Integration of Prevention Services into a System-Of-Care

描述（由申请人提供）：本研究旨在研究将早起者早期针对性预防干预纳入儿童心理健康护理系统的效果。对干预措施进行了调整，以反映以客户为中心的可变规定性方法，该方法与社区实施（即，社区一体化模式）。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。本研究所服务的目标人群是4至10岁的儿童，他们沿着母亲在3个机构收容所中的一个完成了收容。在3个庇护所中，儿童将被随机分配到早起者预防干预或照常服务控制条件。干预试验将在30个月内实施。干预措施的有效性将被评估为早起者干预措施积极改变近端儿童、父母和家庭能力的能力，这些能力旨在介导健康儿童的适应。此外，该研究还将评估实施的忠实性和客户的可接受性。最后，本研究将尝试测试一个拟合优度模型，其中包括与实现建议的服务利用率和更积极的结果，由服务强度水平的客户端特性。

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.