Enhancing Early Engagement (E3) in mental health services training for children's advocacy center's victim advocates: feasibility protocol for a randomized controlled trial.
Enhancing Early Engagement (E3) in mental health services training for children's advocacy center's victim advocates: feasibility protocol for a randomized controlled trial.
复制标题
DOI：
10.1186/s40814-021-00949-2
复制
发表时间：
2021-12-06
影响因子：
1.7
通讯作者：
Silovsky JF
中科院分区：
文献类型：
--
作者：
Taylor EK;Dopp AR;Lounsbury K;Thompson Y;Miller M;Jorgensen A;Silovsky JF
在美国，儿童虐待是一个重大的公共问题，然而，大多数受虐待或忽视影响的儿童从未参与过儿童心理健康的循证实践（EBP）。儿童倡导中心（CACs）处于独特的位置，可以作为家庭导航员，将受虐待影响的儿童与适当的ebp联系起来。事实上，CAC的受害者倡导者的立场反映了精神健康家庭导航员国家倡议。可行性研究方案是为受害者维权人士制定、实施和评估基于网络的咨询性培训，以加强对服务的早期参与（E3培训）。互动式网络培训嵌入了与家庭参与、创伤和EBP服务相关的知识和技能的关键目标。参与的cac被随机分配到E3网络研讨会培训，E3网络研讨会加咨询，或延迟培训。该项目将测试E3培训对关键变革机制（如知识、技能）的影响，以提高筛查率、转诊率和获得EBP服务的机会。将审查执行培训方案的可行性以及按培训级别区分的影响和费用。这个项目的总体目标是测试通过社区服务中心容易实施的培训的可行性，并检查改善早期参与并最终改善儿童和青少年心理健康结果的机制。结果和成本调查结果将用于规划家庭导航员E3培训的大规模综合、混合方法混合II型有效性实施和成本效益试验。如果结果是积极的，则存在相当大的基础设施，通过将培训纳入国家CAC培训协议，支持在全国范围内扩大E3培训的规模和可持续性。2021年3月25日；版本1.0（原版）；2021年9月11日；Vers 2.0（修订版）；2021年10月29日；Vers. 3.0（修订版）
Child maltreatment is a major public issue in the United States, yet most children affected by abuse or neglect never engage in evidence-based practices (EBP) for child mental health. Children’s Advocacy Centers (CACs’) are uniquely situated to serve as Family Navigators who connect children impacted by maltreatment to appropriate EBPs. In fact, the CAC position of Victim Advocate mirrors the Mental Health Family Navigator national initiative. The feasibility study protocol is to develop, implement, and evaluate web-based and consultative training for Victim Advocates to enhance early engagement in services (E3 training). The interactive web-based training embeds key targets of knowledge and skills related to family engagement, trauma, and EBP services. Participating CACs were randomized to E3 webinar-based training, E3 webinar plus consultation, or delayed training. The project will test the E3 training’s impact on key mechanisms of change (e.g., knowledge, skills) to improve rates of screening, referral, and access to EBP services. The feasibility of implementing the training program and differential impact and costs by level of training will be examined. The overarching goal of this project is to test the feasibility of training that is readily implemented through CACs and examine the mechanisms for improving early engagement and, ultimately, child, and adolescent mental health outcomes. Results and cost findings will be used to plan a large-scale comprehensive, mixed-methods hybrid type II effectiveness-implementation and cost-effectiveness trial of family navigator E3 training. If outcomes are positive, considerable infrastructure exists to support the scale-up and sustainability of E3 training nationwide, by embedding the training in national CAC training protocols. NCT04221633 March 25, 2021; Vers. 1.0 (original); September 11, 2021; Vers 2.0 (revision); October 29, 2021; Vers. 3.0 (revision)