Improving Quality of Care in Child Mental Health Service Settings
Improving Quality of Care in Child Mental Health Service Settings
批准号:
9980712
负责人:
Kenneth J Ruggiero
金额:
$74.78万
依托单位国家:
美国
项目类别:
财政年份:
2017
资助国家:
美国
项目状态:
已结题
起止时间:
2017-08-01 至 2024-05-31
关键词:
AddressAdherenceBehavior DisordersBehavioralBenchmarkingCaregiversChildChild Mental HealthClinicClinicalCodeCognitive TherapyCommunity PracticeComplementCost SavingsDataDevelopmentDiseaseEducationEffectivenessEmotional disorderFamilyFeedbackFloridaFocus GroupsFutureHealth PersonnelHealthcareInterventionInterviewInvestmentsKnowledgeLearningLibrariesMaintenanceMediatingMediationMental DepressionMental HealthMental Health ServicesMental disordersModelingMotivationNational Institute of Mental HealthOnline SystemsOutcomeParentsPatientsPhasePilot ProjectsPost-Traumatic Stress DisordersProcessProtocols documentationProviderPsychiatric HospitalsQuality of CareRandomizedRandomized Controlled TrialsReactionRecommendationResourcesRestRuralSamplingSeriesService settingStructureSymptomsTabletsTechniquesTechnologyTestingTherapeuticTimeTrainingTraumaTreatment ProtocolsUnited States National Institutes of HealthVideo RecordingWorkYouthagedbaseblindchild mental health servicecommunity based servicecostcost effectivenesscost estimatedesigneffectiveness implementation studyeffectiveness implementation trialexperienceexternalizing behaviorfeasibility trialhealth care deliveryimprovedinformantinnovationnovelpractice settingprogramsrecruittouchscreenurban settingusability
中文摘要
项目总结/文摘
英文摘要
PROJECT SUMMARY/ABSTRACT
Assuring children access to the highest quality mental health care is a top national priority. Yet, quality of care
continues to be highly variable in traditional service settings. Novel, scalable solutions are needed to address
modifiable quality-of-care indicators in sustainable ways. To this end, provider fidelity and children's
engagement are key correlates of clinical outcome and practical targets for intervention. There is tremendous
opportunity to address both through technology. Studies in child education show that interactive games, touch-
screen learning, and demonstration videos enhance engagement, knowledge, motivation, and learning. These
benefits also may extend to the therapeutic context, where strategic integration of technology-based activities
may enhance children's learning, strengthen the therapeutic alliance, and keep providers on protocol. We are
in the final stages of an NIMH R34 in which we piloted a patient- and provider-informed tablet-based toolkit
designed to facilitate delivery of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) – a treatment that
was selected because it addresses a wide range of symptoms using techniques shared by other treatments for
emotional and behavioral disorders. The tablet-based toolkit consists of numerous components (e.g., videos,
interactive games, drawing applications) that are designed to facilitate provider-patient interactions in a way
that enhances children's engagement and supports adherence to the treatment model. The tablet-based toolkit
was very well received by children, caregivers, and providers in our pilot work. Moreover, all benchmarks for
feasibility outlined in our NIMH R34 application were met or exceeded. We now propose to conduct a
hybrid effectiveness-implementation trial to examine the extent to which the tablet intervention may improve
fidelity, engagement, and children's mental health outcomes. We will conduct a randomized controlled trial with
120 mental health providers and 360 families in partnership with dozens of clinics in the Carolinas and Florida.
Providers will be assigned randomly to tablet-facilitated vs. standard TF-CBT. Youth aged 8-16 years with
clinically elevated symptoms of PTSD will be recruited. Baseline and 3-, 6-, 9-, and 12-month post-baseline
assessments will be conducted by independent, blind evaluators. Sessions will be videorecorded for
observational coding of engagement and fidelity by independent raters blind to study hypotheses. We will also
examine costs and conduct semi-structured interviews with families, providers, supervisors, and agency
leaders to inform future dissemination and implementation initiatives. Technology-based resources that are
scalable, easy to use, and designed for efficient integration into everyday practice may have sustained national
impact. The return on investment of these initiatives will ultimately rest on their potential to improve the spread
of best-practice treatments and the quality with which they are delivered to the children who need them.
期刊论文(2)
专著(0)
科研奖励(0)
会议论文
A Comparison of the Readiness of Youth Service Agencies to Implement a Technology-Based Toolkit to Support Treatment Delivery.
青年服务机构实施基于技术的工具包以支持治疗提供的准备情况比较。
DOI:
10.1007/s10597-023-01099-w
发表时间:
2023
期刊:
Community mental health journal
影响因子:
2.7
作者:
[Shanholtz,CarolineE, Ridings,LeighE, Espeleta,HannahC, Anton,MargaretT, Hanson,RochelleF, Saunders,Benjamin, Ruggiero,Kenneth, Davidson,Tatiana]
通讯作者:
Davidson,Tatiana
Leveraging Technology to Address the Quality Chasm in Children's Evidence-Based Psychotherapy.
利用技术解决儿童循证心理治疗中的质量鸿沟。
DOI:
10.1176/appi.ps.201600548
发表时间:
2017
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
作者:
[Ruggiero,KennethJ, Saunders,BenjaminE, Davidson,TatianaM, LewskyCook,Danna, Hanson,Rochelle]
通讯作者:
Hanson,Rochelle
Testing a Scalable Model of Care to Improve Patients’ Access to Mental Health Services after Traumatic Injury
-
批准号:10364918
-
项目类别:
-
资助金额:$39.37万
-
财政年份:2022
-
负责人:Kenneth J Ruggiero
-
依托单位:
Testing a Scalable Model of Care to Improve Patients’ Access to Mental Health Services after Traumatic Injury
-
批准号:10602428
-
项目类别:
-
资助金额:$39.53万
-
财政年份:2022
-
负责人:Kenneth J Ruggiero
-
依托单位:
Whole Assessment of Trauma Recovery-2 (WATR2)
-
批准号:9244324
-
项目类别:
-
资助金额:$9.93万
-
财政年份:2016
-
负责人:Kenneth J Ruggiero
-
依托单位:
Technology-based Tools to Enhance Quality of Care in Mental Health Treatment
-
批准号:8446020
-
项目类别:
-
资助金额:$33.7万
-
财政年份:2012
-
负责人:Kenneth J Ruggiero
-
依托单位:
Technology-based Tools to Enhance Quality of Care in Mental Health Treatment
-
批准号:8545899
-
项目类别:
-
资助金额:$31.59万
-
财政年份:2012
-
负责人:Kenneth J Ruggiero
-
依托单位:
PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD
-
批准号:8195223
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2010
-
负责人:Kenneth J Ruggiero
-
依托单位:
PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD
-
批准号:7752328
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2009
-
负责人:Kenneth J Ruggiero
-
依托单位:
PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD
-
批准号:7893765
-
项目类别:
-
资助金额:$0.0万
-
财政年份:2009
-
负责人:Kenneth J Ruggiero
-
依托单位:
Web-based Intervention for Disaster-affected Adolescents and Families
-
批准号:7689738
-
项目类别:
-
资助金额:$76.76万
-
财政年份:2008
-
负责人:Kenneth J Ruggiero
-
依托单位:
Web-based Intervention for Disaster-affected Adolescents and Families
-
批准号:8081837
-
项目类别:
-
资助金额:$59.75万
-
财政年份:2008
-
负责人:Kenneth J Ruggiero
-
依托单位:
Web-based Intervention for Disaster-affected Adolescents and Families
-
批准号:8090596
-
项目类别:
-
资助金额:$7.94万
-
财政年份:2008
-
负责人:Kenneth J Ruggiero
-
依托单位:
Web-based Intervention for Disaster-affected Adolescents and Families
-
批准号:7921569
-
项目类别:
-
资助金额:$45.86万
-
财政年份:2008
-
负责人:Kenneth J Ruggiero
-
依托单位:
Development and Evaluation of a Web-Based Intervention for Disaster Victims
-
批准号:7209315
-
项目类别:
-
资助金额:$27.93万
-
财政年份:2007
-
负责人:Kenneth J Ruggiero
-
依托单位:
Development and Evaluation of a Web-Based Intervention for Disaster Victims
-
批准号:7454394
-
项目类别:
-
资助金额:$22.55万
-
财政年份:2007
-
负责人:Kenneth J Ruggiero
-
依托单位:
Development and Evaluation of a Web-Based Intervention for Disaster Victims
-
批准号:7626312
-
项目类别:
-
资助金额:$10.4万
-
财政年份:2007
-
负责人:Kenneth J Ruggiero
-
依托单位:
海外基金