From: Implementation strategies for telemental health: a systematic review
Use of evaluative and iterative strategies |
Examples include conducting a local needs assessment, provision of consumer feedback on the implementation, assessment for readiness, identification of barriers, quality monitoring tools, audit and feedback |
Provision of interactive assistance |
Examples include processes of enabling and supporting individuals, groups, or organisations to adopt or incorporate effective practice, local technical assistance, ongoing supervision, and centralisation of technical assistance for implementation issues such as help-desks and online "frequently asked questions” |
Adaptation and tailoring to context |
Examples include adapting interventions to address previously identified barriers, and identifying which aspects of the intervention can be adapted to suit need |
Development of stakeholder interrelations |
Examples include identification of champions or leaders to support and drive implementation and overcome resistance, development of multi-disciplinary support teams with protected time to reflect on practice and share lessons, recruitment and cultivation of relationships with partners or community resources, such as charities, and identification of early adopters who others can learn from |
Training and educating stakeholders |
Examples include ongoing training throughout implementation for clinicians, support staff and facilitators, ongoing consultation with experts, development of manuals and toolkits and training designated people to train others |
Supporting clinicians |
Examples include facilitating the relay of information to clinicians, resource sharing agreements with organisations that have relevant required resources, revision of professional roles and changes to clinical teams to ensure the necessary skills are available |
Engagement of consumers |
Examples include involving service users in the implementation effort, encouraging adherence, problem solving and spreading the word about the intervention |
Utilising financial strategies |
Examples include funding to encourage uptake or incentivising adoption |
Changes to infrastructure |
Examples include encouraging leadership to declare the intervention a priority, adaptation of physical structures such as room layout and changing accreditation and certification requirements |