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Improving Child Behavior Using Task Shifting to Implement MFGs in Child Welfare

通过任务转移改善儿童行为以实施儿童福利中的 MFG

基本信息

批准号：
8803408
负责人：
Geetha Gopalan
金额：
$ 12.73万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-02-07 至 2017-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8803408
关键词：
Address Adoption Behavior Caregivers Child Child Behavior Child Mental Health Child Welfare Communities Contracts Disruptive Behavior Disorder Doctor of Philosophy Effectiveness Ensure Evaluation Studies Evidence based intervention Evidence based practice Family Family Process Future Goals Guidelines Health Health Personnel Health Professional Home environment Hybrids Intervention Investigation Knowledge Location Low income Mental Health Mental Health Services Minority Modeling Monitor Motivation National Institute of Mental Health Policies Preventive Problem behavior Protocols documentation Provider Public Health Qualitative Methods Research Research Support Resources Risk Services Solutions Specialist Supervision System Testing Training United States National Institutes of Health Vulnerable Populations Youth authority base cost design health training implementation science implementation trial improved innovation maltreatment meetings prevent prevention service psychosocial scale up tool

项目摘要

DESCRIPTION (provided by applicant): Children with disruptive behavior difficulties reared by child welfare (CW)-involved families have an increased risk of future maltreatment and out-of-home placement. However, the lack of available providers and difficulties engaging families in mental health agencies frequently limit treatment access. Community-based organizations (CBOs) contracted by CW authorities to prevent out-of-home placement may be ideal locations to deliver child mental health Evidence-Based Practices (EBPs) as an adjunct to existing placement prevention services. As a result, CW-involved families' needs can be met comprehensively in one setting. Unfortunately, few EBPs have been successfully implemented in CW settings, especially those originally designed to be delivered by advanced mental health providers (i.e., Masters or PhDs). Given that CBO's typically employ bachelors'-level caseworkers who lack advanced mental health training, this is a significant barrier to implementation. As a potential solution, task shifting provides a practical and efficient strategy for facilitating implementation of EBPs where there are shortages of mental health professionals, involving (1) tailoring the EBP for provision by non- mental health providers; (2) training non-mental health providers in the tailored EBP; and (3) establishing regular supervision and monitoring of non-mental health providers by mental health specialists. The proposed R21 study will refine task-shifting strategies to implement an EBP to reduce child disruptive behavior difficulties, originally designed to be provided by advanced mental health practitioners (Masters or PhD), so that it can be delivered by bachelor's-level caseworkers in CBOs providing placement prevention services to CW-involved families. We will utilize the Multiple Family Group MFG (MFG) service delivery model to reduce child disruptive behavior disorders as the example EBP, because it has a beneficial impact on engagement, child behavior, and family processes when tested in community child mental health settings that provide services to CW-involved families. The proposed study aims are: (1) to use task shifting to tailor the content, training, an supervision of MFGs for delivery by bachelor's-level caseworkers in CBOs serving CW-involved families; and (2) to assess the feasibility and acceptability of the task-shifted MFGs in CBOs serving CW- involved families. The design and evaluation for this study are informed by the Practical, Robust, Implementation and Sustainability Model (PRISM) to support longer-term implementation efforts. We will use mixed quantitative and qualitative methods to assess for feasibility and acceptability from key stakeholders (caseworkers, supervisors, caregivers). By using the CW system as a non-specialty service sector platform to launch targeted mental health services, the proposed study will provide generalizable knowledge about using task shifting to facilitate cross-setting implementation for similar EBPs. Task shifting may also provide an innovative way to increase EBP access and reduce costs within transforming child-serving systems.

描述（由申请人提供）：由儿童福利（CW）参与家庭抚养的具有破坏性行为困难的儿童未来遭受虐待和家庭外安置的风险增加。然而，缺乏可用的提供者和难以使家庭参与精神卫生机构往往限制了获得治疗的机会。由CW当局签约的社区组织（CBO），以防止家庭外安置可能是理想的地点，提供儿童心理健康循证实践（EBP）作为现有安置预防服务的辅助。因此，可以在一个环境中全面满足涉及CW的家庭的需求。不幸的是，在CW环境中成功实施的EBP很少，特别是那些最初设计由高级心理健康提供者提供的EBP（即，硕士或博士）。鉴于国会预算办公室通常雇用缺乏高级心理健康培训的单身汉级别的个案工作者，这是实施的一个重大障碍。作为一个潜在的解决方案，任务转移提供了一个实用和有效的战略，以促进在精神卫生专业人员短缺的情况下实施EBP，包括（1）为非精神卫生提供者提供定制的EBP;（2）培训非精神卫生提供者定制的EBP;以及（3）由精神卫生专家建立对非精神卫生提供者的定期监督和监测。拟议的R21研究将完善任务转移策略，以实施EBP，以减少儿童破坏性行为的困难，最初旨在由高级心理健康从业者（硕士或博士）提供，以便它可以由学士学位提供CBO的个案工作者为CW涉及的家庭提供安置预防服务。我们将利用多家庭组MFG（MFG）服务交付模式，以减少儿童破坏性行为障碍为例EBP，因为它在社区儿童心理健康环境中测试时，对参与，儿童行为和家庭过程产生了有益的影响，为CW参与的家庭提供服务。拟议的研究目标是：（1）采用任务转移的方法，为服务涉及化武家庭的社区组织的学士程度个案工作者提供内容、培训和监督的工作;以及（2）评估任务转移的工作在服务涉及化武家庭的社区组织的可行性和可接受性。本研究的设计和评估遵循实用、稳健、实施和可持续发展模型（PRISM），以支持长期实施工作。我们将使用定量和定性相结合的方法来评估可行性和关键利益相关者（个案工作者，主管，照顾者）的可接受性。通过使用CW系统作为一个非专业服务部门的平台，推出有针对性的精神卫生服务，拟议的研究将提供有关使用任务转移，以促进交叉设置类似的EBP实施的一般知识。任务转移也可能提供一种创新的方式，以增加EBP的访问和降低成本，在转变儿童服务系统。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Implementing a Child Mental Health Intervention in Child Welfare Services: Stakeholder Perspectives on Feasibility.

在儿童福利服务中实施儿童心理健康干预：利益相关者对可行性的看法。

DOI：
10.1177/10634266221120532
发表时间：
2023
期刊：
Journal of emotional and behavioral disorders
影响因子：
1.9
作者：
Gopalan,Geetha;Lee,KerryA;Pisciotta,Caterina;Hooley,Cole;Stephens,Tricia;Acri,Mary
通讯作者：
Acri,Mary

Absorptive capacity in child welfare: A qualitative study with child welfare staff eliciting key factors for evidence-based practice adoption.