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Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings
Background: We have previously reported that the Pathways to Comorbidity Care (PCC) training program for alcohol and other drug (AOD) clinicians improved identification of comorbidity, self-efficacy, and attitudes toward screening and monitoring of comorbidity. We aimed to identify barriers and faci...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012778/ https://www.ncbi.nlm.nih.gov/pubmed/36926478 http://dx.doi.org/10.3389/frhs.2021.785391 |
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author | Louie, Eva Giannopoulos, Vicki Baillie, Andrew Uribe, Gabriela Wood, Katie Teesson, Maree Childs, Steven Rogers, David Haber, Paul S. Morley, Kirsten C. |
author_facet | Louie, Eva Giannopoulos, Vicki Baillie, Andrew Uribe, Gabriela Wood, Katie Teesson, Maree Childs, Steven Rogers, David Haber, Paul S. Morley, Kirsten C. |
author_sort | Louie, Eva |
collection | PubMed |
description | Background: We have previously reported that the Pathways to Comorbidity Care (PCC) training program for alcohol and other drug (AOD) clinicians improved identification of comorbidity, self-efficacy, and attitudes toward screening and monitoring of comorbidity. We aimed to identify barriers and facilitators of implementation of the PCC training program in drug and alcohol settings. Methods: The PCC training program was implemented across 6 matched sites in Australia as per (1), and 20 clinicians received training. PCC training included seminar presentations, workshops conducted by local “clinical champions,” individual clinical supervision, and access to an online information portal. We examined barriers and facilitators of implementation according to the Consolidated Framework for Implementation Research. Results: Barriers included inner setting (e.g., allocated time for learning) and characteristics of individuals (e.g., resistance). Facilitators included intervention characteristics (e.g., credible sources), inner setting (e.g., leadership), and outer setting domains (e.g., patient needs). Clinical champions were identified as an important component of the implementation process. Conclusions: Barriers included limited specific allocated time for learning. A credible clinical supervisor, strong leadership engagement and an active clinical champion were found to be facilitators of the PCC training program. |
format | Online Article Text |
id | pubmed-10012778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100127782023-03-15 Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings Louie, Eva Giannopoulos, Vicki Baillie, Andrew Uribe, Gabriela Wood, Katie Teesson, Maree Childs, Steven Rogers, David Haber, Paul S. Morley, Kirsten C. Front Health Serv Health Services Background: We have previously reported that the Pathways to Comorbidity Care (PCC) training program for alcohol and other drug (AOD) clinicians improved identification of comorbidity, self-efficacy, and attitudes toward screening and monitoring of comorbidity. We aimed to identify barriers and facilitators of implementation of the PCC training program in drug and alcohol settings. Methods: The PCC training program was implemented across 6 matched sites in Australia as per (1), and 20 clinicians received training. PCC training included seminar presentations, workshops conducted by local “clinical champions,” individual clinical supervision, and access to an online information portal. We examined barriers and facilitators of implementation according to the Consolidated Framework for Implementation Research. Results: Barriers included inner setting (e.g., allocated time for learning) and characteristics of individuals (e.g., resistance). Facilitators included intervention characteristics (e.g., credible sources), inner setting (e.g., leadership), and outer setting domains (e.g., patient needs). Clinical champions were identified as an important component of the implementation process. Conclusions: Barriers included limited specific allocated time for learning. A credible clinical supervisor, strong leadership engagement and an active clinical champion were found to be facilitators of the PCC training program. Frontiers Media S.A. 2021-11-24 /pmc/articles/PMC10012778/ /pubmed/36926478 http://dx.doi.org/10.3389/frhs.2021.785391 Text en Copyright © 2021 Louie, Giannopoulos, Baillie, Uribe, Wood, Teesson, Childs, Rogers, Haber and Morley. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Health Services Louie, Eva Giannopoulos, Vicki Baillie, Andrew Uribe, Gabriela Wood, Katie Teesson, Maree Childs, Steven Rogers, David Haber, Paul S. Morley, Kirsten C. Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings |
title | Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings |
title_full | Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings |
title_fullStr | Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings |
title_full_unstemmed | Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings |
title_short | Barriers and Facilitators to the Implementation of the Pathways to Comorbidity Care (PCC) Training Package for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings |
title_sort | barriers and facilitators to the implementation of the pathways to comorbidity care (pcc) training package for the management of comorbid mental disorders in drug and alcohol settings |
topic | Health Services |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012778/ https://www.ncbi.nlm.nih.gov/pubmed/36926478 http://dx.doi.org/10.3389/frhs.2021.785391 |
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