Effective delivery of evidence-based practices (EBPs) depends on strong supervision and leadership. This case study analysis examined how supervisors contended with barriers and facilitators of implementation of R3, a supervisor-focused strategy to improve caseworker interactions with families in the child welfare system. A stratified random sample of supervisors, those with higher scores on the Implementation Leadership Scale (n = 10) versus those with lower scores (n = 10), who participated in multiple interviews, allowed for analysis over the course of implementation. Findings demonstrate the importance of strong supervisor leadership, high-quality supervision, and coaching engagement to overcoming implementation barriers. Strong supervisor leadership may facilitate an efficient transition of support from external coaches to supervision practices.
AaronsG. A.EhrhartM. G.FarahnakL. R. (2014). The implementation leadership scale (ILS): Development of a brief measure of unit level implementation leadership. Implementation Science, 9(45). https://doi.org/10.1186/1748-5908-9-45
2.
AaronsG. A.EhrhartM. G.FarahnakL. R.SklarM. (2014). Aligning leadership across systems and organizations to develop a strategic climate evidence-based practice implementation. Annual Review of Public Health, 35, 255–274. http://doi:10.1146/annurev-publhealth-032013-182447
3.
BeidasR. S.EdmundsJ. M.MarcusS. C.KendallP. C. (2012). Training and consultation to promote implementation of an empirically supported treatment: A randomized trial. Psychiatric Services, 63(7), 660–665. https://doi:10.1176/appi.ps.201100401
4.
BungerA. C.BirkenS. A.HoffmanJ. A.MacDowellH.Choy-BrownM.MagierE. (2019). Elucidating the influence of supervisors’ roles on implementation climate. Implementation Science, 14(1), Article 93. https://doi.org/10.1186/s13012-019-0939-6
5.
CannellaA.MonroeM. (1997). Contrasting perspectives on strategic leaders: Toward a more realistic view of top managers. Journal of Management;, 23(3), 213–237. https://doi.org/10.1177/014920639702300302
6.
CasillasK. L.FauchierA.DerkashB. T.GarridoE. F. (2016). Implementation of evidence-based home visiting programs aimed at reducing child maltreatment: A meta-analytic review. Child Abuse & Neglect, 53, 64–80. https://doi:10.1016/j.chiabu.2015.10.009
7.
DamschroderL. J.AronD. C.KeithR. E.KirshS. R.AlexanderJ. A.LoweryJ. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(50). https://doi:10.1186/1748-5908-4-50
8.
DolciniM. M.Davey-RothwellM. A.SinghR. R.CataniaJ. A.GandelmanA. A.NarayananV.HarrisJ.McKayV. R. (2021). Use of effective training and quality assurance strategies is associated with high-fidelity EBI implementation in practice settings: A case analysis. Translational Behavioral Medicine, 11(1), 34–45. https://doi.org/10.1093/tbm/ibz158
9.
DorseyS.KernsS. E. U.LucidL.PullmannM. D.HarrisonJ. P.BerlinerL.ThompsonK.DeblingerE. (2018). Objective coding of content and techniques in workplace-based supervision of an EBT in public mental health. Implementation Science;, 13(19), 1–12. https://doi.org/10.1186/s13012-017-0708-3
10.
FunderburkB.ChaffinM.BardE.ShanleyJ.BardD.BerlinerL. (2015). Comparing client outcomes for two evidence-based treatment consultation strategies. Journal of Clinical Child & Adolescent Psychology, 44(5), 730–741. https://doi.org/10.1080/15374416.2014.910790
11.
GlissonC.SchoenwaldS. K.KelleherK.LandsverkJ.HoagwoodK. E.MaybergS.GreenP. (2008). Therapist turnover and new program sustainability in mental health clinics as a function of organizational culture, climate, and service structure. Administration and Policy in Mental Health and Mental Health Services, 35, 124–133. https://doi.org/10.1007/s10488-007-0152-9
12.
Institute of Medicine. (2014). New directions in child abuse and neglect research. National Academies Press.
13.
LucidL.MezaR.PullmannM. D.JungbluthN.DeblingerE.DorseyS. (2018). Supervision in community mental health: Understanding intensity of EBT focus. Behavior Therapy, 49(4), 481–493. https://doi:10.1016/j.beth.2017.12.007
14.
LyonA. R.StirmanS. W.KernsS. E. U.BrunsE. J. (2011). Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Administration and Policy in Mental Health and Mental Health Services, 38(4), 238–253. https://doi.org/10.1007/s10488-010-0331-y
15.
MezaR. D.TriplettN. S.WoodardG. S.PrernaM.KhairuzzamanA. N.JamoraG.DorseyS. (2021). The relationship between first-level leadership and inner-context and implementation outcomes in behavioral health: A scoping review. Implementation Science, 16, Article 69. https://doi.org/10.1186/s13012-021-01104-4
16.
MichaelisB.StegmaierR.SonntagK. (2009). Affective commitment to change and innovation implementation behavior: The role of charismatic leadership and employees’ trust in top management. Journal of Change Management, 9, 399–417. https://doi.org/10.1080/14697010903360608
17.
MichaelisB.StegmaierR.SonntagK. (2010). Shedding light on followers’ innovation implementation behavior: The role of transformational leadership, commitment to change, and climate for initiative. Journal of Managerial Psychology, 25(4), 408–429. https://doi.org/10.1108/02683941011035304
18.
O’ReillyC. A.CaldwellD. F.ChatmanJ. A.LapizM.SelfW. (2010). How leadership matters: The effects of leaders’ alignment on strategy implementation. Leadership Quarterly;, 21, 104–113. https://doi.org/10.1016/j.leaqua.2009.10.008
19.
PalinkasL. (2018). Achieving implementation and exchange: The science of delivering evidence-based practices to at-risk youth. The University of Chicago Press.
20.
PattersonG. R.ReidJ. B.DishionT. J. (1992). A social learning approach: Vol. 4: Antisocial boys. Castalia.
RothA. D.PillingS.TurnerJ. (2010). Therapist training and supervision in clinical trials: Implications for clinical practice. Behavioral and Cognitive Psychotherapy, 38(3), 291–302. https://doi:10.1017/S1352465810000068
23.
SaldañaJ. (2013). The coding manual for qualitative researchers (2nd ed.). SAGE.
24.
SaldanaL.ChamberlainP.ChapmanJ. (2016). A supervisor-targeted implementation approach to promote system change: The R3 model. Administration and Policy in Mental Health and Mental Health Services, 43, 879–892. https://doi.org/10.1007/s10488-016-0730-9
25.
SchoenwaldS. K.MehtaT. G.FrazierS. L.ShernoffE. S. (2013). Clinical supervision in effectiveness and implementation research. Clinical Psychology: Science and Practice, 20(1), 44–59. https://doi.org/10.1111/cpsp.12022
26.
SchoenwaldS. K.SheidowA. J.ChapmanJ. E. (2009). Clinical supervision in treatment transport: Effects on adherence and outcomes. Journal of Consulting and Clinical Psychology;, 77(3), 410–421. https://doi.org/10.1037/a0013788
27.
SchoenwaldS. K.SheidowA. J.LetourneauL. J. (2004). Toward effective quality assurance in evidence-based practice: Links between expert consultation, therapist fidelity, and child outcomes. Journal of Clinical Child and Adolescent Psychology, 33(1), 94–104. https://doi.org/10.1207/S15374424JCCP3301_10
28.
SloanR.GrumanJ. (1988). Participation in workplace health promotion programs: The contribution of health and organizational factors. Health Education Quarterly, 15(3), 269–288. https://doi.org/10.1177/109019818801500303
29.
StetlerC. B.RitchieJ. A.Rycroft-MaloneJ.SchultzA. A.CharnsM. P. (2009). Institutionalizing evidence-based practice: An organizational case study using a model of strategic change. Implementation Science, 4(78). https://doi.org/10.1186/1748-5908-4-78
30.
WilliamsN. J.WolkC. B.Becker-HaimesE. M.BeidasR. S. (2020). Testing a theory of strategic implementation leadership, implementation climate, and clinicians’ use of evidence-based practice: A 5-year panel analysis. Implementation Science, 15(10). https://doi:org/10.1186/s13012-020-0970-7
31.
YinR. K. (2018). Case study research and applications: Design and methods (6th ed.). SAGE.
