ABSTRACT

Youth in residential care often have high rates of emotional and behavioral problems, and a disrupted past with trauma and prior placements. There is a need for the residential youth care (RYC) services to adopt research-informed practices that may improve the outcomes for youth entering. Still, as RYCs can be a challenging setting to implement practice change in, more knowledge on what facilitate effective implementation in residential settings are warranted. More research on implementation in RYCs will enable stakeholders and professionals to adopt appropriate implementation strategies in an upcoming change process in RYCs. Research from other settings emphasize the role of organizational components in implementation. In this study, a qualitative approach was utilized to identify providers’ perspectives on organizational facilitators and barriers of implementation in RYCs. The results highlight the importance of providing dedicated time to work with the new intervention, providers perception of organizational resources and support from colleagues. Barriers to implementation include negative attitudes in the staff group, challenging aspects of the structure and procedures in RYCs, and task demands. Finally, the results and their implications are discussed.

摘要

寄宿护理中的青少年通常有很高的情绪和行为问题发生率，并且过去因创伤和先前的​​安置而被打乱。青少年寄宿护理 (RYC) 服务需要采用以研究为基础的做法，以改善青少年进入的结果。尽管如此，由于 RYC 可能是实施实践变革的一个具有挑战性的环境，因此需要更多地了解如何促进住宅环境中的有效实施。对 RYC 实施的更多研究将使利益相关者和专业人士能够在 RYC 即将到来的变革过程中采取适当的实施策略。其他环境的研究强调组织成分在实施中的作用。在这项研究中，采用定性方法来确定提供商对 RYC 中组织促进因素和实施障碍的看法。结果强调了提供专门时间来实施新干预措施、提供者对组织资源的看法以及同事支持的重要性。实施的障碍包括工作人员群体的消极态度、RYC 结构和程序的挑战性方面以及任务要求。最后，讨论了结果及其影响。RYC 的结构和程序以及任务要求方面具有挑战性。最后，讨论了结果及其影响。RYC 的结构和程序以及任务要求方面具有挑战性。最后，讨论了结果及其影响。