Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors

A multi-level, four phase model of the implementation process, derived from extant literature, is proposed and applied to public sector services and highlights features of the model likely to be particularly important in each phase, while considering the outer and inner contexts of public sector service systems.

Abstract

Implementation science is a quickly growing discipline. Lessons learned from business and medical settings are being applied but it is unclear how well they translate to settings with different historical origins and customs (e.g., public mental health, social service, alcohol/drug sectors). The purpose of this paper is to propose a multi-level, four phase model of the implementation process (i.e., Exploration, Adoption/Preparation, Implementation, Sustainment), derived from extant literature, and apply it to public sector services. We highlight features of the model likely to be particularly important in each phase, while considering the outer and inner contexts (i.e., levels) of public sector service systems.