1. Research to Practice Team Training Building Your State Team

2. Agenda  Welcome  Introductions  Making the Case—Community Assessment  Making the SHIFT—Readiness  Making the SHIFT—Selecting an EBP  Making the SHIFT—Action Planning  Evaluation/Feedback

3. Why Now? Institute of Medicine, 2001

4. Evidence-based Practice “Evidence-based practices are interventions for which there is consistent scientific evidence showing that they improve client outcomes”(Drake, et al., 2001).

5. The Shift Project for Adolescent Girls

6. Rationale – Evidence based research has not permeated practice settings – R2P team can serve as catalyst for EBP adoption

7. Catalysts for Starting a State R2P Team National Strategy for Suicide Prevention Goals The State Suicide Prevention Coalition Agency policy High profile State data Survivors of suicide

8. R2P Teams Goal The SHIFT Project R2P team is a state-based coalition of change-oriented organizations and individuals working to promote the adoption of evidence-based suicide prevention programs for adolescent girls.

10. Today’s Goals

11. Introductions Who are you? Who do you represent? What can you give to this process? What can you take from this process?

12. Making the Case—Community Assessment STATE DEMOGRAPHICS PREVALENCE DATA OPPORTUNITIES & RESOURCES BARRIERS & LIMITATIONS COMMUNITY ASSESTS

13. Suicide As A Leading Cause of Death 10-14 age group - 3 rd 15-24 age group - 3 rd 25-34 age group - 2 nd 35- 45 age group - 4 th 45-54 age group - 5 th 55-64 age group - 8 th 65+ age group - 18 th All ages group - 11 th

20. Making the SHIFT—ARE YOU READY?

21. Making the SHIFT—Selecting an EBP Implement the Program On-Going Evaluation Organizational Climate Identify Core Components Research Adapt and Adopt

22. Search for other EBPs. No to both Is the intervention supported by strong evidence? (What is strong evidence?) Is the intervention supported by possible evidence? (What is possible evidence?) Is my agency able to implement the core components of this intervention? (What are the core components?) Yes Identify Core Components Research Move Forward with the EBP Yes

23. RESEARCH— EBP Registries Suicide Prevention Programs National Registry of Evidence-based Programs and Practices (NREPP) – SAMHSA Project – Continuing reviews (many pending, new on hold until 10/2009) Evidence-based Practices Project (EBPP) – Part of the Best Practices Registry on the Suicide Prevention Resource Center website – Reviews ended in 2005

24. Selected EBP Models

25. Signs of Suicide (SOS) SettingDeliveryFormatTrainingCost Schools MH orgs Hospitals Youth social clubs Religious groups Juvenile justice Typically a teacher with counselor as site coord. At least one LMH provider on Impl. Team exper. with youth MH and crises 50 minute session with video, discussion & screening (administer & score) Procedure manual, best practice guidelines & training video In person training on request $300 for SOS kit

26. Coping and Support Training--CAST SettingDeliveryFormatTrainingCost Schools Community MH agency Teacher Social worker Nurse School Cnslrs (Trained) 12 sessions 55 minutes 6-8 group members Training Available Guidebook (training for trainers) $699 for the curriculum $191/ student notebook $16,000 to train leaders $800/ Fidelity training

27. CBT for Adolescent Depression SettingDeliveryFormatTrainingCost Outpatient Clinics MH professionals trained in CBT 12-16 weekly sessions 45-50 minutes Providers must be trained & experienced in CBT $30 for all manuals $640 (16 hrs @ $40/hr with SW)

28. Specialized ER Intervention for Suicidal Adolescent Females SettingDeliveryFormatTrainingCost Emergency rooms ER Staff working with adolescent suicide attempters 20 minute video & therapy session Protocols available free online $1500 for training of trainers

29. Yes No Identify Core Components Is my agency able to implement the core components of this intervention? (What are the core components?) Search for other EBPs. Move Forward with the EBP Organizational Climate Is my agency ready to adopt an evidence- based practice? (Click for materials to assist in assessing your organization) No Provide staff with training, work on creating buy-in, and then re-assess to determine if the organization is ready.

30. Core Components Most essential and indispensable components for achieving desired outcomes. – Core Intervention Components – Core Implementation Components

31. CORE INTERVENTION COMPONENTS CORE IMPLEMENTATION COMPONENTS Program Philosophy & ValuesProgram costs Service Delivery model & activities: program structure, duration, setting, staff skills & protocol System level strategies to assure financial, organizational and human resources Components that assure consistency in service delivery Staff qualifications, experience, selection criteria, & recruitment Program evaluation/Fidelity Training logistics/ Ongoing Coaching

32. Organizational Climate Is my agency ready to adopt an evidence-based practice? (Click for materials to assist in assessing your organization) No Provide staff with training, work on creating buy-in, and then re-assess to determine if the organization is ready. Adapt and Adopt Implement the Program

33. Gauging Agency Climate/ Readiness

34. Implement the Program On-Going Evaluation Was intervention properly implemented? Could performance be improved? (Click for program evaluation guidance) Research Is the intervention supported by strong evidence? (What is strong evidence?) Is the intervention supported by possible evidence? (What is possible evidence?)

35. Cultural Considerations in Choosing and Adapting an EBP What is the setting for the EBP? How is the EBP population similar to or different from our target population? What cultural factors need to be considered? – Racial/Ethnic Considerations – GLBT Cultural Considerations – Ability/Disability Considerations

36. – The Culture of Adolescence Stigma Privacy issues The Internet

37. Next Steps—Action Planning

38. Sustainability How can this effort be sustained?

39. Thank you for your participation in and commitment to this project. For more information and resources: http://www.socialworkers.org/practice/adolescent_health/shift/