central, 2006 19(2024), 1 vom: 12. Feb. (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:19 year:2024 number:1 day:12 month:02 https://dx.doi.org/10.1186/s13012-024-01335-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 12 02
allfieldsSound	10.1186/s13012-024-01335-1 doi (DE-627)SPR054743168 (SPR)s13012-024-01335-1-e DE-627 ger DE-627 rakwb eng Bunger, Alicia C. verfasserin (orcid)0000-0002-6407-5111 aut Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. Collaboration (dpeaa)DE-He213 Implementation strategies (dpeaa)DE-He213 Cross-system interventions (dpeaa)DE-He213 Chuang, Emmeline aut Girth, Amanda M. aut Lancaster, Kathryn E. aut Smith, Rebecca aut Phillips, Rebecca J. aut Martin, Jared aut Gadel, Fawn aut Willauer, Tina aut Himmeger, Marla J. aut Millisor, Jennifer aut McClellan, Jen aut Powell, Byron J. aut Saldana, Lisa aut Aarons, Gregory A. aut Enthalten in Implementation science London : BioMed Central, 2006 19(2024), 1 vom: 12. Feb. (DE-627)509006191 (DE-600)2225822-X 1748-5908 nnns volume:19 year:2024 number:1 day:12 month:02 https://dx.doi.org/10.1186/s13012-024-01335-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 12 02
language	English
source	Enthalten in Implementation science 19(2024), 1 vom: 12. Feb. volume:19 year:2024 number:1 day:12 month:02
sourceStr	Enthalten in Implementation science 19(2024), 1 vom: 12. Feb. volume:19 year:2024 number:1 day:12 month:02
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Collaboration Implementation strategies Cross-system interventions
isfreeaccess_bool	true
container_title	Implementation science
authorswithroles_txt_mv	Bunger, Alicia C. @@aut@@ Chuang, Emmeline @@aut@@ Girth, Amanda M. @@aut@@ Lancaster, Kathryn E. @@aut@@ Smith, Rebecca @@aut@@ Phillips, Rebecca J. @@aut@@ Martin, Jared @@aut@@ Gadel, Fawn @@aut@@ Willauer, Tina @@aut@@ Himmeger, Marla J. @@aut@@ Millisor, Jennifer @@aut@@ McClellan, Jen @@aut@@ Powell, Byron J. @@aut@@ Saldana, Lisa @@aut@@ Aarons, Gregory A. @@aut@@
publishDateDaySort_date	2024-02-12T00:00:00Z
hierarchy_top_id	509006191
id	SPR054743168
language_de	englisch
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author	Bunger, Alicia C.
spellingShingle	Bunger, Alicia C. misc Collaboration misc Implementation strategies misc Cross-system interventions Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations
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topic_title	Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations Collaboration (dpeaa)DE-He213 Implementation strategies (dpeaa)DE-He213 Cross-system interventions (dpeaa)DE-He213
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title	Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations
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title_full	Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations
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author_browse	Bunger, Alicia C. Chuang, Emmeline Girth, Amanda M. Lancaster, Kathryn E. Smith, Rebecca Phillips, Rebecca J. Martin, Jared Gadel, Fawn Willauer, Tina Himmeger, Marla J. Millisor, Jennifer McClellan, Jen Powell, Byron J. Saldana, Lisa Aarons, Gregory A.
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title_sort	specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations
title_auth	Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations
abstract	Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. © The Author(s) 2024
abstractGer	Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. © The Author(s) 2024
abstract_unstemmed	Background Cross-system interventions that integrate health, behavioral health, and social services can improve client outcomes and expand community impact. Successful implementation of these interventions depends on the extent to which service partners can align frontline services and organizational operations. However, collaboration strategies linking multiple implementation contexts have received limited empirical attention. This study identifies, describes, and specifies multi-level collaboration strategies used during the implementation of Ohio Sobriety Treatment and Reducing Trauma (Ohio START), a cross-system intervention that integrates services across two systems (child welfare and evidence-based behavioral health services) for families that are affected by co-occurring child maltreatment and parental substance use disorders. Methods In phase 1, we used a multi-site qualitative design with 17 counties that implemented Ohio START. Qualitative data were gathered from 104 staff from child welfare agencies, behavioral health treatment organizations, and regional behavioral health boards involved in implementation via 48 small group interviews about collaborative approaches to implementation. To examine cross-system collaboration strategies, qualitative data were analyzed using an iterative template approach and content analysis. In phase 2, a 16-member expert panel met to validate and specify the cross-system collaboration strategies identified in the interviews. The panel was comprised of key child welfare and behavioral health partners and scholars. Results In phase 1, we identified seven cross-system collaboration strategies used for implementation. Three strategies were used to staff the program: (1) contract for expertise, (2) provide joint supervision, and (3) co-locate staff. Two strategies were used to promote service access: (4) referral protocols and (5) expedited access agreements. Two strategies were used to align case plans: (6) shared decision-making meetings, and (7) sharing data. In phase 2, expert panelists specified operational details of the cross-system collaboration strategies, and explained the processes by which strategies were perceived to improve implementation and service system outcomes. Conclusions We identified a range of cross-system collaboration strategies that show promise for improving staffing, service access, and case planning. Leaders, supervisors, and frontline staff used these strategies during all phases of implementation. These findings lay the foundation for future experimental and quasi-experimental studies that test the effectiveness of cross-system collaboration strategies. © The Author(s) 2024
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title_short	Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations
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author2	Chuang, Emmeline Girth, Amanda M. Lancaster, Kathryn E. Smith, Rebecca Phillips, Rebecca J. Martin, Jared Gadel, Fawn Willauer, Tina Himmeger, Marla J. Millisor, Jennifer McClellan, Jen Powell, Byron J. Saldana, Lisa Aarons, Gregory A.
author2Str	Chuang, Emmeline Girth, Amanda M. Lancaster, Kathryn E. Smith, Rebecca Phillips, Rebecca J. Martin, Jared Gadel, Fawn Willauer, Tina Himmeger, Marla J. Millisor, Jennifer McClellan, Jen Powell, Byron J. Saldana, Lisa Aarons, Gregory A.
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Specifying cross-system collaboration strategies for implementation: a multi-site qualitative study with child welfare and behavioral health organizations

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