Innovation Diffusion and Adoption Research Project (IDARP):
Moving from the diffusion of research results to promoting the
adoption of evidence-based innovations in the Ohio mental health
C. Panzano, Ph.D.
Decision Support Services, Inc.
ODMH, Office of Program Evaluation and Research
In the process of implementing its quality agenda,
the Ohio Department of Mental
Health is taking action in three arenas: consumer Outcomes,
quality improvement, and evidence-based practices (EBP). This
project is focused on the EBP component of the implementation
ODMH hopes to improve quality of care by facilitating the adoption
and assimilation of EBPs by service providers in Ohio. Coordinating
Centers of Excellence (CCOE) have been established as structural
mechanisms to accomplish this goal. Each CCOE is seen as the statewide
technical expert with regard to the implementation of a specific
one of these innovative practices . The major functions of CCOEs
are to disseminate information about EBPs to provider organizations,
to promote the adoption of EBPs, and to provide the technical
assistance, training, and consultation required for the successful
implementation of a specific EBP by service providers.
research specifically focuses on four CCOEs and therefore, four
EBPs which include:
The Ohio Medication Algorithm Project (OMAP). The OMAP
CCOE disseminates medication algorithms developed through the
Texas Medication Algorithm Project. These algorithms promote the
use of atypical anti-psychotic medications, new generation antidepressant
medications, and mono-therapy as a first line of treatment.
Cluster-Based Planning Alliance. This innovation involves
the use of a research-based consumer classification scheme to
guide staff training, consumer outcomes management, and treatment
and service planning within mental health organizations.
Within the health care domain, evidence-based practices (EBPs)
are interventions for which there is consistent scientific evidence
that they improve client outcomes (Drake, Goldman, Leff, et al,
2000). In order for an EBP to be considered an innovation, the
EBP must be perceived as new by adopting organizations. Given
that EBPs tend to represent state-of-the-art practices, it is
expected that EBPs will be seen as technical and/or administrative
innovations to adopting organizations in this research. However,
in contrast to the definition of an EBP, innovations, by definition,
do not require consistent scientific evidence that they improve
outcomes. For ease of reference and given the assumption that
an EBP will be perceived as innovative, the terms EBP and innovation
will be used interchangeably in this document.
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