Table 2 Comparison of steps of the quality implementation Framework and the pragmatic Framework of implementation

Phase One: Initial considerations regarding the host setting

Assessment strategies

1. Conducting a needs and resources assessment

1. Determine client needs

3. Determine workforce and other resource requirements to achieve client needs

2. Conducting a fit assessment

Being a long-term employee of CAMHP, the Clayton HOPE manager was fully aware of how the system worked

3. Conducting a capacity/readiness assessment

Since there was no alternate option for implementation, capacity, and readiness were built en route.

Decisions about adaptation

4 Possibility for adaptation

The new model design was informed by knowledge of client needs and HOPE models of other services

Capacity-building strategies

5. Obtaining explicit buy-in from critical stakeholders and fostering a supportive community/ organizational climate

5. Facilitate stakeholder buy-in

6. Building general/organizational capacity

7. Staff recruitment/maintenance

Staff recruitment took place earlier in the process

8. Effective pre-innovation staff training

Both peer and psychosocial workers received specific training before commencement of the service.

Phase Two: Creating a structure for implementation

Structural features for implementation

9. Creating implementation teams

4. Establish workforce and finalize team

10. Developing an implementation plan

2. Plan the model of care and elements of the service

Phase Three: Ongoing structure once implementation begins

6. Regular monitoring and evaluation of the service

Ongoing implementation support strategies

11. Technical assistance/coaching/supervision

Daily team meetings

Supervision of peer workers

12. Process evaluation

13. Supportive feedback mechanism

Monitoring of client outcomes and feedback

Phase Four: Improving future applications

14. Learning from experience