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The implementation of MultifunC within The National Board of Institutional Care

The implementation of MultifunC within The National Board of Institutional Care. General phases in a implementation process (Implementation Research, Fixen et al., 2005). Obtain knowledge from research Develop best practice Establish the program (starting up) Implement Full operation

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The implementation of MultifunC within The National Board of Institutional Care

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  1. The implementation of MultifunC within The National Board of Institutional Care

  2. General phases in a implementationprocess (Implementation Research, Fixen et al., 2005) • Obtain knowledge from research • Develop best practice • Establish the program (starting up) • Implement • Full operation • Adjustment and innovation • Maintain and keep up

  3. Program establishment in Sweden • Anchoring the project in SiS management (-00) • Research review published -03 • Recruitment of project leader • Internal information campaign and interest notification (-04) • Practical preparations on site • Recruitment • Education and training • First juvenile in program autumn -05

  4. Education • Education and training in procedures to employees, and in principles for effective institutional care The model requires basic education in: • Cognitive-behavior theory • Motivational interviewing • ART • Token economy • No Power No Lose • MST analytic process • For the Family and aftercare team also MST and KOMET

  5. All institutions in Sweden has gone trough the same phases • Education and planning • Enthusiasm • Juveniles challenging the system • Revealing weaknesses • Frustration and chaos • Amendments and adjustments • Gradually improved function according to the principles for MultifunC

  6. Some challenges we have had • Handle externalizingbehavior • Turnover • Culture within the institution –This is how we always done it • Challenging to establish good communication within the institution • Comprehension of assessment before placement • Comprehension of the concept that time in the institution is only part of the program • Comprehension for school in an external setting • Economic conditions

  7. Challenging to go from theory to practice • To learn something is easy – to practice what you have learned is quite another thing • The analytic process before development of interventions • From long term targets to short term targets and evaluations • Balance between autonomy and control

  8. Takes time to integrate new methods and thinking • Demanding and complex model – reflects the juveniles complex needs • Uncertainty -fear of doing the wrong thing • Relapse to traditional thinking • The need for punishment/ sanctions

  9. Staff barriers: • Habits • Attitudes • Expectations • Turnover Practical barriers: • Basis for care • Target group • Economic conditions Potential Achievement Learned skills Fair performance Implementing a new program is a gradual process

  10. What have we accomplished? • More than 100 juveniles have got the treatment and it seems they are benefitting from it • Maintaining good implementation status is a never ending story • An independent study of the effect is on its way • SiS has had a great deal of developmental help from this project, principles for effective institutional care, risk assesment, parental management programs…..

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