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Table 1 Activities with highest intensity during particular implementation periods

From: Facilitating implementation of primary care mental health over time and across organizational contexts: a qualitative study of role and process

Activity occurring primarily during the

Notes

Beginning

 Baseline data collection

Exclusively at the beginning

 Technical Assistance

 IT Marketing Strategy

 policy development

Concentrated at the beginning but continued as needed

 Action/implementation planning

Recurred if original plan did not fit or with staff changes

 Overcoming resistance to change

Concentrated at the beginning but longer at some sites, particularly where local medical center management was not supportive of PCMHI

Middle

 Managing team processes

Occurred throughout but highest during the middle when a PCMHI learning collaborative was most active

 Fostering networking with peers

Primarily through a PCMHI learning collaborative that did not start until the middle and dissipated over time

Middle and End

 Clinical skills education

 

 Pulling back and letting sites take the lead

By definition was something that happened at the end, but the external facilitator began this process earlier than the internal regional facilitator, by design

  1. PCMHI Primary care mental health integration