Center for Team Effectiveness to Accelerate EBP Implementation in Children's Mental Health Services

团队效能中心加速儿童心理健康服务中的 EBP 实施

基本信息

批准号：
10406504
负责人：
GREGORY AARONS
金额：
$ 240.36万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-05 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10406504
关键词：
Adolescence Adolescent Age Algorithms Attention deficit hyperactivity disorder Businesses Caring Child Child Care Child Mental Health Child Welfare Childhood Clinical Services Communication Communities Community Services Complex Data Decision Making Depression screen Development Early Intervention Effectiveness Ensure Epidemiology Evidence based practice Family Fostering Funding Health Expenditures Health Services Accessibility Healthcare Healthcare Systems Improve Access Individual Infrastructure Investments Life Longevity Measures Mental Health Mental Health Services Mental disorders Methods Military Personnel Mission Modeling Monitor Natural Language Processing Outcome Parents Performance Physicians Pilot Projects Prevention Protocols documentation Provider Psyche structure Quality of Care Regulation Research Research Personnel Research Project Grants Research Support Resources Schools Secondary Prevention Services Special Education System Testing Training Transcript Work Youth autism spectrum disorder base care systems career child mental health service child services community center computer science cost design-build-test effectiveness research evidence base experience falls implementation research implementation science implementation strategy improved interdisciplinary collaboration medical specialties model design novel operation programs racial and ethnic routine care service gap service organization shared decision making skills suicidal risk teacher therapy development tool

项目摘要

PROJECT SUMMARY (Overall) The proposed “Center for Team Effectiveness to Accelerate EBP Implementation in Children’s Mental Health Services (TEAMS)” will leverage organizational team effectiveness research (TER) to develop and test novel team-based implementation strategies, methods, and tools to improve the reach, quality, and effectiveness of care delivered in public systems serving children with mental health needs - specialty mental health, schools, pediatric healthcare, and child welfare. Gaps between evidence-based practices (EBPs) and routine care persist and limit the quality and effectiveness of services for children. High performing implementation teams are essential to effective services and team-level mechanisms can hinder or facilitate EBP implementation. There is substantial research on team development interventions developed for the military, business, and other complex contexts, but they not been leveraged to improve children’s mental health. The TEAMS Center will create the essential administrative and scientific infrastructure to conduct team-based implementation research to improve children’s mental health outcomes. It will bring together experts in children’s mental health implementation research, EBPs for children and adolescents, implementation strategies, models, and methods, TER, and computer science. We propose to: (1) establish a highly efficient and well-functioning Center for community-partnered children’s mental health implementation research; (2) integrate TER and natural language processing to advance implementation science models, designs, and measures; and (3) leverage the Center’s expertise and infrastructure to design, build, and test team-based strategies to improve the implementation and effectiveness of EBPs across service systems. The Administrative Core will apply TER strategies to Center operations to optimize communication and decision-making; foster interdisciplinary collaboration and partnership with community stakeholders; and promote the development of internal and external trainees. The Methods Core will advance implementation science models to incorporate TER and natural language processing, adapt and develop measures to examine team-based implementation strategies and mechanisms, and clinical/service outcomes. Center research will adapt and test team development interventions selected from those with evidence in other contexts. The Signature R01 will test a combination of team development interventions [e.g., communication training via handoff protocols, team performance monitoring] to improve implementation and effectiveness of the Collaborative Life Skills Program for children with ADHD in schools. The developmental projects will test after-action reviews to improve shared decision making regarding mental health services in child and family teams in Child Welfare Services (R34#1); implementation team charters to improve distance training for two autism EBPs in specialty mental health and schools (R34#2); and team communication training to facilitate depression screening in a pediatric health care system (R34#3). Additionally, the Center will solicit and fund two pilot projects per year led by internal and external teams of investigators and community partners.

项目概要（总体）拟议的“儿童心理健康服务中加速 EBP 实施的团队有效性中心 (TEAMS)”将利用组织团队有效性研究 (TER) 来开发和测试基于团队的新颖实施策略、方法和工具，以提高覆盖范围、质量以及在为有心理健康需求的儿童提供服务的公共系统（专业心理健康、学校、儿科医疗保健和儿童福利）中提供的护理的有效性。循证实践（EBP）与常规护理之间的差距仍然存在，并限制了服务的质量和有效性。适合儿童。实施团队对于有效的服务至关重要，团队层面的机制可能会阻碍或促进 EBP 的实施，针对军事、商业和其他复杂环境制定的团队发展干预措施有大量研究，但尚未用于改善儿童的心理健康。 TEAMS 中心将创建必要的行政和科学基础设施，以开展基于团队的实施研究，以改善儿童心理健康结果。它将汇集儿童心理健康实施研究、儿童和青少年 EBP、实施策略、模型和研究方面的专家。方法，TER，我们建议：（1）建立一个高效且运作良好的社区合作儿童心理健康实施研究中心；（2）整合TER和自然语言处理来推进实施科学模型、设计和措施； (3) 利用中心的专业知识和基础设施来设计、构建和测试基于团队的策略，以提高跨服务系统的 EBP 的实施和有效性。行政核心将 TER 策略应用于中心运营，以优化沟通和决策。培养跨学科；与社区利益相关者的合作和伙伴关系；并促进内部和外部学员的发展，以推进实施科学模型，以纳入 TER 和自然语言处理，调整和制定措施以检查基于团队的实施策略和机制以及临床/中心研究将调整和测试从其他情况下有证据的团队发展干预措施中选择的团队发展干预措施（例如，通过交接协议进行的沟通培训、团队绩效监控），以提高实施和有效性。协作生活学校多动症儿童技能计划将测试事后审查，以改善儿童福利服务中儿童和家庭团队心理健康服务的共同决策（R34#1），以改善儿童的远程培训；专业心理健康和学校中的两个自闭症 EBP（R34#2）；以及促进儿科医疗保健系统中的抑郁症筛查的团队沟通培训（R34#3）。内部和外部团队调查人员和社区合作伙伴。