Student, Faculty, and Field Instructor Approaches to SBIRT Implementation

Implications for Model Fidelity

  • Mohan Vinjamuri Lehman College, CUNY
  • Lydia P. Ogden
  • Jessica M. Kahn
Keywords: Evidence-based practice, implementation science, SBIRT, model fidelity

Abstract

Informed by an empirically-based implementation model, this study examined how social work faculty, student, and fieldwork instructor approaches to using the evidence-based SBIRT protocol affected implementation and model fidelity. Data were obtained from two rounds of focus groups with three groups of stakeholders (faculty, students, and fieldwork instructors) about their experiences teaching, learning, using, and supervising SBIRT and were analyzed using a hybrid inductive and deductive process. Analyses yielded three main categories of approaches: those that impeded implementation and model fidelity; those that supported implementation but were not congruent with model fidelity; and those that supported both implementation and model fidelity. Lack of consciousness about model fidelity was an issue across groups. Efforts to find a fit between the protocol, settings, and professional approaches to social work often led to implementation but questionable model fidelity. Repeated exposure to new material and opportunities to engage with it, having specific tools, and supporting learners’ efforts to uphold social work values can promote faithful implementation.

References

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health, 38(1), 4-23. https://doi.org/10.1007/s10488-010-0327-7

Acri, M., Hamovitch, E., Mini, M., Garay, E., Connolly, C., & McKay, M. (2017). Testing the 4Rs and 2Ss Multiple Family Group intervention: Study protocol for a randomized controlled trial. Trials, 18(588), 1-11. https://doi.org/10.1186/s13063-017-2331-7

Atkins, P., & Frederico, M. (2017). Supporting implementation of innovative social work practice: What factors really matter? British Journal of Social Work, 47(6), 1723-1744. https://doi.org/10.1093/bjsw/bcx091

Bellamy, J. L., Bledsoe, S. E., & Traube, D. E. (2006). The current state of evidence-based practice in social work: A review of the literature and qualitative analysis of expert interviews. Journal of Evidence-Based Social Work, 3(1), 23-48. https://doi.org/10.1300/J394v03n01_02

Bhattacharyya, O., Reeves, S., & Zwarenstein, M. (2009). What is implementation research? Rationale, concepts, and practices. Research on Social Work Practice, 19 (5), 491-502. https://doi.org/10.1177/1049731509335528

Cabassa, L. J. (2016). Implementation science: Why it matters for the future of social work. Journal of Social Work Education, 52(sup.1), S38-S50. https://doi.org/10.1080/10437797.2016.1174648

Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80-92. https://doi.org/10.1177/160940690600500107

Fixsen, D. L., Naoom, S.F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231). Retrieved form https://nirn.fpg.unc.edu/sites/nirn.fpg.unc.edu/files/resources/NIRN-MonographFull-01-2005.pdf

Gambrill, E. (2007). Views of evidence-based practice: Social workers’ code of ethics and accreditation standards as guides for choice. Journal of Social Work Education, 43(3), 447-462. https://doi.org/10.5175/JSWE.2007.200600639

Gray, M., & Schubert, L. (2012). Sustainable social work: Modeling knowledge production, transfer, and evidence-based practice. International Journal of Social Welfare, 21(2), 203-214. https://doi.org/10.1111/j.1468-2397.2011.00802.x

Hollander, J. A. (2004). The social contexts of focus groups. Journal of Contemporary Ethnography, 33(5), 602-637. https://doi.org/10.1177/0891241604266988

Kerner, J. F., & Hall, K. L. (2009). Research dissemination and diffusion: Translation within science and society. Research on Social Work Practice, 19(5), 519-530. https://doi.org/10.1177/1049731509335585

Knowles, M. (1980). The modern practice of adult education: Andragogy versus pedagogy. Englewood Cliffs, NJ: Cambridge Adult Education.

Knowles, M. (1984). Andragogy in action: Applying modern principles of adult learning. San Francisco, CA: Jossey-Bass.

Mildona, R., & Shlonsky, A. (2011). Bridge over troubled water: Using implementation science to facilitate effective services in child welfare. Child Abuse & Neglect, 35, 753-756. https://doi.org/10.1016/j.chiabu.2011.07.001

Mitchell, P. M. (2011). Evidence-based practice in real-world services for young people with complex needs: New opportunities suggested by recent implementation science. Children and Youth Services Review, 33, 207-216. https://doi.org/10.1016/j.childyouth.2010.10.003

Mullen, E. J., Shlonsky, A., Bledsoe, S. E., & Bellamy, J. L. (2005). From concept to implementation: Challenges facing evidence-based social work. Evidence & Policy, 1(1), 61-84. https://doi.org/10.1332/1744264052703159

Ogden, L., Vinjamuri, M. K., & Kahn, J. (2016). A model for implementing an evidence-based practice in student fieldwork placements: Barriers and facilitators to the use of “SBIRT.” Journal of Social Service Research, 42(4), 425-441. doi: https://doi.org/10.1080/01488376.2016.1182097

Otto, H., Polutta, A., & Ziegler, H. (2009). Reflexive professionalism as a second generation of evidence-based practice: Some considerations on the special issue, “What works? Modernizing the knowledge-base of social work.” Research on Social Work Practice, 19(4), 472-278. https://doi.org/10.1177/1049731509333200

Palinkas, L. A., He, A. S., Choy-Brown, M., & Hertel, A. L. (2017). Operationalizing social work science through research–practice partnerships: Lessons from implementation science. Research on Social Work Practice, 27(2), 181-188. https://doi.org/10.1177/1049731516666329

Plack, M. M., Driscoll, M., Marquez, M., Cuppernull, L., Maring, J., & Greenberg, L. (2007). Assessing reflective writing on a pediatric clerkship by using a modified Bloom’s taxonomy. Ambulatory Pediatrics, 7(4), 285-291. https://doi.org/10.1016/j.ambp.2007.04.006

Substance Abuse and Mental Health Services Administration. (2011). White paper on Screening, Brief Intervention, and Referral to Treatment (SBIRT) in behavioral healthcare. Retrieved from www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf

Published
2019-01-02
Section
Articles