Factors Influencing Implementation of Evidence-Based Mental Health Interventions for Infants and Young Children

被引:4
|
作者
Skale, Genevieve [1 ]
Perez, Hannah [1 ]
Williams, Marian E. [1 ]
机构
[1] USC Univ Ctr Excellence Dev Disabil, Childrens Hosp Los Angeles, 4650 Sunset Blvd,MS 53, Los Angeles, CA 90027 USA
来源
基金
美国国家卫生研究院;
关键词
Parent-child interaction therapy; Child-parent psychotherapy; Infant mental health; Early childhood; Dissemination; Community mental health; Evidence-based practice; INTERACTION THERAPY; PARENT PSYCHOTHERAPY; SUSTAINABILITY; DISSEMINATION; MALTREATMENT; ATTACHMENT; MODEL;
D O I
10.1007/s11414-020-09694-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Large-scale efforts have been made to adopt evidence-based practices (EBPs) for young children within community mental health settings. The current study investigated the implementation of Parent-Child Interaction Therapy and Child-Parent Psychotherapy using an online survey of 20 program managers representing 16 birth-to-five mental health agencies serving an ethnically diverse Medicaid population throughout a large urban county. Survey questions addressed intake and referral processes, training and supervision in EBPs, treatment fidelity, and patient outcomes/satisfaction. Results indicated that both clinical judgment and established decision-trees were used to select treatment approaches and that supervision, consultation, and fidelity monitoring were used to support fidelity to the models. Participants cited intensive EBP training processes, staff turnover, and patient attrition as barriers to sustainability. Implications regarding implementation of EBPs for infants and young children are discussed, including issues related to patient care, training and supervision, treatment fidelity, program sustainability, and barriers to system change.
引用
收藏
页码:493 / 508
页数:16
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