Improving Sustainment through Implementation Supports to Reduce Burnout in Therapists Delivering Child Trauma EBPs

通过实施支持改善维持，减少提供儿童创伤 EBP 的治疗师的倦怠

• 批准号: 10392855
• 负责人: Teresa A. Lind
• 金额: $ 19.13万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10392855
• 关键词: Address; Arkansas; California; Child; Climate; Clinical; Community Mental Health Services; Data; Development; Early-life trauma; Effectiveness; Evidence based practice; Evidence based program; Exploration Preparation Implementation and Sustainment; Exposure to; Foundations; Funding; Future; Health Services Accessibility; Health system; Individual; Intervention; Literature; Logistics; Measures; Mental Health; Mental Health Services; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methodology; Methods; Modeling; Multiple Trauma; National Institute of Mental Health; Needs Assessment; Occupational Health; Outcome; Outpatients; Perception; Phase; Population; Prevalence; Program Sustainability; Provider; Public Health; Randomized Controlled Trials; Reporting; Research; Resources; Risk; Risk Factors; Safety; Science; Services; System; Systems Analysis; Techniques; Testing; Time; Training; Trauma; Wages; Work; burnout; child health care service; community partnership; community setting; cost; cost effectiveness; design; early life adversity; evidence base; experience; health care economics; health organization; implementation efforts; implementation framework; implementation science; implementation strategy; improved; improved outcome; organizational climate; pilot test; prevent; programs; provider factors; psychologic; research to practice; response; service providers; skills; theories; trauma exposure; traumatic stress

PROJECT SUMMARY/ABSTRACT Many evidence-based mental health interventions have been developed to address the negative outcomes associated with child exposure to early adversity and trauma. Despite these promising advances, however, the majority of children served in publicly funded mental health systems do not receive evidence-based programs (EBPs). To address this research-to-practice gap, several large-scale, system-driven implementation efforts of multiple trauma EBPs have been launched over the last decade, including in the states of California and Arkansas. Though these system-driven initiatives often increase EBP delivery in community settings following the initial implementation push, long-term sustainment of EBP delivery is low. Workforce risk factors, such as provider burnout leading to turnover, have been identified as contributing to the poor long-term sustainment of trauma EBPs. Therefore, an important step to consider in supporting the long- term sustainment of child trauma EBPs is to develop implementation strategies that target provider burnout and organizational climate factors associated with decreased provider retention. This proposed K23 Mentored Patient-Oriented Research Career Development Award will develop and pilot a package of implementation strategies, “Supporting Providers & Preventing the Overwhelming of Resources in Trauma Systems” (SUPPORTS), aimed increasing the sustained delivery of trauma EBPs by addressing the factors associated with provider retention related to burnout. The development of SUPPORTS will be informed by a needs assessment conducted with programs involved with the multiple-EBP implementation efforts in California and Arkansas. This project will build upon the applicant’s foundation of research and clinical experience while also providing specialized training critical for the applicant’s future development. Specifically, the applicant requires additional training in: 1) theory and practice in implementation science with particular emphasis on organizational management and science as it pertains to the development and testing of implementation strategies; 2) advanced methodologies, including qualitative and mixed qualitative and quantitative methods; and 3) healthcare economic techniques to evaluate the impact of implementation strategies. This training will be facilitated by mentorship from the applicant’s primary sponsor, Dr. Lauren Brookman-Frazee, and her co-sponsors, Drs. Gregory Aarons, Todd Gilmer, Lisa Kath, and Allison Hamilton. This project will provide pilot data to motivate a subsequent NIMH R01 application to conduct a large-scale trial of the implementation strategies supporting the sustainment of child trauma EBPs. In addition, this project will provide the applicant with the advanced training and skills required to launch an independent research program focused on improving mental healthcare services for children exposed to early adversity and trauma.

项目摘要/摘要 已经制定了许多基于证据的心理健康干预措施来增加负面结果 与儿童暴露于早期逆境和创伤有关。 大多数儿童在公开健康中服役。 程序（EBP）。 在过去的十年中 加利福尼亚州和阿肯色州。 社区环境遵循最初的实施推动，EBP Delighy的长期维持较低。 劳动力风险因素（例如提供者倦怠导致流失）已成为有助于 因此，长期维持创伤EBP。 儿童创伤EBP的任期维持是为了开发实施星际目标提供商倦怠 以及与提供商退化减少相关的组织气候因素。 该提议的K23指导了以患者为导向的研究职业发展奖Willop和Pilot A 实施策略包，“支持提供商并防止资源压倒 创伤系统”（支持），针对通过解决您的持续交付创伤EB的旨在增加持续的创伤 与保留倦怠的提供者有关的因素将被告知支持。 根据需要评估的需求评估 加利福尼亚和阿肯色州。 经验同时，还为申请人的未来发展提供了专业的培训。 申请人需要在以下方面进行额外的培训：1）具有特定路径的实施理论和实践 强调组织管理和科学，因为它对开发和测试的发展 实施策略； 2）高级方法论，包括定性和混合的定性 定量方法； 3）评估实施影响的医疗经济技术 策略。 布鲁克曼·弗拉西（Brookman-Frazee）和她的共同赞助人，格雷戈里·亚伦（Gregory Aarons），托德·吉尔默（Todd Gilmer），丽莎·凯斯（Lisa Kath）和艾莉森·汉密尔顿（Allison Hamilton）。 该项目将提供试点数据，以激发随后的NIMH R01申请进行大规模试验 在支持儿童创伤EBP的实施策略中。 向申请人提供启动独立研究所需的高级培训和技能 计划致力于改善暴露于早期逆境和创伤的儿童的心理保健服务。