Identifying enablers and barriers to the implementation of Functional family Therapy – Child Welfare (FFT-CW®) into the routine delivery of child protection services in New South Wales, Australia

Economidis, G; Farnbach, S; Falster, K; Eades, AM; Shakeshaft, A

Identifying enablers and barriers to the implementation of Functional family Therapy – Child Welfare (FFT-CW®) into the routine delivery of child protection services in New South Wales, Australia

Economidis, G Farnbach, S Falster, K Eades, AM Shakeshaft, A

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Children and Youth Services Review, 2023, 149, pp. 106927
Issue Date:: 2023-06-01

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Field	Value	Language
dc.contributor.author	Economidis, G
dc.contributor.author	Farnbach, S
dc.contributor.author	Falster, K
dc.contributor.author	Eades, AM
dc.contributor.author	Shakeshaft, A
dc.date.accessioned	2024-03-15T05:12:33Z
dc.date.available	2024-03-15T05:12:33Z
dc.date.issued	2023-06-01
dc.identifier.citation	Children and Youth Services Review, 2023, 149, pp. 106927
dc.identifier.issn	0190-7409
dc.identifier.uri	http://hdl.handle.net/10453/176786
dc.description.abstract	Background: Functional Family Therapy – Child Welfare (FFT-CW®) aims to reduce the risk of child maltreatment and out-of-home care entry for vulnerable children. Objective: To identify enablers and barriers to implementing FFT-CW® into the routine delivery of child protection services from policy and service provider perspectives. Participants/setting: Eighteen program and policy experts, and 54 service providers, involved in the delivery of FFT-CW® across 6 districts in New South Wales, Australia. Methods: Semi-structured interviews with policy and program experts, and four discussion groups with service providers using nominal group technique (NGT). Interview data were thematically analyzed to identify enablers and barriers. An adapted Consolidated Framework for Implementation Research (CFIR) scoring system was used to quantify themes, with scores of −2 assigned for barriers, 0 for neutral, and 2 for enablers. NGT was used to generate and rank enablers and barriers of program implementation with service providers. Results: The semi-structured interviews generated 16 themes, from which three enablers and four barriers were identified using CFIR scoring. The NGT discussions generated nine enablers and eight barriers. Key enablers common to both interviews and NGTs were FFT-CW's therapeutic and empowering approach, model purveyor training and support, and the supervision and feedback provided to service providers. Key barriers included referral difficulties, staff burnout, turnover and training logistical challenges, and problems with data collection and the safety impacts of outcome measures on participants. Conclusions: Sustained uptake of FFT-CW® is likely feasible and evaluating its effectiveness within the routine delivery of NSW child protection services is warranted.
dc.language	en
dc.publisher	Elsevier
dc.relation.ispartof	Children and Youth Services Review
dc.relation.isbasedon	10.1016/j.childyouth.2023.106927
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1402 Applied Economics, 1607 Social Work
dc.subject.classification	Social Work
dc.subject.classification	4409 Social work
dc.subject.classification	4410 Sociology
dc.title	Identifying enablers and barriers to the implementation of Functional family Therapy – Child Welfare (FFT-CW®) into the routine delivery of child protection services in New South Wales, Australia
dc.type	Journal Article
utslib.citation.volume	149
utslib.for	1402 Applied Economics
utslib.for	1607 Social Work
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2024-03-15T05:12:32Z
pubs.publication-status	Published
pubs.volume	149

Abstract:

Background: Functional Family Therapy – Child Welfare (FFT-CW®) aims to reduce the risk of child maltreatment and out-of-home care entry for vulnerable children. Objective: To identify enablers and barriers to implementing FFT-CW® into the routine delivery of child protection services from policy and service provider perspectives. Participants/setting: Eighteen program and policy experts, and 54 service providers, involved in the delivery of FFT-CW® across 6 districts in New South Wales, Australia. Methods: Semi-structured interviews with policy and program experts, and four discussion groups with service providers using nominal group technique (NGT). Interview data were thematically analyzed to identify enablers and barriers. An adapted Consolidated Framework for Implementation Research (CFIR) scoring system was used to quantify themes, with scores of −2 assigned for barriers, 0 for neutral, and 2 for enablers. NGT was used to generate and rank enablers and barriers of program implementation with service providers. Results: The semi-structured interviews generated 16 themes, from which three enablers and four barriers were identified using CFIR scoring. The NGT discussions generated nine enablers and eight barriers. Key enablers common to both interviews and NGTs were FFT-CW's therapeutic and empowering approach, model purveyor training and support, and the supervision and feedback provided to service providers. Key barriers included referral difficulties, staff burnout, turnover and training logistical challenges, and problems with data collection and the safety impacts of outcome measures on participants. Conclusions: Sustained uptake of FFT-CW® is likely feasible and evaluating its effectiveness within the routine delivery of NSW child protection services is warranted.

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http://hdl.handle.net/10453/176786