Community Development Teams to Scale-Up MTFC in California

社区发展团队将在加州扩大 MTFC

基本信息

批准号：
7480429
负责人：
PATRICIA CHAMBERLAIN
金额：
$ 144.47万
依托单位：
CENTER FOR RESEARCH TO PRACTICE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-15 至 2011-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7480429
关键词：
Adherence Administrator Adolescent Adopted Adoption Attitude Behavioral California Caring Certification Child Child Welfare Client Climate Collaborations Communities Community Developments Competence Condition Consultations Consumer Advocacy Contract Services Cost Analysis Cost-Benefit Analysis County Data Development Economics Effectiveness Effectiveness of Interventions Enrollment Evaluation Evidence based intervention Evidence based practice Evidence based program Family Funding Future Human Resources Individual Institutes Intervention Leadership Legal Literature Measurement Measures Mediating Mental Health Modeling Movement Multivariate Analysis Numbers Oregon Organizational Culture Outcome Placement Policies Poverty Problem behavior Procedures Process Program Sustainability Psychological Factors Public Policy Quality of Care Randomized Randomized Controlled Clinical Trials Rate Recording of previous events Relative (related person)Research Research Design Research Personnel Resources Rural Services Site Specific qualifier value Staging Standards of Weights and Measures Substance abuse problem System Technology Transfer Testing Time Washington Youth base care systems cohort comparative contextual factors cost court design foster care foster parent improved innovation instrument interest juvenile arrest juvenile justice system mental health welfare peer pressure programs psychologic scale up theories therapy design uptake willingness youth violence

项目摘要

DESCRIPTION (provided by applicant): Although there has been tremendous progress in the development and testing of interventions that have shown consistent, positive effects on outcomes in randomized trials with children and adolescents, over 90% of publicly-funded child service systems do not deliver treatments or services that have an evidence base to support them. As described in PA-04-019, research is needed on the movement of efficacious interventions into real world community settings. In this application, we propose to test the effectiveness of the Community Development Team (CDT), a theory-driven model to promote the adoption, implementation, and sustainability of one such intervention (Multidimensional Treatment Foster Care; MTFC) in California counties that are not already using MTFC. To examine the effectiveness of the CDT intervention, counties will be randomly assigned to the CDT plus Standard Implementation of MTFC (CDT) condition, or to the Standard Implementation of MTFC only (SI) condition. Both CDT and SI counties will receive the resources needed to implement MTFC, and counties will pay for all direct services to children and families. The CDT intervention model was developed by the California Institute for Mental Health (CIMH) in an effort to engage and support evidence-based programming throughout the state. In the proposed study, we will test whether a set of fixed contextual factors (i.e., being a CMHS System of Care site, level of poverty, urban/rural, presence of consumer advocacy, history of collaboration) moderate the hypothesized intervention effect. Additionally, we will examine whether changes in a set of dynamic contextual factors (i.e., psychological and organizational climate, and attitudes toward evidence-based practices) mediate the association between random assignment and the intervention effects. A multi-level intervention and assessment approach will be used that involves system decision makers, consumer representatives, agency administrators, practitioners, foster parents, and youth and their families. Analyses will examine group differences in the intervention outcomes (rates of adoption, implementation, and sustainability of MTFC), as well as the hypothesized moderating effects of fixed factors and the mediating effects of dynamic factors. The design of this study will provide information that increases the understanding of "what it takes" to engage and support uptake, implementation, and sustainability of evidence-based programs in communities.

描述（由申请人提供）：尽管在干预措施的开发和测试方面取得了巨大进展，并且在针对儿童和青少年的随机试验中显示出对结果一致的积极影响，但超过 90% 的公共资助的儿童服务系统没有提供有证据支持的治疗或服务。如 PA-04-019 中所述，需要研究如何将有效的干预措施转移到现实世界的社区环境中。在此应用中，我们建议测试社区发展团队 (CDT) 的有效性，这是一种理论驱动的模型，旨在促进加州各县采用、实施和可持续性此类干预措施（多维治疗寄养；MTFC）尚未使用 MTFC。为了检查 CDT 干预的有效性，县将被随机分配到 CDT 加 MTFC 标准实施 (CDT) 条件，或仅 MTFC 标准实施 (SI) 条件。 CDT 县和 SI 县都将获得实施 MTFC 所需的资源，各县将支付为儿童和家庭提供的所有直接服务费用。 CDT 干预模型由加州心理健康研究所 (CIMH) 开发，旨在参与和支持全州的循证规划。在拟议的研究中，我们将测试一组固定的背景因素（即，作为 CMHS 护理系统站点、贫困程度、城市/农村、消费者倡导的存在、合作历史）是否会调节假设的干预效果。此外，我们将研究一组动态背景因素（即心理和组织气氛以及对循证实践的态度）的变化是否介导随机分配和干预效果之间的关联。将采用多层次的干预和评估方法，涉及系统决策者、消费者代表、机构管理人员、从业人员、养父母、青少年及其家人。分析将检查干预结果（MTFC 的采用率、实施率和可持续性）的群体差异，以及假设的固定因素的调节作用和动态因素的中介作用。这项研究的设计将提供信息，加深对“需要什么”来参与和支持社区循证计划的采用、实施和可持续性的理解。