Table 1 Lessons Learned and Applied in Facilitating Training and Implementation

Facilitating Training

   Participant Selection

• Selection of trainees should be based on motivation and interest

• Where possible, trainees should have similar levels of baseline knowledge

• Trainees should commit to some performance standards, as well as set individual goals

   Training Content and Process

• Trainers should be familiar with trainees' work environment

• Certification or a marketable skill should be offered to motivate trainees

   Consultation & Coaching

• Individual goals should guide post-training activities

• Post-training consultation should be targeted to concerns expressed by trainees

• Regular coaching should emphasize initial goals and performance standards

• Goals should be modified if necessary as the process unfolds

Facilitating Implementation

   Evaluation Approach

• Utilize objective assessment of skills acquisition

• Concrete site-specific outcomes should be assessed

• Multiple follow up goal assessments allow for real time feedback to the extent possible

   Administrative Support

• Collaboration between administrators and clinicians should ensure mutually-identified goals

• Administrators should agree to commit the resources necessary to accomplish goals

• Each stakeholder should receive recognition for efforts from administrators

   Systems Intervention

• All stakeholders should be engaged in implementation and monitoring

• Training should support the organizational strategic plan