Navigation and Parent Peer Support to Promote Access and Retention of Children in Mental Health Services

项目摘要 父母同伴导航（PPN），由其他有抚养青少年生活经验的照顾者提供 有精神健康状况的人，作为一项服务，有希望帮助改善青年和照顾者 通过克服系统和个人层面的护理障碍来取得成果。这项研究将支持初步 测试一个基于研究和理论的家长同伴导航（PPN）模型， 为有心理健康挑战的儿童和青年的照顾者提供服务的主要倡导组织， 联邦政府资助的家庭经营的执行董事领导协会。这种模式，被称为国家 家长同伴支持实践模式（实践模式）有一个相关的培训计划，旨在 有效地让父母/照顾者参与对其子女的必要治疗，帮助他们与 评估，治疗和社区资源，并准备他们独立导航儿童 服务系统，基于社区的资源，以及一旦PPN提供商 不再参与。实践模式包括五个以理论和研究为基础的支助组成部分： (1)信息/教育，（2）教学/技能发展;（3）情感/肯定，（4）工具; （5）宣传。这项研究将侧重于儿童在早期阶段的损害，由于心理健康 可以预防进一步残疾的挑战。它将利用执行 实践模式通过两个非营利家庭经营的组织（FRO），并将在三个阶段发生， 从筹备工作开始，与当地学校合作制定招聘战略， 执行结果（可接受性、适当性、可行性、忠实性）和其他措施， 进行可行性研究，最后确定征聘、程序和衡量框架。 最后，在第3阶段，我们将进行一项群集随机试验，以提供对影响的初步测试 实践模式的关键照顾者和儿童的成果。正在经历心理健康的儿童 将通过合作确定有挑战但没有接触过正式精神卫生服务的人 学校和家庭的支持。接受治疗的家庭将被随机分配到治疗组 将从参与的FRO或对照组获得基于实践模型的PPN服务 他们将被转介到提供其他类型资源的家庭支持组织（例如，转介， 信息）。我们预测，接受PPN的青少年和父母将显示出更高的获得率， 与对照组相比，服务的参与度和保留率。我们还预测，在6个月内， 在PPN发作后，治疗组的儿童将表现出改善的社会/情感功能， 治疗组的父母将表现出增强的赋权和减少的养育压力， 与对照组相比。

Project Summary Abstract Parent peer navigation (PPN), provided by other caregivers who have lived experience raising a youth with mental health conditions, holds promise as a service that can aid in improving both youth and caregiver outcomes by overcoming system- and individual-level barriers to care. This proposed study will support initial testing of a research- and theory- based Parent Peer Navigation (PPN) model created by one of the nation's leading advocacy organizations for caregivers of children and youth with mental health challenges, the federally funded Family-Run Executive Directors Leadership Association. This model, called the National Parent Peer Support Practice Model (Practice Model) has an associated training program and aims to effectively engage parents/caregivers in necessary treatment for their children by helping them connect with assessment, treatment and community-based resources and prepare them to independently navigate the child serving system, community-based resources, and ongoing opportunities for support once the PPN provider is no longer involved. The Practice Model incorporates five theory- and research-based components of support: (1) information/educational, (2) instructional/skills development; (3) emotional/affirmational, (4) instrumental; and (5) advocacy. The study will focus on children in early stages of impairment as a result of mental health challenges for which prevention of further disability is possible. It will take advantage of implementation of the Practice Model through two non-profit family-run organizations (FROs) and will occur in three phases, beginning with preparatory work to develop recruitment strategies in collaboration with local schools, formalize implementation outcomes (acceptability, appropriateness, feasibility, fidelity) and other measures followed by a Feasibility Study to finalize recruitment, procedures and measurement frames. Finally, in Phase 3, we will conduct a cluster randomized trial to provide a preliminary test of the impact of the Practice Model on key caregiver and child outcomes. Children who are experiencing mental health challenges but have not had exposure to formal mental health services will be identified by collaborating schools and referred for family support. Consenting families will be randomly assigned to a treatment group who will receive PPN services based on the Practice Model from participating FROs, or a comparison group who will be referred to a Family Support Organization which provide other types of resources (e.g., referrals, information). We predict that youth and parents receiving PPN will show significantly greater rates of access, engagement and retention in services as compared to the comparison group. We also predict that at 6 months following PPN onset, children in the treatment group will exhibit improved social/emotional functioning and that parents in the treatment group will exhibit increased empowerment and decreased parenting stress, as compared to those in the comparison group.