Trial reportJournal of consulting and clinical psychology2016
Aligning organizational priorities with ARC to improve youth mental health service outcomes.
Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed.
- Effects of an Organizational Implementation Strategy on Sustainment of Measurement-Based Care in Community Mental Health.Psychiatric services (Washington, D.C.) · 2025Trial
- Randomized Trial of an Organizational Implementation Strategy to Improve Measurement-Based Care Fidelity and Youth Outcomes in Community Mental Health.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Trial
- Mortality trends and influencing factors of mental disorders among urban and rural residents in China between 2009 and 2021: a longitudinal study with projections to 2030.Frontiers in public health · 2026Article
- A collaboratively produced model of service design for children and young people with common mental health problems.BMC health services research · 2024Review
- Misalignment in Community Mental Health Leader and Therapist Ratings of Psychological Safety Climate Predicts Therapist Self-Efficacy with Evidence-Based Practices (EBPs).Administration and policy in mental health · 2023Article
- Sustainable deimplementation of continuous pulse oximetry monitoring in children hospitalized with bronchiolitis: study protocol for the Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial.Implementation science : IS · 2022Article
- The Influence of Context on Implementation and Improvement: Protocol for a Mixed Methods, Secondary Analyses Study.JMIR research protocols · 2022Article
- Alignment in implementation of evidence-based interventions: a scoping review.Implementation science : IS · 2021Article
- Study protocol for a type III hybrid effectiveness-implementation trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care.Implementation science : IS · 2021Article
- Embedding school cultures and climates that promote evidence-based practice implementation for youth with autism: A qualitative study.Autism : the international journal of research and practice · 2021Article
- Providers' Perspectives on Implementing a Multiple Family Group for Children with Disruptive Behavior.Journal of child and family studies · 2020Article
- Provider Attitudes, Organizational Readiness for Change, and Uptake of Research Supported Treatment.Research on social work practice · 2019Article
- Navigating the storm: How proficient organizational culture promotes clinician retention in the shift to evidence-based practice.PloS one · 2018Article
- The Pursuit of Quality for Social Work Practice: Three Generations and Counting.Journal of the Society for Social Work and Research · 2017Article
- Implementation leadership and implementation climate in context: A single organization intrinsic case study for implementation of digital measurement-based care.Implementation research and practiceArticle
- Association of organizational culture and climate with variation in the clinical outcomes of collaborative care for maternal depression in community health centers.Implementation research and practiceArticle
- Organizational factors associated with community therapists' self-efficacy in EBP delivery: The interplay between sustainment leadership, sustainment climate, and psychological safety.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe Availability, Responsiveness, and Continuity (ARC) organizational intervention is designed to improve community-based youth mental health services by aligning organizational priorities with 5 principles of effective service organizations (i.e., mission driven, results oriented, improvement directed, relationship centered, participation based). This study assessed the effect of the ARC intervention on youth outcomes and the mediating role of organizational priorities as a mechanism linking the ARC intervention to outcomes.
methodFourteen community-based mental health agencies in a midwestern metropolis along with 475 clinicians and 605 youth (ages 5-18) served by those agencies were randomly assigned to the 3-year ARC intervention or control condition. The agencies' priorities were measured with the ARC Principles Questionnaire (APQ) completed by clinicians at the end of the intervention. Youth outcomes were measured as total problems in psychosocial functioning described by their caregivers using the Shortform Assessment for Children (SAC) at 6 monthly intervals.
resultsThe rate of improvement in youths' psychosocial functioning in agencies assigned to the ARC condition was 1.6 times the rate of improvement in agencies assigned to the control condition, creating a standardized difference in functioning of d = .23 between the 2 groups at the 6-month follow-up. The effect on youth outcomes was fully mediated by the alignment of organizational priorities described in the 5 ARC principles (d = .21).
conclusionThe ARC organizational intervention improves youth outcomes by aligning organizational priorities with the 5 ARC principles. The findings suggest that organizational priorities explain why some community mental health agencies are more effective than others. (PsycINFO Database Record
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