Implementing a Brief Evidence-Based Tier 2 School Mental Health Intervention: The Enablers and Barriers as Seen through a Clinical Team Supervisor Lens

Abstract

This paper describes the implementation of BRISC, a brief evidence-based intervention within an implementation framework; specifically, we provide a 5-year retrospective on the successes and remaining gaps of the approach. Interviews were conducted with 13 clinical team leads from diverse school boards in Ontario. Seven themes emerged from our coding: BRISC being seen as an effective and efficient practice, clinicians’ attitudes and self-efficacy, promoting system readiness, high-quality training, data-informed decision-making, effective clinical supervision, and communities of practice to create ongoing learning and professional development. These themes highlight the importance of considering different levels and systems in developing an implementation plan.