Factors that Influenced Adoption of a School-Based Trauma-Informed Universal Mental Health Intervention.

Factors that Influenced Adoption of a School-Based Trauma-Informed Universal Mental Health Intervention.
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DOI:
10.1007/s11121-020-01144-0
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发表时间:
2020-11
期刊:
Prevention science : the official journal of the Society for Prevention Research
影响因子:
--
通讯作者:
Mendelson T
Mendelson T
中科院分区:
其他
文献类型:
--
作者:
Arnold KT;Pollack Porter KM;Frattaroli S;Durham RE;Mmari K;Clary LK;Mendelson T

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对于学校管理者为何在校本预防试验的背景下选择采用预防性心理健康干预措施,我们知之甚少。本研究采用定性多案例研究设计,以确定在一项效能试验中,影响城市公立学校管理者采用基于创伤知情的普遍性干预措施的因素。对15名学校管理者进行了半结构化访谈,这些管理者作为参与针对八年级学生的校本试验的一部分,采用了一种名为“RAP俱乐部”的基于创伤知情的正念干预措施。研究结果表明,管理者采用“RAP俱乐部”干预措施,是为了为受创伤影响的学生提供支持,并防止学生采取不健康的应对行为。促成采用该干预措施的背景因素包括:学校内部缺乏基于创伤知情的心理健康项目、学区对预防性学校心理健康服务的资金投入不足,以及参与大学 - 社区合作所带来的可感知益处。本研究结果为在研究背景下提高学校项目的采用率提出了策略,更广泛地说,也为实施科学提供了策略。
We know little about why school administrators choose to adopt preventive mental health interventions within the context of school-based prevention trials. This study used a qualitative multiple-case study design to identify factors that influenced the adoption of a trauma-informed universal intervention by urban public school administrators during an efficacy trial. Semi-structured interviews were conducted with 15 school administrators who adopted a trauma-informed mindfulness intervention called RAP Club as part of their participation in a school-based trial with eighth graders. Findings indicated that administrators adopted RAP Club to provide support for students affected by trauma and prevent students from engaging in unhealthy coping behaviors. Examples of contextual factors that contributed to adoption included a lack of trauma-informed mental health programs within schools, inadequate district funding for preventive school mental health services, and the perceived benefits of engaging in a university-community partnership. The study’s findings suggest strategies to increase school program adoption in the context of research and, more broadly, for implementation science.
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