Navigating the complexity: unraveling the implementation of youth care guidelines

Abstract

This dissertation aimed to unravel the complexity of implementing youth care guidelines, with a particular focus on those addressing child abuse and domestic violence. We explored the relationship between determinants, behavior change techniques, and implementation strategies, as well as the varying challenges faced by different subgroups of professionals.

The discussion emphasizes that implementation cannot be reduced to isolated barriers solvable by simple solutions. Instead, implementation is a dynamic and context-dependent process in which determinants are interconnected. This dissertation also highlights the importance of understanding the underlying mechanisms behind strategies: the 'why' behind what works. By integrating these insights into the design, execution, and interpretation of implementation research, we can move toward more effective and context-sensitive solutions.

Consequently, the dissertation advocates for a holistic perspective on implementation research. This led to the development of a framework that bridges theory and practice, equipping researchers and professionals to deploy strategies in a more targeted and contextually grounded manner. In doing so, it lays the groundwork for more sustainable and impactful improvements in youth care, ultimately enhancing the well-being of children and families.