Statewide Implementation of Child Trauma-Focused Practices Using the Community-Based Learning Collaborative Model
Statewide Implementation of Child Trauma-Focused Practices Using the Community-Based Learning Collaborative Model
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DOI：
10.1037/ser0000319
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发表时间：
2019-02-01
影响因子：
2.3
通讯作者：
Fitzgerald, Monica M.
中科院分区：
文献类型：
--
作者：
Hanson, Rochelle F.;Saunders, Benjamin E.;Fitzgerald, Monica M.
在美国，有相当多的年轻人经历过创伤性事件，这大大增加了他们一生中出现身体和行为健康问题的风险。这一公共卫生问题值得共同努力，以促进创伤知情，以证据为基础的做法，促进恢复。虽然存在以青年为中心的创伤治疗，确定有效的方式来传播和实施这些服务，使他们可用，可访问和可持续的构成了一个持续的挑战。本文介绍了一个全面的模型，这样的实施，以社区为基础的学习协作（CBLC），开发项目最好的一部分，一个四阶段的全州倡议，以促进创伤为重点的做法。CBLC通过包括临床和非临床（即，经纪人）专业人士从多个服务机构在目标社区。CBLC旨在通过促进参与协调和提供这些服务的人员之间的专业间合作，建设持续实施以创伤为重点的做法的能力。本文通过检查BEST项目三个已完成阶段的参与者完成数据（N = 13 CBLC; 1，190名参与者），描述了CBLC的迭代开发。此外，来自BEST项目第三阶段的数据（N = 6 CBLC; 639名参与者）用于评估特定实践频率的变化，CBLC前后以及CBLC组件的CBLC后感知效用。高参与者完成率，显着增加报告的创伤为重点的做法，和积极的评级CBLC的效用暂时支持模型的最终迭代的可行性和有效性。实施和CBLC改进的影响进行了讨论。
A significant number of youth in the United States experience traumatic events that substantially increase the risk of physical and behavioral health problems across the life span. This public health concern warrants concerted efforts to promote trauma-informed, evidence-based practices that facilitate recovery. Although youth-focused trauma-specific treatments exist, determining effective ways to disseminate and implement these services-so that they are available, accessible, and sustainable-poses an ongoing challenge. This paper describes a comprehensive model for such implementation, the community-based learning collaborative (CBLC), developed as part of Project BEST, a four-phase statewide initiative to promote trauma-focused practices. The CBLC augments the learning collaborative model by including clinical and nonclinical (i.e., broker) professionals from multiple service organizations within a targeted community. CBLCs aim to build capacity for sustained implementation of trauma-focused practices by promoting interprofessional collaboration among those involved in the coordination and provision of these services. This paper describes the iterative development of the CBLC by examining participant completion data across the three completed phases of Project BEST (N = 13 CBLCs; 1,190 participants). Additionally, data from Project BEST's third phase (N = 6 CBLCs; 639 participants) were used to evaluate changes in the frequency of specific practices, pre-to post-CBLC, and post-CBLC perceived utility of CBLC components. High participant completion rates, significant increases in reported trauma-focused practices, and positive ratings of the CBLC's utility provisionally support the feasibility and efficacy of the model's final iteration. Implications for implementation and CBLC improvements are discussed.