Using Observational Assessment to Help Identify Factors Associated with Parent Participation Engagement in Community-Based Child Mental Health Services.
Using Observational Assessment to Help Identify Factors Associated with Parent Participation Engagement in Community-Based Child Mental Health Services.
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DOI：
10.1007/s10566-016-9356-z
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发表时间：
2016-10
影响因子：
1.8
通讯作者：
Martinez, Jonathan I.
中科院分区：
文献类型：
--
作者：
Stadnick, Nicole A.;Haine-Schlagel, Rachel;Martinez, Jonathan I.
家长参与儿童心理健康 (MH) 服务因其在干预结果和循证护理方面的重要性而受到越来越多的关注。特别是，家长参与度 (PPE) 反映了会议期间和会议之间的积极和响应性贡献。然而，对与个人防护装备相关的因素的研究有限，特别是在基于社区的 MH 服务中，这些服务中个人防护装备水平较低，而且经常为高度多样化的家庭提供服务。这项研究以接受公共资助、基于社区的 MH 服务的种族/民族多元化亲子二人组为样本，考察了与 PPE 相关的儿童、父母和治疗师因素。这项前瞻性研究纳入了 18 名亲子夫妇，他们在 5 个门诊诊所接受 17 名治疗师提供的基于社区的 MH 服务，以治疗儿童破坏性行为。 PPE 是通过治疗记录的疗程观察评估来测量的。检查的儿童因素包括年龄、儿童首次使用 MH 服务以及儿童行为问题的严重程度。家长因素包括种族、教育程度、抑郁症状以及家长参与治疗的动机。治疗师因素包括治疗师在家长调解干预方面的培训、对组织功能的态度以及对家长参与策略的态度。线性回归分析的结果表明，儿童首次使用 MH 服务、儿童行为问题的严重程度、父母的种族和参与治疗的动机，以及治疗师的培训和对其实践的态度均与 PPE 显着相关。结果强调了可能影响儿童 MH 治疗中观察到的 PPE 的特定儿童、家长和治疗师特征。这些发现强调了在社区儿童 MH 服务中考虑家庭和提供者因素对个人防护装备影响的重要性。
Parent engagement in child mental health (MH) services has received growing attention due to its significance in intervention outcomes and evidence-based care. In particular, parent participation engagement (PPE) reflects active and responsive contributions in and between sessions. Yet, limited research has examined factors associated with PPE, particularly within community-based MH services where PPE is low and highly diverse families are often served. This study examined child, parent, and therapist factors associated with PPE in a sample of racially/ethnically diverse parent–child dyads receiving publicly-funded, community-based MH services. This prospective study included 18 parent–child dyads receiving community-based MH services from 17 therapists in five outpatient clinics for child disruptive behaviors. PPE was measured using in-session observational assessment of therapy recordings. Child factors that were examined included age, first time child MH service use, and intensity of child behavior problems. Parent factors included ethnicity, education, depression symptoms, and parent motivation to participate in therapy. Therapist factors included therapist training in parent-mediation interventions, attitudes towards organizational functioning, and attitudes towards parent participation strategies. Results from linear regression analyses indicated that first time child MH service use, intensity of child behavior problems, parent ethnicity and motivation to participate in therapy, as well as therapists’ training and attitudes about their practice were each significantly associated with PPE. Results highlight specific child, parent, and therapist characteristics that may impact observed PPE in child MH therapy. These findings underscore the importance of considering the influence of family and provider factors on PPE in community-based child MH services.
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影响因子：
1.9
作者：
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