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Table 1 Categories of solutions

From: The clinician crowdsourcing challenge: using participatory design to seed implementation strategies

Categorya

Example ideas

Tournament ratingsb

Training (n = 27; 42%)

• Training delivered by EBP trainer/expert on-site at the organization to train all clinicians

• EBP training for managers and supervisors

• Shorter and more frequent training sessions

4.03 (1.08)

n = 396

Financing and compensation (n = 17; 26%)

• Paid training, workshops, and supervision

• Enhanced rate for clinicians who report EBP use in progress notes

• Incremental bonus program for committing to stay at organization

4.13 (1.08)

n = 278

Clinician support and preparation tools (n = 14; 22%)

• Yoga classes for clinicians provided by organization

• Collecting data on client outcomes to inform treatment

• Binder with EBP “one-pagers” to guide treatment by session

3.76 (1.18)

n = 196

Supervision (n = 11; 17%)

• Role-play using EBP in supervision

• Access to designated EBP experts when supervisors at organization are not familiar with EBP

• Group supervision with walk through of identifying to use EBP with clients, how to use it, and how to address barriers to using EBP

4.03 (1.13)

n = 202

Other (n = 7; 11%)

• Support for family-involved treatments

• Partner with local universities to provide organizations with master’s level interns with EBP knowledge and experience

• Measure client satisfaction with EBP

3.56 (1.45)

n = 71

Change to the scope or definition of EBPs (n = 5; 8%)

• Change EBPs to integrate family, community, and social determinants

• Develop trans-inclusive EBPs

3.85 (1.17)

n = 78

Change to the system and structure of publicly funded behavioral health care (n = 4; 6%)

• Mandatory use of EBPs

• Hiring staff for case management

• Fewer clients and longer sessions in non-profit organizations

3.86 (1.24)

n = 70

Client support (n = 3; 5%)

• Pre-session worksheets to prepare client for session

• On-site childcare provided by organization

• Welcoming and calm office spaces

3.67 (1.30)

n = 30

  1. aSixteen ideas were categorized in two or more categories, so the total percentages add to over 100% and the total number of ratings add up to over 899
  2. bClinicians were invited to participate in the innovation tournament by rating submitted ideas. Clinicians were asked to rate submitted ideas on a scale of 1–5 stars. The average and standard deviations of the ratings are presented in this column