3.
The Center for Innovative Practices in Youth and Family Mental
Health (CIP). CIP provides technical assistance, training
and fidelity assessment to agencies adopting the Multi-Systemic
Therapy model developed by Scott Henggeler (1999). This approach
involves the use of treatment teams to provide intensive home-based
treatment to youth that cuts across key settings and systems,
including family, peers, school and neighborhood.
4.
Ohio Substance Abuse and Mental Illness (SAMI) CCOE. The
Ohio SAMI CCOE provides training, consultation, technical support
and fidelity assessments to agencies adopting the New Hampshire-Dartmouth
SAMI model, an integrated and comprehensive treatment model for
individuals with mental illness and substance abuse.
Research
Questions
The
project focuses on two broad questions: 1) What factors and processes
influence the adoption of innovations by behavioral healthcare
provider organizations? 2) What factors and processes contribute
to the longer-term assimilation of innovations by adopting organizations?
Factors and processes expected to explain variability in the decision
to adopt/not adopt and, for adopting organizations, the subsequent
assimilation of the innovation, relate to the innovation itself,
aspects of the adoption decision process, features of the provider
organization, and characteristics of the relationship between
the CCOE and the provider organization.
Theoretical
and Empirical Framework
Relevant
literatures. Numerous literatures contributed to the development
of study hypotheses, design, and methods. The organizational change
and development literature provided an important foundation because
the adoption of innovative practices is seen as a special case
of organizational change. In addition, because EBPs are conceptualized
as innovative practices, the literature related to the diffusion,
adoption and assimilation of innovations (e.g., Rogers, 1995,
1962) contributed in significant ways to the conceptualization
of this project. Of particular interest was the research dealing
with "user - based" as opposed to "source - based"
models of innovation. This is because we are interested in understanding
the adoption and implementation of externally developed innovations
rather than the process by which innovations are conceived, developed,
and disseminated (e.g.. Klein & Sorre, 1996). In addition,
we focused on studies dealing with the organization rather than
the individual as the adopting entity (e.g., Meyer and Goes, 1988;
Van de Ven, Angle, and Poole, 2000) because we are primarily interested
in adoption and implementation at the organizational level of
analyses (by service providers).
Additional
important literatures that were reviewed include: 1) the healthcare
planning and implementation literature (e.g., Hickson, 1986; Nutt,
1992) because the innovations of interest are being diffused in
the behavioral healthcare arena, 2) the decision making literature
(e.g., Daft and Weick), particularly the literature related to
decision making under conditions of risk (e.g., MacCrimmon &
Wehrung, 1986; Staw, Sandelands, & Dutton, 1981; Sitkin and
Weingart, 1995; Kahneman and Tversky, 1979) because the adoption
of EBPs is seen as involving both benefits and costs for organizations,
3) the knowledge creation and utilization literature (e.g., Abrahamson,
1991 ; Denis et al., 2001, Fitzgerald et al., 2001) because it
acknowledges that the extent to which "evidence" is
seen as convincing is likely to vary with the beholder, 5) the
literature related to the development and growth of inter-organizational
relationships (e.g., Ring and Van de Ven, 1994) because it identifies
factors that are expected to explain the quality of the working
relationship between CCOEs and adopting organizations, and 6)
the work related to levels issues in the conduct of organizational
research (e.g., Rousseau, 1985; Klein, Dansereau et al, 1994;
Kumar, Stern & Anderson, 1993) because our underlying research
models are multi-level in nature (i.e., involve predictor variables
which span at least four levels of analyses from the innovation
itself to the CCOE - adopting organization dyad.)
Research
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