Center for Team Effectiveness to Accelerate EBP Implementation in Children's Mental Health Services

项目总结(总体) 拟成立的“团队效能中心，加速儿童心理健康服务(Teams)中EBP的实施”将利用组织团队效能研究(TER)来开发和测试新颖的基于团队的实施策略、方法和工具，以提高公共系统为有心理健康需求的儿童--专科精神健康、学校、儿科保健和儿童福利--提供的护理的覆盖面、质量和有效性。循证做法与常规护理之间的差距依然存在，并限制了儿童服务的质量和效力。高绩效的实施团队对于有效的服务至关重要，而团队级别的机制可能会阻碍或促进EBP的实施。有大量针对军事、商业和其他复杂环境开发的团队发展干预措施的研究，但它们并没有被用来改善儿童的心理健康。团队中心将建立必要的行政和科学基础设施，以开展以团队为基础的实施研究，以改善儿童的心理健康结果。它将汇集儿童心理健康实施研究、儿童和青少年EBPS、实施战略、模型和方法、TER和计算机科学方面的专家。我们建议：(1)建立一个高效和运作良好的社区合作儿童心理健康实施研究中心；(2)整合TER和自然语言处理，以推进实施科学模型、设计和措施；以及(3)利用该中心的专业知识和基础设施来设计、建立和测试基于团队的战略，以提高服务系统中EBPS的实施和有效性。行政核心将把信息和通信技术战略应用于中心业务，以优化沟通和决策；促进与社区利益攸关方的跨学科合作和伙伴关系；并促进内部和外部受训人员的发展。方法核心将推进实施科学模型，以纳入TER和自然语言处理，调整和制定措施，以审查以团队为基础的实施战略和机制，以及临床/服务成果。中心研究将调整和测试团队发展干预措施，这些干预措施是从其他背景下有证据的干预措施中挑选出来的。Signature R01将测试团队发展干预措施的组合[例如，通过移交协议进行沟通培训、团队绩效监控]，以改进针对在校ADHD儿童的协作生活技能计划的实施和有效性。发展项目将测试行动后审查，以改善儿童福利服务中儿童和家庭团队关于精神健康服务的共同决策(R34#1)；实施团队章程，以改进专门精神健康和学校中两个自闭症EBP的远程培训(R34#2)；以及团队沟通培训，以促进儿科保健系统中的抑郁症筛查(R34#3)。此外，该中心每年将征集和资助两个试点项目，由内部和外部调查人员团队和社区合作伙伴领导。

PROJECT SUMMARY (Overall) The proposed “Center for Team Effectiveness to Accelerate EBP Implementation in Children’s Mental Health Services (TEAMS)” will leverage organizational team effectiveness research (TER) to develop and test novel team-based implementation strategies, methods, and tools to improve the reach, quality, and effectiveness of care delivered in public systems serving children with mental health needs - specialty mental health, schools, pediatric healthcare, and child welfare. Gaps between evidence-based practices (EBPs) and routine care persist and limit the quality and effectiveness of services for children. High performing implementation teams are essential to effective services and team-level mechanisms can hinder or facilitate EBP implementation. There is substantial research on team development interventions developed for the military, business, and other complex contexts, but they not been leveraged to improve children’s mental health. The TEAMS Center will create the essential administrative and scientific infrastructure to conduct team-based implementation research to improve children’s mental health outcomes. It will bring together experts in children’s mental health implementation research, EBPs for children and adolescents, implementation strategies, models, and methods, TER, and computer science. We propose to: (1) establish a highly efficient and well-functioning Center for community-partnered children’s mental health implementation research; (2) integrate TER and natural language processing to advance implementation science models, designs, and measures; and (3) leverage the Center’s expertise and infrastructure to design, build, and test team-based strategies to improve the implementation and effectiveness of EBPs across service systems. The Administrative Core will apply TER strategies to Center operations to optimize communication and decision-making; foster interdisciplinary collaboration and partnership with community stakeholders; and promote the development of internal and external trainees. The Methods Core will advance implementation science models to incorporate TER and natural language processing, adapt and develop measures to examine team-based implementation strategies and mechanisms, and clinical/service outcomes. Center research will adapt and test team development interventions selected from those with evidence in other contexts. The Signature R01 will test a combination of team development interventions [e.g., communication training via handoff protocols, team performance monitoring] to improve implementation and effectiveness of the Collaborative Life Skills Program for children with ADHD in schools. The developmental projects will test after-action reviews to improve shared decision making regarding mental health services in child and family teams in Child Welfare Services (R34#1); implementation team charters to improve distance training for two autism EBPs in specialty mental health and schools (R34#2); and team communication training to facilitate depression screening in a pediatric health care system (R34#3). Additionally, the Center will solicit and fund two pilot projects per year led by internal and external teams of investigators and community partners.