Stakeholder perspectives on a toolkit to enhance caregiver participation in community-based child mental health services.

Stakeholder perspectives on a toolkit to enhance caregiver participation in community-based child mental health services.
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DOI:
10.1037/ser0000095
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发表时间:
2017-08
影响因子:
2.3
通讯作者:
Brookman-Frazee L
Brookman-Frazee L
中科院分区:
心理学2区
文献类型:
--
作者:
Haine-Schlagel R;Mechammil M;Brookman-Frazee L

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服务对象参与服务是有效提供社区儿童和家庭心理健康服务的一个关键要素。照顾者的参与尤为重要,因为照顾者往往是儿童心理健康护理的守门人,通常必须同意服务,促进服务出勤,而且往往是干预的目标。不幸的是,照顾者的参与已被确定为一个重大挑战,以社区为基础的儿童心理健康服务。为了解决这一差距,父母和照顾者积极参与工具包(PACT),其中包括治疗师培训和参与工具的照顾者和治疗师,开发。利益攸关方对旨在提高社区护理质量和有效性的干预措施的实施的看法对于理解在日常服务环境中实施此类干预措施至关重要。因此,这项混合方法研究检查了12名治疗师,8名护理人员和6名项目经理的观点,他们参加了一项以社区为基础的PACT随机试点研究。治疗师,护理人员和项目经理一致认为,PACT是可以接受的,适当的,可行的,在社区环境中使用,治疗师的做法和护理人员的参与变化导致实施PACT。一些变量的看法,在实用的治疗师培训的组成部分,以及PACT实施的障碍和促进因素。结果扩大了家长试点研究的结果,以及补充和扩大文献培训社区提供者在循证实践。
Client engagement in services is a critical element of effective community-based child and family mental health service delivery. Caregiver engagement is particularly important, as caregivers often serve as gatekeepers to child mental health care and typically must consent for services, facilitate service attendance, and are often the target of intervention themselves. Unfortuntately, caregiver engagement has been identified as a significant challenge in community-based child mental health services. To address this gap, the Parent And Caregiver Active Participation Toolkit (PACT), which includes therapist training and participation tools for caregivers and therapists, was developed. Stakeholders’ perspectives regarding the delivery of interventions designed to improve the quality and effectiveness of community-based care are essential to understanding the implementation of such interventions in routine service settings. As such, this mixed methods study examined the perspectives of 12 therapists, eight caregivers, and six program managers who participated in a community-based randomized pilot study of PACT. Therapists, caregivers, and program managers agreed that PACT was acceptable, appropriate, and feasible to use in community settings and that both changes in therapist practices and caregiver participation resulted from implementing PACT. Some variable perceptions in the utility of the therapist training components were identified, as well as barriers and facilitators of PACT implementation. Results expand the parent pilot study’s findings as well as complement and expand the literature on training community providers in evidence-based practices.
DOI: 10.1007/bf02287427
发表时间: 2003-10-01
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发表时间: 2015
期刊: Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
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