Barriers and Facilitators to Implementing a Short-Term Transdiagnostic Mental Health Treatment for Homeless Persons

Soo Jeong Youn; Shannon Sauer-Zavala; Kaylie A. Patrick; Emily M. Ahles; Yesenia Aguilar Silvan; Astrea Greig; Luana Marques; Derri L. Shtasel

doi:10.1097/NMD.0000000000001010

Barriers and Facilitators to Implementing a Short-Term Transdiagnostic Mental Health Treatment for Homeless Persons

Soo Jeong Youn
, Shannon Sauer-Zavala
, Kaylie A. Patrick
, Emily M. Ahles
, Yesenia Aguilar Silvan
, Astrea Greig
, Luana Marques
, Derri L. Shtasel

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Despite the significant mental health needs and comorbidity in homeless individuals, there is a "science-practice gap" between the available evidence-based treatments (EBTs) and their lack of use in community health centers servicing homeless populations. To address this gap, it is imperative to evaluate and attend to the contextual factors that influence the implementation process of EBTs before their integration into routine care. The study aims to evaluate the barriers and facilitators to implementing a transdiagnostic EBT in a community health center serving homeless individuals. The results of the thematic analyses (7 focus groups, 67 participants) yielded 8 themes for barriers and 10 themes for facilitators to implementation. The findings of the current study highlight common tensions faced by community programs and clinicians when working toward integrating EBTs across different types of populations, and those unique to homeless persons. Results can inform subsequent strategies used in implementing EBTs.

Original language	English
Pages (from-to)	585-594
Number of pages	10
Journal	Journal of Nervous and Mental Disease
Volume	207
Issue number	7
DOIs	https://doi.org/10.1097/NMD.0000000000001010
State	Published - Jul 1 2019

Bibliographical note

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Funding

This study was funded by a grant from the Evan's Center for Implementation and Improvement Sciences at Boston University awarded to Dr Shannon Sauer-Zavala and Dr Luana Marques. Time for this article was funded in part by a grant from the National Institute of Mental Health (NIMH K23MH096029-01A1) awarded to Dr Luana Marques. The authors declare no conflict of interest. This study was funded by a grant from the Evan's Center for Implementation and Improvement Sciences at Boston University awarded to Dr Shannon Sauer-Zavala and Dr LuanaMarques. Time for this article was funded in part by a grant from the National Institute of Mental Health (NIMH K23MH096029-01A1) awarded to Dr Luana Marques.

Funders	Funder number
National Institute of Mental Health	K23MH096029-01A1
National Institute of Mental Health
Boston University School of Public Health/Boston University Medical Campus

Keywords

Homeless individuals
community health centers
implementation
qualitative methods
transdiagnostic

ASJC Scopus subject areas

Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1097/NMD.0000000000001010

Cite this

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AU - Marques, Luana

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Barriers and Facilitators to Implementing a Short-Term Transdiagnostic Mental Health Treatment for Homeless Persons

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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Cite this