Perceptions Among Child Welfare Staff when Modifying A Child Mental Health Intervention to be Implemented in Child Welfare Services
Perceptions Among Child Welfare Staff when Modifying A Child Mental Health Intervention to be Implemented in Child Welfare Services
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DOI：
10.1002/ajcp.12309
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发表时间：
2019-06-01
影响因子：
3.1
通讯作者：
Stephens, Tricia
中科院分区：
文献类型：
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作者：
Gopalan, Geetha;Hooley, Cole;Stephens, Tricia
为了增加参与儿童福利系统的弱势家庭和难以参与的家庭获得儿童心理健康循证干预的机会，需要采取创新的方法，并辅之以服务提供者的投入。一个潜在的解决方案涉及利用任务转移战略和执行科学理论框架在CW环境中实施这种EBI。本研究利用任务转移策略和实用、稳健、实施和可持续发展模式，考察了参与实施4R和2SS强化家庭计划(4R2S)的CW工作人员在CW安置预防环境中的感知。咨询委员会成员报告说，在吸引家庭参与方面存在困难，工作量繁重，执行倡议相互冲突。虽然4R2S被认为总体上符合其组织的使命，但建议对干预措施和机构程序进行修改，以促进执行成功。讨论了对现有4R2S培训和监督的修改建议。研究结果强调了了解CW服务提供者的经验的重要性，这可以为未来在CW服务中实施儿童心理健康EBI的努力提供信息。
In order to increase access to child mental health evidence-based interventions (EBIs) for vulnerable and hard-to-engage families involved in the child welfare (CW) system, innovative approaches coupled with input from service providers are needed. One potential solution involves utilizing task-shifting strategies and implementation science theoretical frameworks to implement such EBIs in CW settings. This study examined perceptions among CW staff who were members of a collaborative advisory board involved in the implementation of the 4Rs and 2Ss Strengthening Families Program (4R2S) in CW placement prevention settings, utilizing task-shifting strategies and the Practical, Robust, Implementation, and Sustainability Model. Advisory board members reported difficulties in engaging families, heavy workloads, and conflicting implementation initiatives. While 4R2S was perceived as generally aligned with their organization's mission, modifications to the intervention and to agency procedures were recommended to promote implementation success. Suggested modifications to the existing 4R2S training and supervision are discussed. Findings underscore the importance of understanding the experiences of CW service providers, which can inform future efforts to implement child mental health EBIs in CW services.