Category: Dissemination & Implementation Science
Katherine Pickard, Ph.D.
Assistant Professor
Emory University School of Medicine
Atlanta, Georgia
Davielle Lakind, Ph.D.
Mercer University
Atlanta, Georgia
Amanda Jensen-Doss, Ph.D.
Professor
University of Miami
Miami, Florida
Katherine Pickard, Ph.D.
Assistant Professor
Emory University School of Medicine
Atlanta, Georgia
Kathryn Parisi, M.A.
University of Arkansas
Fayetteville, Arkansas
Kendra Knudsen, M.A.
Doctoral Student
UCLA
Los Angeles, California
Davielle Lakind, Ph.D.
Mercer University
Atlanta, Georgia
Siena Tugendrajch, M.A.
University of Missouri-Columbia
Webster, New York
Within complex systems and a complex world, crises inevitably arise that disrupt the delivery of evidence-based interventions. Disruptions at both systemic and individual levels have the potential to attenuate service outcomes if not addressed in a manner that is responsive, yet still tethered to evidence-based practice (EBP). Further, to support populations and individuals through periods of crisis, we must strengthen the effectiveness of professionally-delivered mental health services and equip a variety of natural helpers and lay workforces to provide high quality supports that balance EBP with responsiveness to individuals’ and communities’ emergent needs.
Implementation science provides an ideal frame through which to examine crises and crisis responses that emerge within diverse contexts given its emphasis on evaluating multilevel factors that both support and hinder the implementation of interventions across varied systems. These frameworks may help clarify the complex impact of crises and offer guidance on how best to respond. Each presentation in this symposium uses an implementation science lens to consider how we can prepare and support an array of workforces to respond to crises that disrupt service provision in a manner that both reflects the evidence base and responds to emergent needs. Presentations span diverse contexts and workforces, including lay mental health workers in India, paraprofessional multidisciplinary providers in a publicly funded birth-to-three system, teachers in early childhood centers and preschools, school-based mental health providers in urban and rural schools and communities, and clinical supervisors.
The first three talks explore lay providers' experiences delivering preventative and/or low-cost services with high potential for scalability and applicability in times of crisis. The first presentation examines how paraprofessional providers in a publicly funded state system respond to emergent life events in the course of providing evidence-based services to families of children demonstrating signs of autism spectrum disorder, and the perceived impact of their decisions. The second talk explores early childhood educators’ attitudes toward a prevention program aimed at strengthening relationships between teachers and students. The third presentation examines perspectives of lay mental health workers in India regarding low-cost training to support the classification of problems and selection of practices within a brief, flexible, modular intervention. The remaining presentations focus on contextual factors that can support providers through crises. The fourth talk examines school-based mental health service providers’ experiences providing services pre- and post- COVID-19 pandemic onset, highlighting mechanisms for strengthening communication and collaboration with school staff prior to and through crises. The last talk presents a meta-analysis of effective supervisory practices, including those that may support providers to competently respond to crises. Our discussant, an expert in training providers to use EBPs, will discuss implications of the presentations for how to effectively support providers and systems navigating EBP while responding to crises.
Presenter: Katherine Pickard, Ph.D. – Emory University School of Medicine
Co-author: Nicole Hendrix, Ph.D. – Emory School of Medicine, Department of Pediatrics, Division of Autism and Related Disabilities
Presenter: Kathryn Parisi, M.A. – University of Arkansas
Co-author: Dustin E. Sarver, Ph.D. – University of Mississippi Medical Center
Presenter: Kendra S. Knudsen, M.A. – UCLA
Co-author: Kendra S. Knudsen, M.A. – UCLA
Co-author: Kimberly Becker, Ph.D. – University of South Carolina
Co-author: Karen Guan, PhD – Pacific Clinics
Co-author: Resham Gellatly, Ph.D. – University of California, Los Angeles
Co-author: Vikram Patel, MD – Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
Co-author: Kanika Malik, PhD – OP Jindal Global University, Sonipat, Haryana, India
Co-author: Maya Boustani, PhD – Department of Psychology, Loma Linda University, Loma Linda, California, USA
Co-author: Sonal Mathur, PhD – Sangath
Co-author: Bruce F. Chorpita, Ph.D. – University of California Los Angeles
Presenter: Davielle Lakind, Ph.D. – Mercer University
Co-author: Wendy Chu, M.A. – University of South Carolina
Co-author: Meredith Boyd, M.A. – University of California Los Angeles
Co-author: Kimberly Becker, Ph.D. – University of South Carolina
Co-author: Bruce F. Chorpita, Ph.D. – University of California Los Angeles
Presenter: Siena Tugendrajch, M.A. – University of Missouri-Columbia
Co-author: Jack Andrews, BS – University of Missouri
Co-author: Suh Jung "Rylee" Park, PhD – University of Missouri
Co-author: Tyler Smith, Ph.D – University of Missouri
Co-author: Kristin Hawley, PhD – University of Missouri