Improving access to mental health services for rural youth: Leveraging multidisciplinary teams to enhance implementation of a screening and referral protocol in rural Child Advocacy Centers

改善农村青年获得心理健康服务的机会：利用多学科团队加强农村儿童宣传中心筛查和转诊方案的实施

• 批准号: 10609408
• 负责人: Elizabeth Ann McGuier
• 金额: $ 17.07万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10609408
• 关键词: Adoption; Advisory Committees; Advocate; Affect; Affective; Behavior; Behavioral; Behavioral Sciences; Businesses; California; Caregivers; Caring; Child; Child Abuse and Neglect; Child Advocacy; Child Mental Health; Child Welfare; Clinical; Clinical Sciences; Committee Members; Communication; Communities; Competence; Conflict (Psychology); Data; Development; Education; Eligibility Determination; Ensure; Evidence based practice; Evidence based treatment; Goals; Health Personnel; Hybrids; Impairment; Improve Access; Intervention; Interview; Law Enforcement; Mental Health; Mental Health Services; Mentors; Mentorship; Methods; Modeling; National Institute of Mental Health; Outcome; Partnership Practice; Pediatrics; Penetration; Pennsylvania; Performance; Play; Positioning Attribute; Primary Care; Process; Protocols documentation; Psychiatry; Psychology; Public Health; Randomized; Recommendation; Replicating Effective Programs; Research; Research Personnel; Resources; Rewards; Rice; Risk; Role; Rural; Rural Health Services; Schools; Screening procedure; Service setting; Speed; Standardization; Structure; Suicide; Surveys; System; Testing; Training; Translational Research; Universities; Utah; Vulnerable Populations; Washington; Youth; cognitive process; cohesion; community based research; effectiveness/implementation hybrid; evidence base; experience; health care settings; hybrid type 2 trial; implementation efforts; implementation facilitation; implementation outcomes; implementation process; implementation science; implementation strategy; implementation/effectiveness; improved; improved outcome; intervention mapping; maltreatment; member; multidisciplinary; patient safety; peer; pilot trial; post implementation; professor; response; routine practice; rural area; screening; skill acquisition; skills; stress symptom; suicidal; suicide rate; team-based care; theories; tool; traumatic stress

Project Summary/Abstract Children in rural areas are at elevated risk for child maltreatment and have high rates of unmet mental health needs. Child Advocacy Centers (CACs) provide coordinated interagency responses to maltreatment allegations and are well-positioned to identify children with mental health needs and facilitate access to evidence-based treatments. This K23 study will examine how multidisciplinary team functioning in CACs is associated with implementation of a screening and referral protocol and whether improving team functioning can enhance implementation efforts. Understanding how multidisciplinary teams facilitate or hinder implementation and developing team-focused strategies can enhance efforts to implement evidence-based practices in rural CACs and other settings providing team-based care. This study will use a stakeholder- engaged approach and has three aims: 1) Use mixed methods to examine how multidisciplinary team interdependence and functioning are associated with implementation of a screening and referral protocol in CACs; 2) Develop team-focused strategies to facilitate implementation in rural CACs; and 3) Conduct a pilot randomized controlled effectiveness-implementation Type II hybrid trial in rural CACs. To ensure its successful execution and build the investigator’s capacity for independent research, the following training aims are proposed: 1) Develop competence in conducting stakeholder-engaged, community-based research with vulnerable populations, 2) Develop expertise in the application of team theories to implementation in multidisciplinary settings providing team-based care, and 3) Acquire skills in methods for implementation science. Training and research will be overseen by co-mentors Dr. David Kolko (Professor of Psychiatry, Psychology, Pediatrics, and Clinical and Translational Science, University of Pittsburgh) and Dr. Gregory Aarons (Professor of Psychiatry, University of California-San Diego). Additional mentorship will be provided by community partner Dr. Teresa Smith (Project Director, Northeast Regional Children’s Advocacy Center) and advisory committee members Dr. Laurie Weingart (Professor of Organizational Behavior and Theory, Tepper School of Business at Carnegie Mellon University), Dr. Eduardo Salas (Professor of Psychology, Rice University), Dr. Elizabeth Miller (Professor of Pediatrics, University of Pittsburgh), and Dr. John Fortney (Professor of Psychiatry and Behavioral Sciences, University of Washington).

项目概要/摘要 农村地区的儿童遭受虐待的风险较高，心理未得到满足的比例也较高 儿童权益中心 (CAC) 针对虐待提供协调一致的机构间应对措施。 指控并能够很好地识别有心理健康需求的儿童并促进获得 这项 K23 研究将探讨多学科团队在 CAC 中的运作情况。 与筛查和转诊方案的实施以及是否改善团队运作相关 了解多学科团队如何促进或阻碍实施工作。 实施和制定以团队为中心的战略可以加强实施基于证据的努力 农村 CAC 和其他提供团队护理的环境中的实践 本研究将使用利益相关者。 参与方法，具有三个目标：1）使用混合方法来检查多学科团队如何 相互依存和功能与筛查和转诊协议的实施相关 CAC；2) 制定以团队为中心的战略，以促进在农村 CAC 的实施；以及 3) 开展试点 在农村 CAC 中进行随机对照有效性实施 II 类混合试验，以确保其成功。 执行力和培养研究者独立研究的能力，以下培训目标是 建议： 1) 培养开展利益相关者参与、基于社区的研究的能力 弱势群体，2) 发展将团队理论应用于实施的专业知识 提供基于团队的护理的多学科环境，以及 3) 获得实施方法的技能 培训和研究将由共同导师 David Kolko 博士（精神病学教授， 匹兹堡大学心理学、儿科、临床和转化科学）和格雷戈里博士 Aarons（加州大学圣地亚哥分校精神病学教授）将提供额外的指导。 社区合作伙伴 Teresa Smith 博士（东北地区儿童倡导中心项目总监）和 顾问委员会成员 Laurie Weingart 博士（泰珀大学组织行为与理论教授） 卡内基梅隆大学商​​学院）Eduardo Salas 博士（莱斯大学心理学教授） 大学）、伊丽莎白·米勒博士（匹兹堡大学儿科教授）和约翰·福特尼博士 （华盛顿大学精神病学和行为科学教授）。