Project 3: MOTIVATE: Motivating Organizations To Implement: Valuing A Team Effort

PIs: Rinad Beidas, PhD; Nathaniel Williams, PhD

Project Director: Rebecca Stewart, PhD

The importance of implementing evidence-based practice (EBP) in community mental health settings has been well-established, yet EBPs are not widely used in these settings. A robust finding from our efforts to study EBP implementation over the past four years in Philadelphia is that the most significant barrier to EBP implementation is the organizational financial investment required. Given the scarcity of resources in the mental health system, incentives must be designed to optimize their impact. Behavioral economics could contribute valuable information about the best methods to incentivize clinicians to effectively change their behavior.

This study will be the first to systematically elicit end-user (clinician) input and use a combination of that and behavioral economic insights to design a provider-focused incentive strategy. This is important given that implementation strategies are often developed without careful consideration of conceptual underpinnings or through the use of systematic stakeholder input.

This project harnesses collaboration between our research team, the City of Philadelphia Department of Behavioral Health and Intellectual disAbilities (DBHIDS), and community organizations that provide public mental health services. We will partner with stakeholders to develop incentive-oriented implementation strategies that target organizations and leverage established principles from behavioral economics to improve EBP implementation in community mental health clinics. The product of this project will be implementation strategies that are acceptable to a range of relevant stakeholders including clinicians, agency leaders, policy-makers and payers.