4 - (SYM 59) Bringing a Transdiagnostic Sleep and Circadian Intervention into a Community Mental Health Setting: A Qualitative Evaluation with Community Stakeholders Prior to Implementation

The implementation of evidence-based psychological treatments (EBPTs) may be particularly challenging to accomplish in community mental health settings for individuals with serious mental illness (SMI). Transdiagnostic treatments, or treatments that target a mechanism that underpins multiple mental health problems, may be particularly well-suited to community mental health settings. This study examines community stakeholder perspectives (N = 22) of the Transdiagnostic Sleep and Circadian Intervention (TranS-C) when it is delivered in a community mental health setting in the context of a hybrid randomized controlled trial of TranS-C for SMI. In this broader trial, TranS-C is implemented by research therapists, not by community providers. The present study aimed to identify barriers and facilitators to the implementation of TranS-C for SMI in a community mental health setting using (1) a deductive theory-based process based on the Framework for Dissemination in Health Services Intervention Research and (2) an inductive thematic analysis process. All deductive themes were identified as both barriers and facilitators to the implementation of EBPTs and TranS-C in this community mental health setting. Seven additional themes were identified through the inductive thematic analysis: different context, need to adapt, motivating factors, time-frame of solutions, culture division, client abilities, and clients supporting one another. A discussion of how the findings are related to prior research, other EBPT implementation, and future TranS-C implementation will be presented.