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Barriers and Facilitators to Implementing Attachment-based Family Therapy into a Child Welfare Setting: A Qualitative Process Evaluation
Journal article   Open access   Peer reviewed

Barriers and Facilitators to Implementing Attachment-based Family Therapy into a Child Welfare Setting: A Qualitative Process Evaluation

Tara Santens, Karin Hannes, Suzanne Levy, Guy Diamond and Guy Bosmans
Family process, v 59(4), pp 1483-1497
01 Dec 2020
PMID: 31823356
url
https://lirias.kuleuven.be/bitstream/123456789/644058/2/Santens%20et%20al.%2c%202019%2c%20Family%20Process.docxView
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Family Studies Psychology Psychology, Clinical Social Sciences
Child welfare systems (CWSs) worldwide show increased interest in adopting empirically informed clinical strategies to increase treatment effectiveness. Many empirically supported treatments (ESTs) exist, but little is known about EST implementation barriers and facilitators in CWS. This study explored CWS providers' experiences of implementing attachment-based family therapy (ABFT) in home-based services of the Flemish CWS (in Belgium). Sixteen CWS providers (twelve counselors and four supervisors) involved in three home-based services were interviewed. The Consolidated Framework for Implementation Research (CFIR) was used to guide collection, coding, and analysis of interview data. Findings revealed that implementation success was related to ABFT's fit with the CWS's mission, philosophy, and existing practices. CWS providers' belief in the compatibility between ABFT and CWS increased investment in implementation efforts and persistence to overcome challenges and setbacks. Some barriers pertained to the learning of ABFT and some barriers pertained to systems level challenges such as lack of leadership and support, poor coordination with referral sources and other youth care partners, and lack of policy support. For successful expansion of ESTs into CWS settings, various barriers at multiple systemic levels need to be addressed.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Family Studies
Psychology, Clinical
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