Aligning dissemination and implementation science with health policies to improve children's mental health.

Aligning dissemination and implementation science with health policies to improve children's mental health.
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DOI:
10.1037/amp0000706
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发表时间:
2020-11
期刊:
The American psychologist
影响因子:
--
通讯作者:
Horwitz SM
Horwitz SM
中科院分区:
其他
文献类型:
--
作者:
Hoagwood KE;Purtle J;Spandorfer J;Peth-Pierce R;Horwitz SM

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美国儿童(0-21岁)心理健康问题的患病率仍然高得令人难以接受,而在COVID-19之后,预计这一患病率将急剧增加。几十年来关于有效治疗的心理学知识应该为提供更好的服务提供信息。传播和实施(D&I)科学已被宣布为解决长期存在的服务质量差的问题,并在一定程度上,提高了我们的理解,实施有效的做法交付系统的背景。然而,很少有研究表明心理干预对儿童的人口水平的影响。在社区、城市、州和一些联邦机构中,建立“所有政策中的健康”的势头正在增长,以解决已知影响儿童健康发展和心理健康的广泛的家庭、社会和经济因素。这些卫生政策举措提供了一个难得的机会,重新定位D&I科学,将其从主要关注循证实践的实施,转变为关注政策制定和实施,以支持儿童和家庭的健康和福祉。这一转变至关重要,因为各州正在制定政策应对措施,以应对COVID-19大流行对本已脆弱的家庭造成的健康和心理健康影响。我们为D&I和儿童心理健康政策的建筑研究提供了一个类型学。本文是特刊的一部分,“通过实施科学扩大心理学的影响”,发表在2020年11月的《美国心理学家》杂志上。Shannon Wiltsey Stirman和Rinad S.贝达斯与安妮·E·贝达斯一起担任该特刊的编辑。Kazak担任顾问编辑。
The prevalence of mental health problems among children (ages 0-21) in the U.S. remains unacceptably high, and post-COVID-19, is expected to increase dramatically. Decades of psychological knowledge about effective treatments should inform the delivery of better services. Dissemination and implementation (D&I) science has been heralded as a solution to the persistent problem of poor quality services and has, to some extent, improved our understanding of the contexts of delivery systems that implement effective practices. However, there are few studies demonstrating clear, population-level impacts of psychological interventions on children. Momentum is growing among communities, cities, states, and some federal agencies to build “health in all policies” to address broad familial, social, and economic factors known to affect children’s healthy development and mental health. These health policy initiatives offer a rare opportunity to repurpose D&I science, shifting it from a primary focus on evidence-based practice implementation, to a focus on policy development and implementation to support child and family health and well-being. This shift is critical as states develop policy responses to address the health and mental health impacts of the COVID-19 pandemic on already-vulnerable families. We provide a typology for building research on D&I and children’s mental health policy. This article is part of a special issue, “Expanding the Impact of Psychology Through Implementation Science,” published in the November 2020 issue of American Psychologist. Shannon Wiltsey Stirman and Rinad S. Beidas served as editors of the special issue, with Anne E. Kazak as advisory editor.
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