FAMILY CONNECTIONS PROJECT: EPSDT IMPLEMENTATION/ACCESS

家庭联系项目：EPSDT 实施/访问

• 批准号: 3443022
• 负责人: DERALD R WALKER
• 金额: $ 23.13万
• 依托单位: OREGON STATE DEPT OF HUMAN SERVICES
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-30 至 1993-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3443022
• 关键词: child (0-11); child mental disorders; child mental health service; early diagnosis; family; health care service availability; health care service planning; health care service utilization; health service demonstration project; human subject; mental disorder diagnosis; mental disorder prevention; rural area

DESCRIPTION (Adapted from the Applicant's Abstract): The two specific aims of this project are 1) to study the implementation of a model of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) process in Oregon and 2) to study the effectiveness of an intervention (The Family Connections Project) designed to address the major problems related to service continuance in rural areas. These problems are 1) a complex service system, 2) barriers such as lack of transportation or child care and long distances to services and 3) possible low motivation to follow through on the part of families whose children's problems are not severe or long-standing. The overall goal of the intervention is to increase the number of EPSDT-eligible children who receive mental health evaluation and treatment services once they have been identified in the EPSDT screening process as needing them. This will be accomplished through increasing the responsiveness of the system to children and families through the introduction of a Family Associate who will assist families in negotiating the service delivery system and overcome barriers to seeking and obtaining services. The second aim of this project is to address the need for more information about how changes in the service system occur in response to the introduction of a new way of organizing and funding mental health services for low income children and families, with specific emphasis on the issues of system change in rural area. The overall goal of this portion of the proposal is to examine the implementation of the Oregon EPSDT plan for providing mental health services. The proposed research design includes elements of both quantitative and qualitative data collection procedures within a set of six counties in Oregon. The design employs a staggered implementation of the Family Connections Project to provide a series of comparisons, which, when viewed collectively provide controls for most of the major threats to internal validity. Three counties, representing a range of levels of population density, will be selected for implementation of the Family Connections Project in the first year. The remaining three counties (representing the same range of levels of population density) will implement the Family Connections Project in the second year. Qualitative study of the process whereby the EPSDT plan is implemented will continue in all six counties for the three years of the research demonstration project. By using a staggered implementation, the design also allows for the description of the process of implementing EPSDT in both "late implementing" and "early implementing" counties.

描述（改编自申请人的摘要）：两个具体目标 本项目的主要内容是：1）研究实施早期 以及俄勒冈州的定期筛查、诊断和治疗（EPSDT）流程 研究干预措施（家庭）的有效性 连接项目），旨在解决与以下方面有关的主要问题 在农村地区继续服务。 这些问题是1）复杂的 服务系统，2）缺乏交通或儿童保育等障碍 和服务距离远，3）可能的低动机，以遵循 通过子女问题不严重的家庭， 由来已久 干预措施的总体目标是增加 接受心理健康评估的符合EPSDT资格的儿童人数， 一旦在EPSDT筛查中确定， 过程需要他们。 这将通过增加 系统对儿童和家庭的反应能力， 引入一名家庭助理，协助家庭进行谈判 服务提供系统和克服寻求和获得服务的障碍 服务 该项目的第二个目标是满足对更多信息的需求 关于服务系统中的变化如何响应于 采用新的方式组织和资助精神卫生服务 低收入儿童和家庭，特别强调的问题 农村制度变迁。 这一部分的总体目标是 建议是审查俄勒冈州EPSDT计划的实施情况， 提供心理健康服务。 拟议的研究设计包括定量和 在一组六个州内的定性数据收集程序， 俄勒冈州。 该设计采用了系列的交错实现 项目提供一系列比较，当查看 共同控制大多数内部的主要威胁， 效度 三个县，代表不同的人口水平 密度，将被选为实施家庭联系 项目在第一年。 其余三个州（代表 相同范围的人口密度）将实施家庭 第二年的连接项目。 过程的定性研究 EPSDT计划将在所有六个县继续实施， 三年的研究示范项目。 通过使用 交错实现，该设计还允许描述 EPSDT在“后期实施”和“早期实施”中的实施过程 实施“县。