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Webinar on past experiences that can further ImpleMentAll

Fri. 04. May 2018 14:18

PlaceholderSome of you might be familiar with the MasterMind project. It is a finished project, but because it focused on implementing eMental health initiatives across Europe, its themes and findings are closely tied to the ImpleMentAll project. On March 16, a webinar was conducted. By using MasterMind as a starting point for discussion, the webinar touched upon strategies for effectively implementing health initiatives and possible complications during the process based on past experiences. This approach resulted in a highly relevant webinar for everyone interested in ImpleMentAll. After a short presentation of MasterMind by Claus Duedal Pedersen, coordinator of MasterMind as well as ImpleMentAll, Chris Wright covered their experiences and learning points in relation to where MasterMind took them in terms of their implementation, then Modesto Sierra Callau from Spain explained how the project was conducted, and in conclusion, Christiaan Vis discussed how the experiences with implementation during the MasterMind project, can be used in the future, in particular when working with ImpleMentAll. “As a direct consequence of MasterMind, our new mental health strategy in Scotland stipulates that cCBT should exist in all health board areas and be offered to all adults across Scotland,” says Chris Wright from Scotland making it clear that the MasterMind project has largely improved the mental health care sector in Scotland. Other than becoming a part of national healthcare services around Europe, the MasterMind project also added a successful alternative to traditional treatment of mental health issues, Modesto Sierra Callau from Spain states; “There are more than 40% of the patients who are considered as successful patients because they have reached end of the program, or they do not show symptoms of depression after the last control for those patients who have made at least half of the program.” Throughout the webinar, it was nicely tied together how MasterMind can be interpreted as a preceding step to ImpleMentAll. By discussing the details of MasterMind and afterwards applying them to ImpleMentAll, the presenters of the webinar effectively led the way for this interpretation in an easy and convincing manner. During his part of the presentation, Christiaan Vis referred to Winston Churchill when stating;
“If you want to be perfect, or if you want to be able to improve stuff, then you need to change, and that is actually what we are doing with implementation.” With this statement, Christiaan Vis effectively demonstrates how important the work on ImpleMentAll is and how big an impact the project will have on the healthcare sectors throughout the world, suggesting that, as a result, they will improve and maybe even be perfected. If you are interested in listening to the webinar, it can be found here. If you have any experiences or anecdotes about working with implementation in the healthcare sector or elsewhere, please post it in the comment section and let’s get a debate going!

We build too many walls and not enough bridges

Mon. 09. Apr 2018 13:20

Placeholder"We build too many walls and not enough bridges". These words by Isaac Newton formed the opening of the seminar titled “Breaking walls, building bridges”, which presented the IMA project and provided a much needed insight on mental healthcare in Central and Eastern Europe - an area of the world that has largely been overlooked in global mental health, despite the scarcity of resources in the region.  The seminar, featuring distinguished experts, incl. the Deputy Minister of Health in Albania and consortium members London School of Hygiene and Tropical Medicine, the Mental Health Centre in Prizren, and the EAAD, was hosted by the Centre for Global Mental Health and is now available as a webinar ( http://www.mhinnovation.net/breaking-walls-building-bridges-mental-health-reforms-central-and-eastern-europe).  In short, the seminar covered a highly interesting discussion of mental healthcare in Albania and Kosovo from both historic and current perspectives and the presentation of IMA as an international cooperation contributing to the improvement of mental health in the two countries. IMA is described as a chance for these countries to develop and implement much needed services for mental health.  With its thorough and relevant focus on these topics, the webinar is a must-see for anyone interested in the improvement of mental health care in any setting, including Low and Middle Income Countries, the use of technology for this purpose, and the contribution that implementation science can make to this field. A few quotes from partners behind the webinar: European Alliance Against Depression: "Working in an international team within ImpleMentAll gives us the unique opportunity to look into implementation strategies in different countries and health care settings. We are looking forward to learn from these differences.” Naim Fanaj, Mental Health Center, Prizren, Kosovo: "IMA is building bridges and developing mental healthcare in Kosovo in light of implementing new advanced services - iCBT"  To IMA, building bridges between research and routine care is everything, as we want to help useful clinical innovations reach the citizens and patients who need them. If you have any  eHealth or eMental health implementation issues that you'd like to discuss with the speakers from the webinar, just post a comment below and we'll make sure that it reaches them. 

Why do we need ImpleMentAll?

Tue. 20. Mar 2018 10:58

PlaceholderNo matter where you look in the world, the experience with eHealth implementation is that it is a time-demanding and difficult process that often fails. eHealth solutions, no matter how brilliant, simply don’t make it into routine care before they become obsolete. This applies to large roll-out projects such as implementation of national infrastructures or EMRs as well as smaller, more specialised initiatives, e.g. implementing apps or video conference for specific purposes. For example, a great number of EU-funded projects have tried to implement eHealth solutions into routine care, with varying degrees of success, and IMA builds on good and bad experiences from these. One of the project’s main tasks is to translate the experiences into a scientific and structured way to manage implementation.
This is a general problem, which is why we address it with a broad focus on eHealth in any shape or form. Still, our research aims demand comparability and therefore we have chosen one intervention for the study: internet-based Cognitive Behavioural Therapy (iCBT). This particular intervention was deemed the most suitable because of its comprehensive evidence base, the general need for it in many parts of the world, and the widespread experience with implementation of this type of intervention.
The average time from when evidence has been established for a given new treatment method till it is considered generally implemented and normalised is 18 years. In RSD, we have been developing, testing, and implementing eHealth solutions – learning the hard way that it takes 8-9 years for a technically ready solution to reach normalisation in a hospital, region, or municipality. In the light of the general technological development, which is characterised by a much greater speed, there is a major discrepancy between the time for normalisation and the technological development, which means that we end up implementing obsolete solutions. Therefore, we need tools for implementing in a knowledge-based way, fast, and right. The purpose of IMA is to develop and validate these tools and we have high hopes for their effect.
Claus Duedal Pedersen, Project Coordinator: “IMA transforms past European experience on eHealth implementation into practical tools, which can make a real difference for efficient implementation processes.”
Do you have any concrete experiences with eHealth or eMental health implementation, that you think we should know about?

Welcome to our blog!

Thu. 01. Mar 2018 14:58

PlaceholderWelcome to our blog and to our very first post! The first of many and one that we have looked forward to releasing into the world. To get a good start, we will begin our blogging endeavours with an introduction to this format in an IMA context, including our thoughts on what the blog should bring of value to you as a reader and us as a project. So, the overarching purpose of this blog is to dive into the many interesting and complex subjects that form the basis of the IMA project. The blog will aim to display who we are as a project, what we do, and why. Also, the blog will be interactive and provide a direct channel for consortium partners and external stakeholders alike to communicate and share their extensive knowledge on implementation, eHealth, eMental health, etc. Our reason for choosing the blogging format is a hope that this will foster a more personal and quirky representation of what lies behind our work and what comes out of it than the usual project reports and news updates. The blog is planned and produced by the Project Coordination Team, but all content is directly derived from the work carried out by the project partners and depends heavily on their most valuable contribution.
We will blog about the topics that the project has been born with, e.g. implementation science, Normalization Process Theory, eHealth, and eMental health, but also the themes, issues, challenges, and successes that we will meet on our journey towards completion in 2021. We hope that you will give our blog a good reception and follow it as it unfolds over the next couple of years.
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 733025.
This content reflects only the author's view and the European Commission is not responsible for any use that may be made of the information it contains.

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