Preface |
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iii | |
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ix | |
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xi | |
Summary |
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xiii | |
Abbreviations |
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xxv | |
Glossary |
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xxvii | |
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1 | (14) |
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Background on the Allegheny County Maternal and Child Health Care Collaborative |
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1 | (1) |
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The Collaborative's Prior Work |
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2 | (1) |
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Phase I: Planning Process, 2002-2004 |
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2 | (1) |
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Phase II: Pilot Testing, 2004-2006 |
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2 | (1) |
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Phase III: Maternal Depression Initiative, 2007-2010 |
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3 | (1) |
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The Broad Context for the Collaborative's Focus on Depression |
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3 | (1) |
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Prevalence and Symptoms of Maternal Depression |
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4 | (1) |
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Prevalence and Risk Factors of Maternal Depression for Low-Income Populations |
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4 | (1) |
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Prevention and Intervention Effects for Women at Risk for Depression |
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5 | (1) |
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Link Between Maternal Depression and Early Childhood Development |
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5 | (1) |
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System Challenges to Addressing Maternal Depression |
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6 | (1) |
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Maternal Depression Screening |
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7 | (1) |
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Actions Taken Following Positive Screens |
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8 | (1) |
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Engagement in Behavioral Health Treatment |
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8 | (1) |
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The Need for a Cross-System Response to Maternal Depression in Allegheny County |
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9 | (2) |
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The Helping Families Raise Healthy Children Initiative |
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11 | (1) |
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Aims and Focus of the Initiative |
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11 | (1) |
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Roles and Responsibilities of Key Stakeholder Groups |
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12 | (1) |
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Strategies for Implementation |
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13 | (1) |
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14 | (1) |
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Organization of This Report |
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14 | (1) |
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15 | (16) |
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The Initiative's Framework for System Change |
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15 | (1) |
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Initiative Partners and Organization |
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15 | (3) |
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Implementation Protocols and Procedures |
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18 | (1) |
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Screening and Identification of At-Risk Families |
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18 | (1) |
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Relationship-Based Service Coordination and Referrals |
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19 | (1) |
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Engagement in Relationship-Based Services |
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20 | (1) |
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Strategies to Support Initiative Implementation |
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21 | (1) |
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Conducting Cross-System Provider Training |
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21 | (1) |
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Supporting the Screening and Referral Processes |
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22 | (1) |
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Convening a Learning Collaborative for Providers |
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23 | (1) |
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Developing Community Partnerships |
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23 | (1) |
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Assessing Progress to Inform Ongoing Implementation |
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23 | (1) |
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24 | (1) |
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Data Collection for Process, Individual Outcome, and System Impact Measures |
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24 | (4) |
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Data Collection Activities |
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28 | (2) |
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30 | (1) |
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31 | (38) |
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Section A. Assessment of the Implementation Process: Screening and Identification, Referral, and Engagement in Services |
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32 | (1) |
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Screening and Identification Results |
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33 | (5) |
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38 | (4) |
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Engagement-in-Services Results |
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42 | (4) |
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Summary of the Process Measure Results |
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46 | (1) |
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Section B. System Impact Results |
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47 | (1) |
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Screening and Identification |
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48 | (1) |
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Cross-System Networking and Referrals |
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49 | (1) |
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Engagement in Services for At-Risk Families |
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50 | (2) |
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Tracking Implementation Progress and Costs |
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52 | (1) |
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Summary of Factors Driving System Change |
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53 | (1) |
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Section C. Individual-Level Outcome Results |
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54 | (1) |
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54 | (6) |
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60 | (2) |
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62 | (4) |
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Summary of the Individual Outcome Measure Results |
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66 | (2) |
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Summary of the Results of the Overall Initiative |
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68 | (1) |
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69 | (6) |
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69 | (1) |
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Screening and Identification |
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69 | (1) |
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70 | (1) |
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Engagement in Services for At-Risk Families |
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70 | (1) |
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Education, Training, and Support |
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71 | (1) |
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71 | (1) |
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72 | (3) |
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Chapter Five Conclusions, Recommendations, and Next Steps |
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75 | (4) |
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Sustainability of the Initiative's Components |
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75 | (1) |
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76 | (1) |
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77 | (2) |
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79 | (50) |
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129 | (22) |
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C Outcome Measure Linkages |
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151 | (2) |
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153 | (6) |
Bibliography |
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159 | |