Facilitative Administration

 
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The research and evaluation literature rarely addresses the impact of facilitative administrative supports on successful outcomes for consumers. However, the “craft” of program implementation (as described in national meetings of purveyors and implementers) makes clear the importance of administrative decisions and supports in the implementation process. What is meant by facilitative administrative supports? Facilitative administrative support is proactive, vigorous and enthusiastic attention by the administration to reduce implementation barriers and create an administratively hospitable environment for practitioners. In an organization that ‘hosts’ an evidence-based program or practice, facilitative administration includes internal policy analyses and decisions, procedural changes, funding allocations and a culture that is focused on what it takes to implement with fidelity and good outcomes.

One survey contrasted the views of practitioners who were successful or unsuccessful in implementing evidence-based practices and programs in organizations. Neither group felt the administration facilitated their use of the new practices. The successful group felt that the administration eliminated some barriers related to paperwork and uses of time while the unsuccessful group felt “worn down” by an unsupportive administration. Thus, a facilitative administration regularly asks for feedback from all levels of the organization (360-degree feedback) with particular attention to the satisfaction of practitioners with the administration’s actions and advocacy related to implementation of the evidence-based program or practice. Barriers are reduced to facilitate the direct service to consumers and family members and ensure that paperwork is both minimized and functional. In addition, resources and supports are created to ensure that the implementation drivers (e.g. selection, training, coaching) are fully developed, utilized and improved over time. Such issues as practitioner workload, safety, remuneration, communication, and feedback are pro-actively addressed by the administration to the satisfaction of the practitioners and ultimately to the benefit of the children, adults and family members receiving services.

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