Integration of Prevention Services into a System-Of-Care

描述(申请人提供)：本研究旨在研究将早起儿童早龄性针对性预防干预纳入S儿童心理健康护理体系的效果。已对干预措施进行了调整，以反映一种以客户为中心的、与社区实施(即社区整合模式)相兼容的可变规范方法。早起者社区融合模式将由一个社区机构提供，该机构为亲密伴侣暴力的儿童证人提供服务。这项研究的目标人群将是4到10岁的儿童，他们和他们的母亲一起完成了3个机构收容所中的1个的住宿。在3个收容所中，儿童将被随机分配到早起预防干预或照常服务控制条件下。干预试验将在30个月内实施。干预的有效性将被评估为早起者干预的能力，以积极改变近亲儿童、父母和家庭的能力，据称有助于调节儿童的健康适应。此外，这项研究还将评估实施的保真度和客户的接受度。最后，这项研究将尝试测试一个契合度模型，该模型包括客户特征，这些特征与实现建议的服务利用率和通过服务强度级别实现更积极的结果相关。

DESCRIPTION (provided by applicant): The present study aims to study the effects of integrating the Early Risers early-age-targeted preventive intervention into a children s mental health system of care. The intervention has been adapted to reflect a client-centered, variable prescriptive approach that is compatible with community implementation (i.e., community-integration model). The Early Risers community integration model will be delivered by a community agency that provides services for child witnesses of intimate partner violence. The targeted population served in this study will be children 4 to 10 years of age who along with their mothers have completed a stay at 1 of 3 agency shelters. Within each of 3 shelters, children will be randomly assigned to the Early Risers preventive intervention or a service-as-usual control condition. The intervention trial will be implemented over a 30-month period. Effectiveness of the intervention will be assessed as the capacity of the Early Risers intervention to positively modify proximal child, parent, and family competencies purported to mediate healthy child adjustment. Additionally, the study also will assess fidelity of implementation and client acceptability. Last, the study will attempt to test a goodness-of-fit model that includes client characteristics that are associated with achieving recommended rates of service utilization and more positive outcomes by levels of service intensity.