Evidence-Based Practice (EBP) implementation is best achieved through the deliberate enactment of four specific stages: preparation, initiation, implementation, and evaluation. The “Implementing Evidence-Based Practices: A Staged Approach” provides an overview of the four stages as well as details the recommended steps to take while in stage one of implementation.  

Each stage of EBP implementation helps divide large projects into sizable, manageable tasks while minimizing overwhelm and resistance. Additionally, stages improve the ability to evaluate, assess, and adjust as needed throughout the implementation process.

 4-Stage Overview 

Each stage of the implementation process is equally as important as the other. Below is a quick overview of each stage:

1. Preparation—Assess readiness, develop plans, identify technology needs, and provide EBP training.
2. Initiation—Continue staff training and coaching, choose a model for effective one-to-one interventions, develop a case plan template, and create and implement a quality assurance system.
3. Implementation—Develop caseload structure, provide group-based cognitive behavioral interventions, develop and provide training on responding to prosocial and non-compliant behaviors.
4. Evaluation—Create an evaluation to review performance, align policies and practices with EBP, conduct a program gap analysis, develop a service matrix, and ensure sustainability.

 Stage One: Preparation

The first stage and “slice of the PIIE” of EBP implementation is preparation. Being ready and properly trained to implement EBP directly impacts overall success and outcomes. The preparation stage takes approximately 9–12 months to complete and includes the following key steps:

• Conduct an organizational culture/readiness assessment
• Draft a county EBP implementation plan
• Identify technical assistance needs
• Select EBP training
  • Staff
  • Stakeholder

Whether in the early or later stages of EBP implementation, using the Fidelity/Quality Assurance Checklist (Pages 16-19) to evaluate stage one helps agencies remain ready for and effective throughout all stages. Similar documents for stages 2–4 are forthcoming.

Next Month:  Why readiness assessments are essential prior to implementation. 

Positive change is possible for everyone in Pennsylvania. We look forward to continuing to enhance your EBP knowledge and invite you to submit education/resource requests to askppcji@gmail.com.