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Presented at the 21st Annual Research Conference

Large Scale Implementation Model of Evidence Based Programs

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Presenting: Terje Ogden

All Authors for this paper: Terje Ogden

Presentation Type: element of symposium

Synopsis: The Norwegian national implementation strategy of targeting evidence based practices which target conduct problems is presented as a combination of centralized dissemination and local implementation. The main components are (1) long term funding of programs and establishing a national center for program implementation and research, (2) municipal implementation of Multisystemic Therapy and Parent Management Training (3) a formal recruitment strategy of participants, (4) practitioner training and supervision (5) outcome and implementation research and (6) a system of quality assurance, including monitoring of treatment and program adherence.

Evaluation of Program Effectiveness and Sustainability

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Presenting: Kristine Amlund-Hagen

All Authors for this paper: Kristine Amlund-Hagen

Presentation Type: element of symposium

Synopsis: The presentation addresses the implementation and outcomes in randomised controlled effectiveness trials of Multisystemic Therapy (MST) and Parent Management Training (PTMO) in Norway as part of the national implementation project that started in 1999. The MST study focused on pre-post adolescent behavioral change, placement out of home, site differences in treatment adherence and sustainability of treatment and program effectiveness. The PMTO study targeted child behavioral change and how it was influenced by parenting and treatment fidelity.

Implementing the PALS School-Wide Intervention Model

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Presenting: Mari-Anne Sorlie

All Authors for this paper: Mari-Anne Sorlie

Presentation Type: element of symposium

Synopsis: A school-wide intervention program aiming at the prevention of behavior problems and the promotion of social competence through positive behavior support was implemented in order to promote evidence based practice in schools. The model is implemented in a step-by-step fashion and is gradually scaled up to meet demands from schools across Norway. The program was evaluated in a quasi-experimental effectiveness trial with four elementary schools. The outcome results were encouraging and high implementation quality and teacher collective efficacy were associated with positive student outcomes.

Implementing and Evaluating Evidence-based Programs Targeting Conduct Problems in Children and Youth in Norway

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Session Number: 41 Room: Salon A

Presenting: Terje Ogden

All Authors for this paper: Terje Ogden

Presentation Type: brief symposium

Synopsis: The symposium gives an overview of the Norwegian experiences with and results from "going-to-scale" implementation of evidence based programs (EBP), including outcomes in effectiveness studies and some of the strategies used in order to promote widespread use and to ensure fidelity. The first presentation describes the national implementation strategy developed in order to more effectively prevent and ameliorate antisocial behaviour in children and youth by implementing several EBPs in the regular service systems. The Norwegian experiences and results might be considered a case study spanning over 9 years. The case of Norway illustrates how EBPs developed in the US were transported across geographical and language borders, implemented nationwide, tested for effectiveness in regular practice and examined for sustainability. The second presentation gives an overview of selected primary and secondary outcomes from randomized effectiveness studies of 2 family and community based treatment programs. These are Parent Management Training (PMTO) and Multisystemic Therapy (MST). By presenting these studies, we want to emphasize how treatment adherence was measured in order to show how fidelity affects positive child and adolescent outcomes. The third presentation introduces the implementation and evaluation of the school wide intervention program, PALS, which is based on the positive behaviour support model (PBS). In PALS, universal interventions are combined with direct treatment by offering PMTO to the parents of the high risk children. Unlike the parenting programs, the school program is implemented nationally in a stepwise manner. A national commitment to implement EBPs maintained with continuing funding constitutes a long-term strategy for building and maintaining competence in the treatment of behavioural problems in children and youth. The generalizability of the implementation strategy is discussed along with the implications for policy, research and the organization of services.

Date: Monday, February 25, 2008

Session Time: 1:30 PM - 2:30 PM